Student Forms

Step 1 of 19

Form Selection
Select the form*
Form Fees
Form Fee: AUD
* I understand that the fee is non refundable and it is a processing fee for my application
Conditions of Special Leave
Special leave can be granted for a maximum 4 weeks in limited circumstances only. Special leave can be requested only once per course. Students requesting special leave must:
- Provide evidence of compassionate of compelling circumstances such a certified medical certificate, evidence of trauma or emergency
- Provide flight tickets if leaving Australia
- Have satisfactory academic progress as required under student visa conditions
- Be able to complete their course work satisfactorily within the current study term
NOTE: It is your responsibility to complete assessments during the period of leave
How do I apply for Special Leave?
To apply for special leave, complete this form, attach evidence supporting your request, and submit online. You may need to speak to your trainer or the Academic Manager to discuss maintaining course progress. When is the leave granted? You will be notified of the outcome in writing via email as soon as we can.
Please contact Reception if you require more information.
Student Details
Student Number*
Student Last Name*
Student Given Names*
Student Full Name*
Email Address
Email Address*
Contact Phone Number*
Current Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Instalment you wish to receive payment plan for*
Please choose how you want your instalment to be split / postponed*
- Fee to be split in 2 instalments (half on due date, half two weeks later)
- Fee to be split in 3 instalments
- Fee to be split in 4 instalments
Please explain why do you want to apply for a payment plan*
I understand that:*
- Intention to report may be issued automatically 3 days after instalment due date. If your pay plan has been approved the fees and charges of the payplan apply. If the fees are not paid exactly as per your payplan the ITR conditions and late fees apply.
I understand that:*
- It is NOT possible to apply for a payplan after the instalment due date
Payment plan - supportive documents required*
examples: Termination of Employment, Government support package refusal notice, Bank statement
Drop files here or
Max. file size: 5 MB, Max. files: 10.
Signature of Student

(Required to be submitted before Term / Mid Term Start Date)
Current Campus
Current Campus
Change To New Campus
Change To New Campus
Explain why you want to change your campus:
Please read and tick:
- I acknowledge that Campus change fee of $100 is payable immediately on approval.
- acknowledge that changing from a campus does not release me from any financial commitments I have previously agreed upon
- I acknowledge that failure to pay my outstanding fees may lead to academic failure.
- I acknowledge that I may not be permitted to a campus change in some circumstances.
- I acknowledge that it is my responsibility to contact the College to determine my financial liabilities and any academic issues.
Signature of Student

(Required to be submitted before Term / Mid Term Start Date)
Change of course requests will be approved (or not) by the Academic Manager (or delegate) based on your current Academic Progress and the entry requirements of the course you are requesting to change to. If you have poor academic progress or do not meet the entry requirements of the future course your request will not be approved.
Enrolment Details
Current Class
Current Class
Session Time
Change To
New Class
New Class
Session Time
Explain why you want to change your course:
Please read and tick:
- I acknowledge that COE change fee of $200 is payable immediately on approval.
- acknowledge that changing from a course does not release me from any financial commitments I have previously agreed upon
- I acknowledge that failure to pay my outstanding fees may lead to academic failure.
- I acknowledge that I may not be permitted to a course change in some circumstances.
- I acknowledge that it is my responsibility to contact the College to determine my financial liabilities and any academic issues.
Signature of Student

DEFERMENT OF STUDIES:
- Any international student requesting deferment of their studies should be aware that the Department of Immigration and Border Protection (DIBP) will only permit City Institute to allow a student to defer their studies in very limited circumstances i.e. for major illness, accident or other exceptional compassionate circumstances beyond the control of the student e.g. death in the family.
- If a student defers their studies on any other grounds, the College must report the student as not complying with visa conditions to Department of Immigration and Border Protection.
- Deferring, suspending or cancelling your enrolment may affect your student visa. In this event, City Institute must notify the Department of Education via PRISMS as required under section 19 of the ESOS Act
- Weddings, cultural and religious activities generally are not acceptable reasons for deferment of studies.
- Students must apply for deferment of studies in writing (using this Form) and submit supporting documentation (e.g. medical certificate from a registered medical practitioner, death certificate, return air tickets) to Student Services. Any documents of a personal nature should be enclosed in an envelope and labeled CONFIDENTIAL.
- Deferment of studies will not be permitted unless all documentation is sighted first.
- If deferment of studies is granted, it will not be granted for any duration less than 2 weeks.
- Should it become necessary for a student to cancel part or all of the leave, they should notify the College in person or in writing.
- Tuition fees have to be settled before students defer their studies if the next payment date occurs during the leave period. No student will be granted an extension in the time before their next installment of fees falls due, on account of a deferment of studies.
Enrolment Details
Current Course
Current Course
Trainer & Session Time
DEFERMENT / SUSPENSION PERIOD REQUESTED
From
Till
Please state the reason for requesting a deferment of studies. (If you need more room, attach a separate page)
EVIDENCE
Attach supporting evidence to justify a deferment of studies*
Drop files here or
Max. file size: 5 MB.
Is supporting evidence attached to justify a deferment of studies?
- Yes
- No
(if ‘No’, application will be rejected)
DECLARATION
- I understand that change of eCOE attracts $200 fee and is payable at the time of applying.
- I declare that the details provided by me are correct and complete.
Signature of Student

(Required to be submitted before Term / Mid Term Start Date)
Enrolment Details
Current Class
Session Time
Change To
New Class
Session Time
Explain why you want to change your class session
Please read and tick
- I acknowledge that a fee of $100 is payable immediately on approval.
- I acknowledge that I may not be permitted to change of class session in some circumstances.
- I acknowledge that a change a class session is applicable to once per course.
- I acknowledge that there is not guarantee of the trainer continuing for the entire duration the course
Signature of Student

Card Type
- VISA
- MASTERCARD
- AMERICAN EXPRESS
Card Number
Card Holder Name
Expiry Date
MM slash DD slash YYYY
CCV
Amount to be charged: $
Date of First Payment
MM slash DD slash YYYY
Duration of Agreement
MM slash DD slash YYYY
Signature

Conditions of Special Leave

Special leave can be granted for a maximum 4 weeks in limited circumstances only.
Special leave can be requested only once per course.
Students requesting special leave must:
- provide evidence of compassionate of compelling circumstances such a certified medical certificate, evidence of trauma or emergency
- provide flight tickets if leaving Australia
- have satisfactory academic progress as required under student visa conditions
- be able to complete their course work satisfactorily within the current study term
- NOTE: It is your responsibility to complete assessments during the period of leave
How do I apply for Special Leave?
To apply for special leave, complete this form, attach evidence supporting your request, and submit online. You may need to speak to your trainer or the Academic Manager to discuss maintaining course progress.
When is the leave granted?
You will be notified of the outcome in writing via email as soon as we can.
Please contact Reception if you require more information.
Enrolment Details
Current Course
Current Course*
Trainer & Session Time*
Units of Competency*
Special Leave Requested
From*

Student Forms

Step 1 of 19

Form Selection

Conditions of Special Leave

How do I apply for Special Leave?

Please contact Reception if you require more information.

Student Details

(Required to be submitted before Term / Mid Term Start Date)

(Required to be submitted before Term / Mid Term Start Date)

Enrolment Details

Change To

DEFERMENT OF STUDIES:

Enrolment Details

DEFERMENT / SUSPENSION PERIOD REQUESTED

EVIDENCE

(Required to be submitted before Term / Mid Term Start Date)

Enrolment Details

Change To

Personal Details

Reason for Cancellation

Refunds - Account Details

Enrolment Details

Special Leave Requested