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Student Details

ACMi ID *

Date *

Family Name *

Given Name *

Address *

Contact number*

Email *

Course Details (Current)

I'm applying for following changes

Deferment/Suspension

Extension

Transition

Withdrawal

Qualification

Current Start Date

Current End Date

Course Details (Proposed)

I am applying for the following change to my current course/s:

Enroll

Qualification

Current Start Date

Current End Date

Eligibility Requirements

IELTS / PTE	5.5 Each band	Expiry date

Evidence Details

Other Evidence *

Supporting evidence attached: Please upload file *

Student Details

Please outline your reasons for wanting to process a change in your enrolment, please attach any supporting documentation if required.

Student Declaration

I have read and understand the Change of Enrolment Policy.

I have read and understand the Fees, Charges and Refund Policy.

I understand the Cancellation and Refund Policy.

I understand that I will receive a written response with ten(10) business days outlining the college's decision upon validation of the documentation I have provid.

I have provided supporting documentation to support my request.

ABN 84 623 794 178

RTO Code: 45535

CRICOS Code: 03800K

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Student Details

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Eligibility Requirements

Evidence Details

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