ACADEMIC RECORD REQUEST FORM PERSONAL DETAILSStudent ID(Required) CourseGeneral English (GE)International English Language Testing System (IELTS) PreparationGiven name(Required) Family name(Required) Email address(Required) Contact phone number(Required) Current resident address StateNSWQLDVICNTACTWATASPostcode DOCUMENT REQUESTED(Please place a tick next to your selection and reason below)Document(Required) Statement of attainment Confirmation of enrolment letter Certificate and Final Academic Transcript Holiday letter Reissue student card- $20 Reissue of Qualification/Transcript-$50 Completion letter Other If Other, please specify. I would like to obtain copies of my documents by:(Required) Collect them personally from Campus Email (*Not available for formal qualifications) Registered Post or Overseas Postage AUD$25.00 Posted to the address listed on this form. Reason for letter and/or reissue of qualification/transcript: PLEASE ALLOW UP TO 10 WORKING DAYS FOR PROCESSING OF DOCUMENTS AND LETTERS. ALL FEES, INCLUDING TUITION FEES MUST BE UP-TO-DATE FOR REQUESTS TO BE PROCESSED. THE COLLEGE WILL NOTIFY DEPARTMENT OF EDUCATION, DEPARTMENT OF HOME AFFAIRS AND THE DEPARTMENT OF INDUSTRY ABOUT STUDENT’S COURSE COMPLETION DECLARATIONConsent(Required) I declare that all the information I have given above is correct and complete. I confirm that I have read all the terms and conditions and agree to abide by those rules and any subsequent amendments. If any information is false or has been withheld I accept that this may cause cancellation of my enrolment and/or further consequences.Student’s signature:(Required)Date(Required) DD slash MM slash YYYY NameThis field is for validation purposes and should be left unchanged. Δ
