Offer Acceptance Form - Off Campus Students by lindash


Offer Acceptance Form - Off Campus Students

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									Offer Acceptance Form - Off Campus Students

 NOTE: Exchange students do NOT need to complete this form.
 Off Campus students please fill and email this form to:

Deakin International, Melbourne Campus at Burwood,
221 Burwood Highway, Burwood, Victoria 3125, Australia.
Telephone +61 3 9244 5095 Facsimile +61 3 9244 5094
CRICOS Provider Code: 00113B

Student ID Number
                                                                                         Male                    Title (Dr, Mr, Miss)
(refer to your offer letter)

Family name

Given name(s)

Correspondence address


Date of birth                         D    D    /    M   M   /   Y   Y   Y   Y




I accept Deakin University’s offer of admission to the following course:
Course code                                                                      Course Name
(refer to your offer letter e.g. A300, M705, etc.)

Commencing trimester                  T        20
I understand that this offer constitutes the basis of the agreement for my studies at Deakin University.

Please tick:

    I am accepting this offer and declare I have read and understand admission procedures, fees and refund policy, description
    of the course content, its duration, location and the qualification awarded.

    I understand the associated costs, English language proficiency requirements, and descriptions of the teaching methods,
    assessment, facilities, equipment and learning resources.

    I undertsand that non-payment of fees in any trimester will lead to cancellation of my enrolment.

    I acknowledge the Credits for Prior Learning (if applicable).

    I agree to the disclosure of personal information to relevant external organisations such as OSHC providers, or service pro-
    viders offering services to students under 18 years of age.

Student’s Signature                                                              Date:   D   D   /   M   M   /   Y   Y   Y   Y

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