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REQUEST FORM

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					                                                                                                                                                                                           REQUEST
                                                                                                                                                                                              FORM
STUDENT DETAILS                                                                                  -       your application will be rejected if you do not provide the information below

Surname ______________________________________________ First Name _____________________________

DoB _____/_____/________ Student Number ___________________ Mobile Phone ________________________

Address ______________________________________________________________________________________

State _________ Post Code _____________ Email ___________________________________________________

Class _______ Course Ad Dip / Dip / CIII                                                     Cookery / Patisserie (Please Circle) Start Date ____/____/_________

Agent ________________________________________________________________________________________
                                      *The National Code 2007 requires the student to notify Hostec if they are currently enrolled in another institution in Australia.

DOCUMENTS (10 Working Days)                                                                     -                                                      all documents incur an administration fee of $30
   Enrolment Confirmation                                                                                                         RSA (Reprint)
   Attendance Letter                                                                                                              First Aid (Reprint)
   Resit Form (Resit fees apply)                                                                                                  Completion Letter (Reprint)
   IP Report (Reprint)                                                                                                            Qualification (Reprint)
   Transcript / Academic Progress (Reprint)                                                                                       ID Cards (Reprint)
   Confirmation of Enrolment (CoE Reprint)                                                                                        Other _____________________________

REQUESTS (10 Working Days)                                                                      -      all requests need explanation and supporting documents or it will be rejected
   Change of Detail                                                                                                               Change of Enrolment
   Transferring course within HOSTEC                                                                                              Payment Plan Application
   Recognition of Prior Learning / Credit Transfer                                                                                Deferral / Leave / Medical Certificate
   Academic Appeal                                                                                                                Appointment with Staff Member
   Refund Application                                                                                                             Cancellation / Release / Withdrawal
   Complaint / Grievance                                                                                                          Other _____________________________

EXPLANATION
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________

 (Deferral / Leave application only) Total days _________. From _____/_____/_________ to _____/_____/_________

ACCEPTANCE AGREEMENT
Declaration
 • I declare that I have read and understood all policies, terms and conditions in the current Student Handbook.
 • I declare that I understand if I have any outstanding fees owing to the college the request will be cancelled.
 • I declare the information contained and/or attached in this form is true and correct.
 • I agree to having read, agreed and understood to all current conditions set by Hostec.
 Student Name___________________________________________ Student Number _________________________
Student Signature                                                                                                                                                                  Date ____/____/_________
  OFFICE USE ONLY                                                                                                                                                                  Request Number (                                     )
      Fees                                                                                                                                   Academic
   Outstanding
                                   $                                   Attendance                                             %               Results                                  NYC                          COMPETENT

    Request                                                                                                                Request
   Received by                                      SIGNATURE                                     DATE                   Approved by                                      SIGNATURE                                     DATE

__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __


          RECEIPT - Student Number (                                                                                                        )                              Request Number (                                    )

      Reason for Request                                                                        Date ____/____/_________                                                    Staff Signature
                                                     1. This request will be cancelled if you owe fees to the college. 2. Documents take 10 days to process.
   Warning: This document becomes uncontrolled when printed. This document is current as of time of printing                                                                           QMSFRCR122 Request Form V4
   Authorised and maintained by: GM – Hostec Academy                                                                                                                                Creation Date                    25 November 2009
   HOSTEC International PTY LTD http//www.hostec.com                                                                                                                                   Issue Date                    25 November 2009
   ABN 28 082 814 739                                                                                                                                                                Review Date                        30 March 2010
   NTIS 90034                                                                                                                                                             CRICOS Provider Number                              02831M

				
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Description: REQUEST FORM