APPLICATION FOR REFUND FORM

This form is for all students with the exception of RMIT English Worldwide students. If you are an RMIT English Worldwide student applying
for a refund; please go to RMIT English Worldwide RMIT Building 36, Level 1, 393 Swanston Street, Melbourne VIC 3000.
Please note that refund administration fees may apply depending on what category of student you are when you apply for a refund,
reasonsforrefund and evidence of these reasons. Please refer to the RMIT refund guidelines: www.rmit.edu.au/policies/refunds.
Please complete this form using a blue or black pen.

Reasons why an Application for Refund cannot be processed:

The funds for the refund are not available (cheques have not cleared, telegraphic transfers have not been received); and
If enrolled, you have not submitted a cancellation of enrolment form to the Hub.
The signature of the student does not match the signature of the student on file.
Copies of supporting documents are not officially certified.

1. Student Details
Student Number: Email:
Family Name: Given Name(s):
Contact Number (Australia):

Contact Number (Overseas):

2. Details of the RMIT program you are withdrawing from or seeking a refund for
Program Code:

Program Name:

If more than one program; please fill out a separate application for refund form for each program and attach.

3. Enrolment Status
Which of the following best describe your current enrolment status? (Please select one)
I am a domestic student. Go to 4.1
I am an international student. I am enrolled and have already
completed one or more semesters of my currentprogram.
Go to 4.1

I am an international student in the first semester of my

current RMIT program. Go to 4.2
I am an international student seeking a refund for a future
RMIT program which I have not yet commenced. Go to 4.2

4. Reason for Refund

- I am an international student. I am enrolled and have already

completed one or more semesters of my current program.

Please select reason for refund.

Visa extension not granted by Department of Immigration

and Citizenship (attach documentary evidence from DIAC)*
RMIT cancelled program or program ceases to be provided

4.2 - I am an international student seeking a refund for a future program

or am in the first semester of my current RMIT program.
Please select reason for refund.
Australian Government has refused to grant initial visa (attach
documentary evidence from DIAC)*
Withdrawing from program due to exceptional circumstances
(documentary evidence must be attached)*

Reduced enrolled load

Release letter from RMIT has been granted (Refund will not be
processed until a students transfer between provider application
is finalised)*

Scholarship

Failed to meet academic entry condition into the program

Changed HECS-HELP option

RMIT cancelled program or program ceases to be provided

Overpayment

Overpayment

Other (specify):

Other (specify):

Cancellation of enrolment / Granted Leave of Absence

Note: *Without supporting documents; administration charges will apply as per

the RMIT refund policy guidelines. Please refer to the RMIT refund guidelines:
www.rmit.edu.au/policies/refunds

Note: *Without supporting documents; administration charges will apply as per

the RMIT refund policy guidelines. Please refer to the RMIT refund guidelines:
www.rmit.edu.au/policies/refunds

If you are enrolled in the program you are withdrawing from, have you
submitted a cancellation of enrolment form to the Hub by the census date?

If you are not enrolled, by applying for a refund, your acceptance for
your future program is withdrawn including cancellation ofanyeCoEs.

Yes

No. If no, you will still be liable for fees for this
program. Your refund application will not
be processed if you have not cancelled
yourenrolment.

Not applicable Not withdrawing from a program.

Go directly to 5.

If you are enrolled in the program you are withdrawing from, have you
submitted a cancellation of enrolment form to the Hubby the census date?
Yes

No. If no, you will still be liable for fees for this
program. Your refund application will not
be processed if you have not cancelled
yourenrolment.

Not applicable I have not enrolled in this program.

Go directly to 5.

9466_Application for Refund Form2 11 Jun 2013

4.1 - I am a domestic student.

5. Refund Details - It is your responsibility to ensure the details provided are correct. If unsure, please confirm with your bank.
Self - Refund to you

Third Party - Refund to third party (ie. employer, parent, sponsor)

Electronic funds transfer (EFT) Refund transferred directly into an Australian bank account.
Name of account holder:

Account number:

BSB number:

Name of Bank:

Overseas Telegraphic Transfer Refund transferred directly into an overseas bank account.
Note: *RMIT is not responsible for any currency variance in foreign exchange rates.
Please complete the code that applies to your bank.
Name of account holder:
Full name of bank including branch name:
Full address of bank:
Account number:

SWIFT code: ( e.g. HSBSCHKXXX)

USA ABA routing number:

Europe IBAN number:

6. Declaration
If the refund method selected is via a third party, I accept that by signing this form I have authorised RMIT to pay my refund payment to the third
party account holder as specified on this form. I accept that any fees owing to RMIT University will be deducted from any refund payable.
I declare that the information on this form is true and complete and that it is my responsibility to provide all necessary documentation to support
my request for refund. I hereby acknowledge that this refund application will be processed in accordance with the RMIT Refund guidelines, which
I have read and understood.
Name of student:

Signature of student:

Date:

7. How to submit this form:

Commencing RMIT international students
(those who completed section 4.2) submit this form:

In person: The hub on your campus:

http://www.rmit.edu.au/students/hub/locations

In Person: International desk at Info Corner, Level 1,

RMIT Building 22, 330 Swanston St, Melbourne VIC 3000, Australia

By Email: thehub@rmit.edu.au

By Email: ISRefunds@rmit.edu.au

For your application for refund to be considered you must adhere to

university census deadlines for the submission of enrolment related
paper work. This includes enrolment variations, enrolment cancellation
and leave of absence applications.

For information on the RMIT refund guidelines please go to:

www.rmit.edu.au/policies/refunds

OFFICE USE ONLY

OFFICE USE ONLY

HUB

RMIT International

Date cancelled:

Date cancelled:

Date completed:

Date completed:

Date entered:

Date entered:

PRISMS

PRISMS

HUB date stamp

RMIT International date stamp

9466_Application for Refund Form2 11 Jun 2013

RMIT domestic / current international students

(those who completed section 4.1) submit this form: