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Refund Application Form

Before you fill in this form, please read ABILITY English Terms and Conditions of Enrolment and Refund Policy

Student and Course Details
Full Name :
DOB:

Student ID:

Address :
Tel:

Mobile:

Email:

Course :
Start Date:

End Date:

I wish to apply for a refund of my unused prepaid tuition fees for the course described above.
My reason for applying for a refund is: (please tick the most appropriate one)
Tick
appropriate
box

Reasons for claiming the refund

Documents* to be submitted with the
Refund Application Form

Visa application is refused

 Cancellation of Enrolment form
 Proof of visa refusal from DIBP or Embassy (Consulate);
 Copy of Passport

Written notice of withdrawal provided 28 days or
more before a course commencement

 Cancellation of Enrolment form
 Statement outlining the reasons for withdrawal;
 Copy of Passport

Written notice of withdrawal provided less than 28
days before start date of continuing term

 Cancellation of Enrolment form
 Statement outlining the reasons for withdrawal;
 Copy of Passport

I did not commence the course on the start date
and subsequently provide notice of withdrawal
from the course

 Cancellation of Enrolment form
 Statement outlining the reasons for withdrawal;
 Copy of Passport

Other (please specify below)

 Cancellation of Enrolment form
 Relevant evidence;
 Copy of Passport

* All the required documents must be submitted with this application form, otherwise it may cause delays in
application outcome decision or refund not being granted.

Refund Application Form version 3 (July 2014)
ABILITY English CRICOS Provider Code 01530K

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Account Name: Account No: Bank: Bank’s Address: Bank’s BSB No (within Australia only) or SWIFT Code (for overseas transfer): Account Holder’s Address:  Please transfer my fees as a credit to my new course at ABILITY English or MEGT Institute (please attach Letter of Offer and payment details for the new course) Student Declaration: I have read and understood ABILITY English Terms and Conditions of Enrolment. I understand that personal information collected on or with this form will be used for the purpose of assisting to make an informed decision on my request.Name: _____________________________Relationship:__________________ Please ensure all details are fully completed to avoid delay in receiving your efund.Method of Refund Payment:  I authorise ABILITY English to pay the refund I am eligible for to the person and bank account nominated herein:  Myself  A third party . Student Signature ______________________________________ Date:______/______/______ Parent Signature Date:______/______/______ ______________________________________ (If the student is under 18 years of age. true and correct. to the best of my knowledge. signature of parent or legal guardian is also required) OFFICE USE ONLY Campus Manager  APPROVED Comments:  NOT APPROVED Date:______/______/______ Signature: Notice of decision sent to student: Actioned by Finance Name: Date:______/______/______ Payment processed by ___________________ Date:______/______/______ Refund amount ___________________  Notify Admissions of refund payment details (for PRISMS reporting) Page 2 of 2 . I declare that the information I have supplied on and with this form is. including its Refund Policy.