G rae cd Refund Application This form is for any student who wishes to apply for a refund. Student Details Student Number PEATSISAM Date as oF 2018 Family Name PoudeL chen SwARNIM Address RaArVAMAuAR-12, CHETWAN Contact Number | + 994480911 435 6 Email Address paucelswarnin &) J mail: Lom al ‘Course Details Tot2 CPuture se Advanced Dip. of hespitably Myra) Tram appiving for refund forthe folowing (Tick all that apply): Tuition Fees _C.Material Fees _CJOSHC Tam applying for refund because: CiWithdrawal Visa Refusal 0 Over-payment Other Current Qualification(s) Student Details Please outline your reasons for wanting @ refund: ved nas BEEN REFUSED AWD LRAVE ATTACHED “Y aefusac CETTER- Bank Details AAG Classic BANKING swift Code —" sTTAKIMy PANT 858 086-499 Recount “| 94 - 489-0766 Signatur: Fed, Student Declaration: AZT | have read and understand the Change of Enrolment Policy AE Ihave read and understand the Fees, Charges and Refund Policy {UZ | understand that | wll not be eligible for a refund if apply for withdrawal after the commencement date of this term and that all fees must be cleared prior to approval of @ withdrawal. LZ Lunderstand that | will receive a refund, if applicable, and a written response with ‘twenty-eight (28) business days outlining the college decision upon validation of the documentation | have provided. LZ ‘have provided supporting documentation to support my request: CE ‘understand this application, and the availabilty of complaints and appeals processes, does not remove my right asa student to take action under Australia’s consumer protection laws - Budenesenabre SG Date [2s [ow) 2018] RTOID52014 Perth College of Business and Technology Pty Ltd Refund Application Author: LHollows © 2017 V3.0 25/10/17Refund Application Fans re ck ‘Business & Technology Office Use Only Date application received: Received by: Finance ~ Shafiq Ahmed Refund is approved: QYes CNo If no, please provide the reason: Method of refund: CIEFT/CC CiCredit to student account Cinternational Transfer Ci Domestic Transfer Refund payable to: CStudent Agent Logged in MYOB: Yes CNo _ Date: Signature’ Student Support or Admission Officer ‘SMS Updated: Yes___No Date: Filed in student file: Yes _No Date: Signature: RTOID 52014 Perth College of Business and Technology Pty Ltd Refund Application Author: LHollows © 2017 v3.0 25/10/17