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ABILITY Refund Application Form

This document is a refund application form for a student who is requesting a refund of their unused prepaid tuition fees. The form collects information about the student and their course, as well as the reason for requesting a refund such as visa refusal, withdrawal notice, or other reasons. Supporting documentation is required depending on the reason for refund. The student provides payment details for the refund and declares that the information provided is true. The form is then reviewed by the campus manager to approve or deny the refund request before being processed by finance.

Uploaded by

Armando Rodríguez Cevallos
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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424 views2 pages

ABILITY Refund Application Form

This document is a refund application form for a student who is requesting a refund of their unused prepaid tuition fees. The form collects information about the student and their course, as well as the reason for requesting a refund such as visa refusal, withdrawal notice, or other reasons. Supporting documentation is required depending on the reason for refund. The student provides payment details for the refund and declares that the information provided is true. The form is then reviewed by the campus manager to approve or deny the refund request before being processed by finance.

Uploaded by

Armando Rodríguez Cevallos
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 2

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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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 - Name: _____________________________Relationship:__________________
Please ensure all details are fully completed to avoid delay in receiving your efund.
Account Name:
Account No:
Bank:
Banks Address:
Banks BSB No (within Australia only)
or SWIFT Code (for overseas
transfer):
Account Holders 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, including its Refund
Policy. I declare that the information I have supplied on and with this form is, to the best of my
knowledge, true and correct. 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.

Student Signature ______________________________________

Date:______/______/______

Parent Signature

Date:______/______/______

______________________________________

(If the student is under 18 years of age, 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)

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