Appeal Application

Phone

This field is for validation purposes and should be left unchanged.

This form is for any student who needs to make an appeal against a decision made by the college. This may include but is not limited to an Intent to Cancel, determination of Not Yet Satisfactory or Not Competent or decision to reject any application.

Student Number(Required)

Family Name(Required)

Given Name(Required)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email(Required)

Phone(Required)

Date(Required)

Course Details

Current Qualification(s)(Required)

Student Details

Please outline your reasons for applying for an appeal and the decision you are appealing.(Required)

Student Declaration(Required)

I have read and understand the Complaints and Appeals Policy

I have read and understand the Fees, Charges and Refund Policy or Course Progress Policy where applicable

I understand that I will receive a written response within ten (10) business days outlining the college decision.

I have provided supporting documentation to support my request.

I understand that the decision of the college does not impact my consumer rights.

I understand, in the case of an appeal against an intent to cancel for poor course progress, confirmation of submission of units and a signed IEP is required.

I understand, in the case of an appeal against an intent to cancel for non-payment of fees, confirmation of payment against fees is required.

Student Signature(Required)

Use cursor or mouse to sign.

Date(Required)

File Upload

Upload supporting documentation if available. Accepted file types: PDF, JPG, JPEG, PNG, DOC, DOCX.

Drop files here or

Accepted file types: pdf, jpg, jpeg, png, doc, docx, Max. file size: 256 MB.

Office Use Only

Date application received

Received by

Recommendation for actions

PEO - Faizan Tasneem

Appeal approved

PEO Signature

PEO Date

Comments

Finance - Shafiq Ahmed

Fee changes applicable

Date application sent to Finance

Fees to be raised

Date Invoice sent to student

Refund/Credit applicable

Finance Date

Finance Signature

Financial clearance Provided

Financial clearance Signature

Admissions - Imman Khan

PRISMS Variation Required

Date application sent to Admissions

Revised CoEs created

Revised CoE Sent to Student

Admissions Date

Admissions Signature

Student Support or Admission Officer

SMS Updated

SMS Updated Date

Filed in student file

Filed Date

Student Support / Admission Officer Signature

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