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Before you fill in this form, please read ABILITY English Terms and Conditions of Enrolment and Refund Policy
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
* 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.
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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.
Date:______/______/______
Parent Signature
Date:______/______/______
______________________________________
(If the student is under 18 years of age, signature of parent or legal guardian is also required)
APPROVED
Comments:
NOT APPROVED
Date:______/______/______
Signature:
Notice of decision sent to student:
Actioned by Finance
Name:
Date:______/______/______
Date:______/______/______
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