Division of Education, Arts & Social Sciences
Research Office
Magill Campus
Educating Professionals • Creating and Applying Knowledge •
Serving the Community
THESIS PRODUCTION AND BINDING ALLOWANCE CLAIM FORM
Student Name:
Student ID No:
Address:
Amount claimed $
(Note: Payment is by reimbursement for original receipts. Maximum claim is $400)
I have included (please tick boxes)
(Note: Incomplete claims cannot be processed and will be returned to the claimant)


Fully completed and signed claim form
Original tax compliant receipts for production of my thesis and/or for the binding of my final
(hard bound) copies only
I certify that I have paid out $
thesis.
for the production and binding of my
(Please Note: The amount reimbursed will be $400 less any previous claims, or the amount claimed
above, whichever is the lesser of the two.)
Signed:
Date:
Your reimbursement will be paid directly into the bank account of your choice:
Account Name:
Bank Name & Branch:
Account Number:
BSB:
SWIFT Number (international students only):
Please forward completed paperwork to:
HDR Student Funding, Div EASS Office, Magill, University of South Australia, GPO Box 2471,
ADELAIDE, SA, 5001