Application to transition to a new course

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IMAGINE EDUCATION AUSTRALIA
EDUCATION CENTRE
13 Benowa Road Southport
Postal: PO Box 4931, Bundall, Qld 4217
ABN: 27 620 585 615
Phone:
+61 7 5552 0900
Fax:
+61 7 5552 0999
E-mail:info@imagineeducation.com.au
APPLICATION TO TRANSITION TO A NEW COURSE
(This is required due to a Training Package Change)
STUDENT NAME:
STUDENT #
EMAIL ADDRESS:
IS THE STUDENT SVP? Yes / No (Please Circle)
How long is your course?
(Number of weeks)
Weeks
I am currently enrolled in  Course:
I wish to change to 
VISA END DATE:
Course:
/
/
 Student Visa  I UNDERSTAND THAT:
 I have received a new course brochure and course outline
 I require a New CoE
 IT IS MY RESPONSIBILITY TO MAINTAIN A CURRENT
STUDENT SIGNATURE:
TODAY’S DATE:
/
/
NOTE: A $50 Fee (Payment must be made prior to submission of form)
FOR OFFICE USE ONLY
Received by:
Director of Education:
CHANGE Approved / Declined
(Please circle)
Reason (if declined)
1st Enrolment edited and finished in SKY
Actioned in SKY
Actioned in PRISMS
Accounts transferred and processed
STUDENT VISA  $50 charged
Domestic Student  $20 charged
Student / Trainer / Agent /
Account Manager advised:
Date:
/
/
Date Received:
Signature:
Date:
Date:
Date:
Date:
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/
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/
/
/
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Signature:
Signature:
Signature:
Signature:
Date:
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Signature:
IMAGINE EDUCATION….Investing in imaginations
www.imagineeducation.com.au
CRICOS Provider No: 02695C
National Provider Number 31302
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