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Student Course Variation Form

This Course Variation / Refund form should be completed before the Unit / Course start date. If variation of enrolment is made after the commencement date (See Academic Timetable) a penalty fee will apply. Please tick the box which is applicable:
Request Type
- Change of Enrolment
- Cancellation / Withdrawal
- Deferment / Leave of Absence
- Suspension
STUDENT DETAILS
Student Name*
Middle Name (If applicable)
Last Name*
Title*
Student ID*
Mobile*
Email*
Agent Details
ARE YOU USING AN EDUCATION AGENT?*
- Yes
- No
Agent Name*
Student Adviser
Agent Phone*
Agent Email Address*
CURRENT ENROLLED COURSE(S)
Current Course 1*
Start Date*
MM slash DD slash YYYY
End Date*
MM slash DD slash YYYY
Current Course 2
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
New Course Details

Applicable for Change of Enrolment, Cancellation/Withdrawal or Suspension.
New Course Preference*
New Course Start Date
MM slash DD slash YYYY
New Course End Date
DD slash MM slash YYYY
2nd New Course Preference
2nd New Course Start Date
MM slash DD slash YYYY
2nd New Course End Date
DD slash MM slash YYYY
Absence Start Date*
DD slash MM slash YYYY
Absence End Date*
DD slash MM slash YYYY
Reasons for requesting this change*
Evidence to support your request
Evidence*
Eg. Doctors Certificate, air tickets, visa refusal letter, etc.
- Yes - I will upload evidence
- No - I have no evidence
- No - I will send evidence by email
File(s)
Drop files here or

Max. file size: 32 MB.
Student Signature

Student Supplement Sheet - General terms & Conditions (STUDENT SUPPLEMENTARY SHEET)
Terms & Conditions
- I agree to this change of course. I understand that if I take a holiday KCBT may not be able to extend my graduation date. I understand this change of enrolment may result in a change to my college fees and will pay for any extra fees due as a result.
- I have met or expect to meet all prerequisites for the units in which I am requesting enrolment. I understand that if I don't meet prerequisites for a specific unit, my enrolment in that unit may be discontinued, which may impact my course progression and/or graduation.
- I am aware that if I am a holder of a Student Visa, I must be enrolled as a full-time student.
- I acknowledge that I have read and understand the policies, rules, procedures and terms set out on the KCBT website / student handbook and supplementary sheet and I agree to be bound and abide by these as amended from time to time.
- I acknowledge that any expenses or costs incurred by KCBT in recovering any monies owing by me shall be my responsibility, including debt collection agency fees, solicitors costs on the amount outstanding as well as all other reasonable costs incurred in the recovery of outstanding monies.
- I declare that the information I have given on this application is correct, and hereby apply for the above changes to be made to my Unit/Course Enrolment.
- I agree to make the payments as per my original letter of offer.
- All terms and conditions (includes College refund policy) for course variation applies as per your original enrolment.
- Course variation to the CoE will incur a penalty of $100 per change, except cases related to immigration delays - support documents will need to be provided.
Full name of the person who made the declaration*