Refund Application Form

REFUND APPLICATION FORM
Important: Please complete all the information correctly. Any mistakes in this form could delay the refund process. All refunds will be processed within four weeks from date of submission.
Student Full Name:*

First NameMiddle NameFamily Name
Student ID: *
Student Email:*
example@example.com
Enrolled Course ONE: *
Enrolled Course TWO:
Course ONE Start Date*

DayMonthYear
Course TWO Start Date

DayMonthYear
Refund requested to:*

Student (Self)ParentsOther
Warning:

Please note that we are unable to refund payment to any other person besides student's parents or relative that were included within the relationship verification provided during GTE review. Please note that we do not refund balance to Agents unless extenuating circumstance occur.
Bank Details for Refund:
Country
BSB:*
Bank Account Number: *
Bank Name: *
SWIFT Code: *
Bank Branch: *
Account Holder Name: *
Account holder Address: *
WARNING:

Please ensure that your bank accepts payment in AUD. If balances are refunded to us due to the fact that your bank do not accept payment in AUD, we will automatically deduct $100 admin fee and refund in USD.
I acknowledge :*
Reason for Refund*
Please explain your reason for this refund request:
Country
Supporting document*

Browse Files

Cancelof
Supporting document - please upload proof of your Visa Application Withdrawal.*

Browse Files

Cancelof
Student Signature (MUST be signed by student)*
OR
Upload a signature*

Browse Files

Cancelof
Date*

DayMonthYear
Note: This application must be supported by additional documents that can be verified. Please provide any documents that would support your reasoning for refund request. Vibe College may request more documents and information during the review process.
OFFICE USE ONLY:
Application received: *
Application processed:*
Status of Application:*

ApprovedDenied
Refund Sent Through: *
Refund Amount: *
Refund processed by: *
Signature:*
Date*

MonthDayYear
VIBE COLLEGE

Vibe College is the trading name of Adore Education Pty Ltd
Level 3, 288 Edward Street, Brisbane City QLD 4000 |www.vibecollege.edu.au | info@vibecollege.edu.au
ABN 66088173433| RTO 31652 |CRICOS 03500M
REFUND APPLICATION FORM V3.0 MAY 2017
Should be Empty:

REFUND APPLICATION FORM

Bank Details for Refund: