Application for Suspension of Studies, Deferral and/or Leave

Student Details

Full Name *

Email *

Mobile: *

Address

Street Address *

City *

State *

Country

Postal code *

Course Name: *

Request Details

I am applying for: *

Leave of Absence

Suspension/Deferral

Requesting date - From: *

Requesting date - To: *

Term:

Grounds for requested leave: *

Medical

Exceptional circumstances

Supporting documents *

Additional notes:

To be eligible the student must supply the following:

An airplane ticket detailing departure and return dates (if the request for suspension is greater than 28 days, the student must not return to the country more than 4 weeks before the start of the next term)
Medical certificate and other supporting documentation
A letter explaining why the leave is required.

Your application cannot be considered without the correct documentation.

Student declaration *

I acknowledge that if my period of suspension, deferral and/or leave results in the need to repeat a unit, a term or a period of study I will extend my CoE end date if applicable. I also acknowledge that this leave period may affect my student visa and I understand that I need to seek further information from the Department of Home Affairs and will use their website, helpline (131 881) or attend the office regarding advice about my visa.

Signature: *

Clear

Sign Date: *