INT035 | 0418 CRICOS Provider Number: 01595D www.usc.edu.au/international | Page 1 of 4
APPLICATION FOR RELEASE
INTERNATIONAL STUDENTS
INTRODUCTION
The Application for release form is to be used by Student visa holders, who, prior to completing six months of their primary program of study at the
University of the Sunshine Coast (USC), wish to be released from their studies at USC to transfer to another CRICOS registered provider in Australia .
The purpose of these guidelines is to provide clear instructions to students to assist them in making an application for transfer and requesting a letter
of release.
NOTE: Please ensure that you read the guidelines before completing the form.
GUIDELINES
 
It is your responsibility to discuss your intentions to transfer with any other provider you are currently enrolled with, such as an ELICOS or VET
provider.
 
All requests for release are assessed in accordance with the USC ‘Transfer of Student Visa Students between Registered Providers’ policy
and procedures.
Applications submitted must be complete and include all required supporting documentation including:
Statement of reasons for request for release
 
Sponsor's written approval for transfer (if applicable)
 
You will be informed of the outcome of your application within 10 working days of lodging a complete application. Delays may be experienced if we
require you to provide further information before your application can be assessed.
 
Student visa is required for your transfer.
If your request for release is denied, you have a right to appeal the decision. You should access the USC ‘Student Grievances and Appeals’ policy and
procedures for information about how to access the appeals process. The availability of complaints and appeals processes, does not remove your
right to take action under Australia's consumer protection laws.
 usc.edu.au/policy
APPLICATION INSTRUCTIONS
1. Carefully read the introduction and guidelines for the Application for release to determine your eligibility to apply.
2. Complete the Aplication for release form, ensuring full details are included and the form is signed and
dated by you.
3. Attach all supporting documentation
4. Return the completed form/s and supporting documentation to USC International:
Email: AskUSCI@usc.edu.au
Mail: USC International – ML17
University of the Sunshine Coast
Maroochydore DC QLD 4558
INT035 | 0418 CRICOS Provider Number: 01595D www.usc.edu.au/international | Page 2 of 4
APPLICATION FOR RELEASE
INTERNATIONAL STUDENTS
1.0 PERSONAL INFORMATION
USC student ID number:
Given name: Family name:
Telephone number: Email address:
Mailing address
Number and street / PO Box:
City / Suburb: State: Postcode:
Current program of study:
Are you an international student on a Student visa?
c
Yes
c
No
Have you completed six (6) months of study in your principal program at USC?
c
Yes
c
No
Student visa holders

the validity of your Student visa. DOHA may investigate the circumstances of your transfer. If the transfer is deemed unacceptable, the validity of your

2.0 TRANSFER REQUEST DETAILS
Name of new education provider: Campus:
Name of new program: New program starting date:
Name of education agent used to apply for new program:
How did you become aware of the other education provider?
INT035 | 0418 CRICOS Provider Number: 01595D www.usc.edu.au/international | Page 3 of 4
APPLICATION FOR RELEASE
INTERNATIONAL STUDENTS
3.0 STATEMENT OF REASONS FOR RELEASE REQUEST
You must provide information on the special circumstances surrounding your request for release in the space below:

4.0 STUDENT CHECKLIST
NOTE: Your Application for release will not be assessed until all documentation is provided.
c
I have read and understood the Guidelines for Application for release
c

c
My Statement of Reasons for Release is attached or written on the form in Section 3 above
c
My supporting documentation is attached
c

c
My sponsor's written approval for the transfer is attached (if applicable)
5.0 STUDENT DECLARATION
I declare that the information I have given on this application is true, correct and complete.

Student signature: Date:
INT035 | 0418 CRICOS Provider Number: 01595D www.usc.edu.au/international | Page 4 of 4
APPLICATION FOR RELEASE
INTERNATIONAL STUDENTS
PRIVACY STATEMENT
The University of the Sunshine Coast collects, stores and uses personal information only for the purposes of administering student and prospective student admissions, enrolment and education. The information

Privacy policy at: www.usc.edu.au/privacypolicy
Information is also collected on this form in order to meet our obligations under the ESOS Act and the National Code 2007; as applies to Student visa holders, to ensure student compliance with the conditions of
their visas and their obligations under Australian immigration laws generally. The authority to collect this information is contained in the Education Services for Overseas Students Act 2000, the Education Services
for Overseas Students Regulations 2001 and the National Code of Practice for Registration Authorities and Providers of Education and Training to Overseas Students 2007. This information can be provided, in certain
circumstances, to the Australian Government and designated authorities and, if relevant, the Tuition Assurance Scheme and the ESOS Assurance Fund Manager.
LODGEMENT AND ENQUIRIES
Lodge completed form via email: AskUSCI@usc.edu.au
Enquiries: Email: 
USC INTERNATIONAL USE ONLY
Letter of release request approved?
c
Yes
c
No | 
c
Yes | Outcome recorded on PRISMS
c
Yes
Important: If release request has been rejected, DO NOT record outcome until 20 day appeals period has lapsed.
Comments:
Signature of
 Date:
INT027 | 0418 CRICOS Provider Number: 01595D www.usc.edu.au/international | Page 1 of 1
MEDICAL CERTIFICATE
INTERNATIONAL STUDENTS
1.0 MEDICAL EVIDENCE

when the patient was examined; and
when the illness commenced; and
when the illness ended (if applicable); and
 
2.0 MEDICAL CERTIFICATE
I, (Name) 
certify that on Day / Month / Year I examined
 
Date circumstances / illness commenced: Day / Month / Year
Date circumstances / illness no longer evident (if applicable): Day / Month / Year
 Day / Month / Year

-
tioner indicating that the condition cannot be revealed.
Tick applicable box(es) below:

for the dates stated above.

(please attach additional documents if preferred):

Yes No

provider number: (OFFICIAL STAMP)

signature: Date: DD / MM / YY
IMPORTANT INFORMATION
This form is to be used by international students for the purpose of providing medical evidence
to support their application.
 


Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome