APPLICATION FOR STUDENT LOYALTY DISCOUNT
Received Student Business Centre
Processed By:
POLICY INSTRUCTIONS PLEASE READ BEFORE PROCEEDING
1. Applicants must read TLR 3.04 Student Loyalty Discount Policy prior to completing and lodging this form.
2. All applications for Alumni and Family Discount must be lodged with the Student Business Centre by the end of week 4 of the relevant
semester.
3. This form is to be used by direct family members of an Alumnus, sibling of a currently enrolled student, or direct family members of a
currently enrolled student who has completed at least 120 credit points.
4. The Loyalty Discount for an Alumnus is normally applied to an applicant’s record at the time of admission, if the applicant has declared
completion of a previous program at Bond. However, where the Alumni Loyalty Discount has not been applied at the time of admission,
the alumnus must lodge an application using this form.
5. Applicants will need to provide evidence (e.g. birth certificates, marriage certificate) of the direct family relationship.
STUDENT DETAILS
STUDENT NUMBER FAMILY NAME GIVEN NAMES
DATE OF BIRTH (DD/MM/YY) CURRENT PHONE NUMBER EMAIL
ACADEMIC PROGRAM SEMESTER
YOUR FAMILY MEMBERS DETAILS
STUDENT NUMBER FAMILY NAME GIVEN NAMES
DATE OF BIRTH (DD/MM/YY)
ACADEMIC PROGRAM SEMESTER
By signing below:
I declare that the information provided on this application is true and correct.
I accept that the submission of this form alone does not guarantee the application will be approved.
I accept that late submission of this form may result in the application not being considered.
Student’s Signature
Date
STUDENT BUSINESS CENTRE / FACULTY USE ONLY
Approved by Student Business Centre/ Faculty
Yes
No
If no, state the reasons why:
Signature of Student Business Centre Officer/ Faculty Officer
Date
Student Business Centre Phone: +61 7 5595 4049 Return by Email to : sbc@bond.edu.au
Bond University (BU) may collect personal information about you, including the information on this form. BU collects this information for the purpose of providing services to you and facilitating BU’s internal business operations, including
the fulfilment of any legal requirements. If the personal information you provide to BU is incomplete and / or inaccurate, BU may be unable to provide you with the services you are seeking. You may access the personal information BU
holds about you in accordance with BU’s privacy policy at www.bond.edu.au
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