SERO Institute
RTO Code: 32303 CRICOS Code: 03528K
Website: w
ww.seroinstitute.com Email: info@sero.edu.au
Telephone: 1800 206 010
Page 1 of 1 Request to Vary Enrolment Form I Version 2.0
Brisbane Career College Pty Ltd trading as SERO Institute
Last Revision Date: July 2021
Request to Vary Enrolment
Personal Details (Please use block letters)
Student full name:
Student ID:
Date of Birth:
Student Email Address:
Course Code and Name:
Reason for Change:
(Select any one or more)
☐
There are compassionate or compelling circumstances (attach evidence)
☐An intervention strategy has been implemented, or is in the process of being
i
mplemented, for the student who is at risk of not meeting course progress
requirements.
☐Transition to new qualification
☐
An approved deferral or suspension of the overseas student’s enrolment has
Will the course end date
be affected?
☐Yes ☐No
Finish Date of Current
COE:
New COE start date:
New COE finish date:
Student declaration:
By completing this form, I acknowledge that I agree to the changes listed above.
I understand that these changes may affect my student visa and CoE. Further
information is available at the Department of Home Affairs (DoHA). Contact DoHA by
phone on 131 881 or through their website at www.homeaffairs.gov.au
S
tudent signature:------------------------------------------------------Date:----------------------------
☐Approved ☐Not approved
Name: Date:
Signature of Approver: Date:
click to sign
signature
click to edit
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