College Australia - Fee Deferral & Payment Plan Request Form

Fee Deferral & Payment Plan Request Form

Instructions

Use this form to request a fee extension, payment plan or notify of financial hardship.

First Name*

Last Name*

Primary Email*

Primary Phone

Which qualification are you enrolled in?

I wish to apply for a...*

I request an extension for the amount of*

I request an extension until this date*

Details of your financial hardship circumstances*

Supporting Documentation

I request a payment plan for the amount of*

I wish to pay*

Signature Block

Select 'Click to Sign' to read the acknowledgement and sign your form.

Signature Block

ACKNOWLEDGEMENT:

By signing this form, I declare that all the information provided is true and correct to the best of my knowledge. I understand and acknowledge that providing any incorrect or misleading information may result in delays in processing, the need for additional verification, and potential disciplinary action. I accept full responsibility and liability for any consequences that may arise due to the submission of false or inaccurate information.

CRICOS PROVIDER: 03513F | RTO NO. 31222

07 3255 0506
ca.edu.au

Student Policies | Student Handbook | Contact Us

V24.0

Company Name

Are you representing a company? If yes, complete this field with your official Company Name. If you are not representing a company, then please enable the switch below labeled "I'm not representing a Company".

Fee Deferral & Payment Plan Request Form

Instructions

Signature Block

ACKNOWLEDGEMENT:

CRICOS PROVIDER: 03513F | RTO NO. 31222

07 3255 0506ca.edu.au

Student Policies | Student Handbook | Contact Us

07 3255 0506
ca.edu.au