NSW Registration Committee for International Secondary Student Exchange ORGANISATION DETAILS (To be completed by the organisation coordinating the exchange program) Organisation Name: Authorising officer: Date: STUDENT DETAILS AASES Form No: First Name: Family Name: Please indicate below only the sections where the relevant changes will be, or have been made to any of the above listed student’s inbound program details. CHANGE OF PROGRAM DATES Previous Dates: Arrival/Enrolment: Cessation/Departure: New Dates: New Arrival/Enrolment: New Cessation/Departure: Reason for Change: CHANGE OF SCHOOL Date of cessation from previous Date of Change: Date of enrolment in new school: school: Previous School: New School: School Stamp: Approver Name New School Approval Phone Email Copy of school's email confirmation attached: Yes No □ □ Reason for Change:
NSW Registration Committee for International Secondary Student Exchange ORGANISATION DETAILS (To be completed by the organisation coordinating the exchange program) Organisation Name: Authorising officer: Date: STUDENT DETAILS AASES Form No: First Name: Family Name: Please indicate below only the sections where the relevant changes will be, or have been made to any of the above listed student’s inbound program details. CHANGE OF PROGRAM DATES Previous Dates: Arrival/Enrolment: Cessation/Departure: New Dates: New Arrival/Enrolment: New Cessation/Departure: Reason for Change: CHANGE OF SCHOOL Date of Change: Date of cessation from previous school: Date of enrolment in new school: Previous School: New School: New School Approval Approver Name School Stamp: Copy of school's email confirmation attached: □ Yes □ No Phone Email Reason for Change:
Change-of-Student-Exchange-Program-details-form.docx