Does the exam contain any practical component? Yes No REASON FOR DEFERRAL* (To be completed on the Statutory Declaration overleaf, with supporting evidence attached) *Please note this application for deferred examination will not be accepted by the College without the completed/signed – Statutory Declaration and any other supporting evidence. DECLARATION I (the undersigned), declare that: I have read and understood the policies related to this form and that the information I have provided within this document is true, correct and complete in every respect. I have included any documentary evidence required. I acknowledge that the submission of incorrect, incomplete or misleading information may result in cancellation of my enrolment and/or delays in processing this request. I acknowledge that the Policies and Procedures have been made available to me online and I have read, understood and accepted these as conditions of my enrolment including the Assessment Policy Student Name Student Signature Date If under 18 years of age at time of application, signature of a parent or legal guardian is required Parent/Guardian Name Parent/Guardian Signature Date OFFICE USE ONLY Date initially received Reviewed by (Student Adviser) Noted in FileMaker ☐ NOTE: Student Advisers are to review these forms prior to submission to the Student Services Team Leader Accepted Rejected Reason for rejection ☐ ☐ Date sent to Student Services Team Leader Date reviewed by Student Services Team Leaders Accepted Rejected Further consultation required Reason for rejection ☐ ☐ ☐ Date sent to National Manager, Student Services Date reviewed by National Manager, Student Services Accepted Rejected Further consultation required Reason for rejection ☐ ☐ ☐ Date sent to Director, SS&R Date reviewed by Director, SS&R Accepted Rejected Reason for rejection ☐ ☐ Finalisation of Outcome Outcome recorded in SMS Date response letter sent Processed by ☐
Does the exam contain any practical component? Yes No REASON FOR DEFERRAL* (To be completed on the Statutory Declaration overleaf, with supporting evidence attached) *Please note – this application for deferred examination will not be accepted by the College without the completed/signed Statutory Declaration and any other supporting evidence. DECLARATION I (the undersigned), declare that: I have read and understood the policies related to this form and that the information I have provided within this document is true, correct and complete in every respect. I have included any documentary evidence required. I acknowledge that the submission of incorrect, incomplete or misleading information may result in cancellation of my enrolment and/or delays in processing this request. I acknowledge that the Policies and Procedures have been made available to me online and I have read, understood and accepted these as conditions of my enrolment including the Assessment Policy Student Name Student Signature Date If under 18 years of age at time of application, signature of a parent or legal guardian is required Parent/Guardian Name Parent/Guardian Signature Date OFFICE USE ONLY Date initially received Reviewed by (Student Adviser) ☐ Noted in FileMaker NOTE: Student Advisers are to review these forms prior to submission to the Student Services Team Leader ☐ Accepted ☐ Rejected Reason for rejection Date sent to Student Services Team Leader Date reviewed by Student Services Team Leaders ☐ Accepted ☐ Rejected ☐ Further consultation required Reason for rejection Date sent to National Manager, Student Services Date reviewed by National Manager, Student Services ☐ Accepted ☐ Rejected ☐ Further consultation required Reason for rejection Date sent to Director, SS&R Date reviewed by Director, SS&R ☐ Accepted ☐ Rejected Reason for rejection Finalisation of Outcome ☐ Outcome recorded in SMS Date response letter sent Processed by
DOCID-3-2616.docx