"*" indicates required fields HiddenNext Steps: Sync an Email Add-OnTo get the most out of your form, we suggest that you sync this form with an email add-on. To learn more about your email add-on options, visit the following page (https://www.gravityforms.com/the-8-best-email-plugins-for-wordpress-in-2020/). Important: Delete this tip before you publish the form.PERSONAL DETAILSStudent ID Number* Family Name* Given Name* Mobile*Email Address* Course*Select CourseBachelor of Business (Technology Management)Bachelor of Professional AccountingAssociate Degree in Business and TechnologyDiploma of Business and TechnologyProfessional AccreditationHOW TO COMPLETE YOUR APPLICATIONTo successfully submit your application, follow these steps: Fill out the application form provided and sign the declaration. Provide ALL the necessary supporting evidence. Students who wish to apply for a refund must submit this application before Census Date. Approved refunds will be paid within 20 days from the date of receipt of this application. All refunds will be made in Australian Dollars. ASA will not agree to transfer unpaid tuition fees to any other provider or student. INTERNATIONAL STUDENTS Important Note: Postponing, suspending, or discontinuing enrolment may impact your student visa. ASA is obligated to notify the Department of Education and Training through PRISMS in accordance with the ESOS Act 2000. To adhere to visa conditions, international students must: Maintain a valid visa. Complete their course by the specified expected completion date on the eCoE. Provide the Institute with address details within seven days of arrival or any address changes. Sustain a full-time study load. Abide by the maximum number of hours allowed to work on the student visa. Maintain Overseas Student Health Cover or its equivalent. Document Upload* Drop files here or Select files Max. file size: 128 MB. REFUND DETAILSReason for refund* : (original supporting evidence documents must be attached e.g. visa refusal)*DETAILS OF REFUNDOriginal Payment Method Bank Transfer Credit Card Other Australian Bank Account:BSB No Account No. Account Name Bank Name Overseas Bank Account:Full Account Name Account No Bank Name SWIFT code IFSC code IBAN Branch Address STUDENT DECLARATIONConsent I declare that, to the best of my knowledge, the information provided in this form (and attachments) is accurate and comprehensive. I understand that incomplete information may lead to the return of my application. I acknowledge that it is my responsibility to furnish all required documentary evidence.Signature