Application for Change of Course – Full Fee - The Imperial College of Australia

APPLICATION FOR CHANGE OF COURSE – FULL FEE

Personal Detail

Student ID(Required)

Date of Birth(Required)

First Name(Required)

Surname(Required)

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Phone Home(Required)

Mobile

Work

Email Address(Required)

Details of current course

Course Code(Required)

Course Name(Required)

Select the course(s) you wish to enrol in

Faculty of Business and Management:(Required)

BSB40120 Certificate IV in Business

BSB50420 Diploma of Leadership and Management

BSB60420 Advanced Diploma of Leadership and Management

Faculty of Hospitality Management:(Required)

SIT30816 Certificate III in Commercial Cookery

SIT40516 Certificate IV in Commercial Cookery

SIT50416 Diploma of Hospitality Management

SIT60316 Advanced Diploma of Hospitality Management

Preferred Course Start Date(Required)

I, declare that I have read Imperial student prospectus, marketing material, and received full information from Imperial’s Education agent (in case of enrolment through education agent) before making the decision to enrol in the course. I agree to abide by the above terms & conditions. The information and documents provided by me are true and correct in all respects.

Student’s Signature

Date

CAPTCHA

47496

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Application for Change of Course – Full Fee