Fee Refund Form

Relevant Standards: SRTO 2015: 5.3, 7.3 and The National Code 2018: Standard 2, 3

Please make sure that you have read and understood all the related policies – in particular the Fee Refund Policy – before submitting this form

STUDENT NAME(Required)

First Last

STUDENT ID(Required)

Phone(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Select Most Recent/current Course(Required)

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Reason(s) for Request for Refund(Required)

(Supporting documents/evidence must be attached. St Mary’s may not be able to process a refund if satisfactory reasons and supporting documentation is not provided)

Details

Supporting Documents(Required)

Drop files here or

Max. file size: 8 MB.

Bank Details for Electronic Refund (As applicable)

Payments will be made to students by electronic transfer in their nominated bank accounts or to same account from where money received by SMI

Bank Name(Required)

Branch Number/BSB(Required)

Account Number(Required)

SWIFT Code

Account Name(Required)

Bank Address

Date

Fee Refund Form

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Bank Details for Electronic Refund (As applicable)

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