EmailMe Form - Confirmation of Enrolment (CoE) Extension

Name: *

First Last

Student ID: *

Type your Student ID please do not include 's'.

Email *

Course name (Including Specialisation): *

Address: *

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

Telephone: *

Current visa end date: *

DD / MM / YYYY

Provide your reasons for requiring a CoE extension- please include as much information as possible.
(Example: failed units, reduced study load, Learning Management Plan etc). *

Document upload: Please provide relevant supporting documentations.

Student Declaration

By ticking the check box below I am confirming that all of the above information is true and correct and I have read and understood the information on this form.

*

I understand that I am required to complete my course by the new expected course completion date as agreed and that failure to do so may result in a further CoE extension being refused

*

I understand that my CoE extension application will not be processed until Grades Release Date of the current Semester