Refund of debt in special circumstances application form

If you withdraw from your unit/s after the relevant census date due to special circumstances, as an international student or domestic full fee paying student, you can apply to have your tuition fees refunded.

Refund of debt in special circumstances is for the sole purpose of refunding/re-crediting of fees paid. Please ensure you provide all relevant information and supporting documentation when submitting your application. Incomplete applications cannot be assessed. Your complete application will be assessed within 35 days of receipt by the University. An outcome will be sent to your Deakin email.

For any queries, please contact Student Central. If your circumstances are course related, please contact your faculty or Student Complaints.

If you studied more than 12 months ago, do not complete this online form. Applications for a waiver of the 12-month application time limit must be submitted via the Request to waive 12 month application time limit.

Application form

Note: this form does not have the option to save and return at a later date.

Required fields are marked with an asterisk (*).

Your details

Student ID number *

Family name *

Given names *

Email address * This will be used to contact you if we need more information about your application.

Are your contact details on StudentConnect correct? * You can check and update your contact details in StudentConnect using the Contact details page

Yes
No
Not a current student

Contact details

Street number and street name

Suburb

State

Country (leave blank if Australia)

Postcode

Phone number

Study period

Select the study period you are applying for.

If you are applying for more than one study period, you will need to submit this form again for each additional study period.

If your study period is more than 12 months ago, applications must be submitted using the form Request to waive 12 month application time limit.

Year of study *

Study period

Study period type

Intensive
Start anytime
Quarter

Intensive study period If the study period you require is over 12 months ago, and not displayed, please complete the Request to waive 12 month application time limit form. If you have been given approval via a personal submission code to submit an application outside the 12 month time limit, please select 'More than 12 month ago' from the year of study list above and remember to enter this code.

Start anytime study period If the study period you require is over 12 months ago, and not displayed, please complete the Request to waive 12 month application time limit form. If you have been given approval via a personal submission code to submit an application outside the 12 month time limit, please select 'More than 12 month ago' from the year of study list above and remember to enter this code.

Quarters If the study period you require is over 12 months ago, and not displayed, please complete the Request to waive 12 month application time limit form. If you have been given approval via a personal submission code to submit an application outside the 12 month time limit, please select 'More than 12 month ago' from the year of study list above and remember to enter this code.

More than 12 months ago

To submit an application outside the 12 month application period, you must have completed the Request to waive 12 month application time limit form and been provided with a personal submission code.

Please enter this code below. Any application submitted without a code will be closed.

Submission number provided

Study period

Course details

Course code - course name

Unit details for which the refund is soughtDo not include zero (0) credit point units, for example HAI010 - Academic Integrity.
You can't submit this form if you have a grade of RI, RIA or RIE, please wait until your grades are finalised.

I confirm the following units have a finalised grade, WL, WN, N or XN. *

Has an academic integrity allegation been raised by the University against you for the units below? *

Unit one

Unit code - unit name *

Unit two

Unit code - unit name

Unit three

Unit code - unit name

Unit four

Unit code - unit name

Special circumstance

What are your special circumstances? * If your special circumstance is 'course related', please submit an enquiry to Student Central, do not complete the form.

If your circumstances are any of those listed below, the Remission of debt in special circumstances is not available to you. Please submit a Student Complaint.

You forgot to withdraw

You didn’t know you were enrolled

You were not aware of the census date

Previous applications for Refund of debt in special circumstances

Have you previously applied for Refund of debt in special circumstances for a different study period? *

Declaration

I agree to the following *

I declare that the information provided by me is true and complete. I have read and understood the criteria for Refund of debt in special circumstances on the Deakin website.
I acknowledge
- it is my responsibility to establish sufficient grounds for this application and to provide evidence to demonstrate that these grounds exist.
- it is my responsibility to provide independent supporting documentation to confirm the dates and events in my application and that these documents are genuine.
- Deakin University reserves the right to verify the information provided and may review, vary or reverse any decision on the basis of incorrect or incomplete information provided.
- I may be subject to disciplinary action by Deakin University if the information I provide is false, altered or misleading.
I consent
- to Deakin University contacting any person named in my application, including Faculty staff, Deakin Resource Centre, Deakin Counselling and external persons/organisations, including medical practitioners and employers, to verify or clarify the information provided.
- to the University accessing information I may have previously submitted for applications to the University for Special Consideration, assignment extensions or other process, which may be relevant to this application.
- to any person or organisation contacted, to provide Deakin University with information relevant to my Refund of debt in special circumstances application and that this form, signed by me be can be used by Deakin University as evidence of my consent.
I understand
- I may be asked to provide more specific consent for disclosure of information should this be required.
- this information will be retained by and subject to Deakin University’s Privacy policy.

Deakin University is collecting your personal information on this form for the primary purpose of assessing and processing your application and to comply with Government and other reporting requirements. The University will verify the information provided by you, including confirming details with third parties mentioned by you and to carry out associated investigations connected with your application.

For these purposes Deakin may also provide this information to Commonwealth and State agencies such as the Department of Education and the Department of Home Affairs in accordance with Deakin’s obligations under the Education Services for Overseas Students Act 2000 (Cth) (ESOS Act), the National Code of Practice for Providers of Education and Training to Overseas Students 2018 (National Code) and other applicable legislation.

Deakin manages personal information it holds, including requests by individuals for access to their personal information, in accordance with the Privacy and Data Protection Act 2014 (Vic). Deakin’s Privacy Policy may be viewed in the Deakin Policy Library.

Information on privacy at Deakin is available at deakin.edu.au/privacy. Questions about privacy may be directed to the Privacy Officer on (03) 5227 8524 or by email to privacy@deakin.edu.au.

Contact Student Central if you have any queries or if you cannot complete this form.

Refund of debt in special circumstances application form

Application form

Supporting documents