Request to waive 12 month application time limit

Required fields are marked with an asterisk (*).

Personal details

Given name *

Family name *

Email address *

Student ID * If you do not know your Deakin student ID number, please contact remiss-debt@deakin.edu.au and provide your date of birth, the course you studied and your address at the time you were a Deakin student.

Request details

Study period * Please submit one application per study period.

Course *

Unit 1 *

Unit 2

Unit 3

Unit 4

Reason for not submitting your application *

Personal statement * Explain why it was not possible for you to submit an application for Remission/Refund of debt in special circumstances within the standard 12 month application period. This question does not relate to your circumstances during the study period, but instead relates to the reason that prevented you from submitting an application. Each aspect of your statement must be corroborated by independent supporting documentation.

Supporting documents * Please provide all relevant documentation to support your application. Maximum total upload of all files is 18MB preferably a pdf or image file.

Declaration

Do you agree to the following declaration? *
I declare that the information provided by me is true and complete.

I acknowledge

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 to verify or clarify the information provided.

to the University accessing information I may have previously submitted for applications to the University which may be relevant to this application.

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.

Yes, I agree

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.