Student Course Variation Form

Student Name(Required)

Student ID(Required)

Date of Birth(Required)

Phone Number(Required)

Email(Required)

Please give details about the course you are currently enrolled in.

Course Code and Name(Required)

Current Start Date

Please enter the start date of your current course provided in your COE(dd/mm/yyyy).

Current End Date

Please enter the end date of your current course provided in your COE(dd/mm/yyyy).

Your request will be reviewed, and you will be informed of the decision.

Course Variation(Required)

Start Early

Transfer

Other

Date(Required)

Please enter the early start date.

From this course(Required)

To this course(Required)

On this date(Required)

Other(Required)

Reason(Required)

Please write the reason for the variation request.

Note: It is imperative that any change that may affect your visa is discussed with the Department of Home Affairs (DHA) urgently.

Student's Signature(Required)

Date(Required)

To be filled by authorised officer only.

Spring Hill Officer Name

Date Submitted

Recommendation

Decision

Authorised by

Name, title and signature

Date

Note: All records must be kept in the student file.