Instalment Plan Request Form

Conditions:

1. THIS FORM IS TO BE FILLED IF you are currently enrolled in a UOW College course and are applying to pay your current session tuition fees in regular instalments.

Please note that you will be notified by email:

• of your application outcome
• payment due dates and
• amount per instalment

Instructions:

1. Please complete all required fields in the form. Fields marked with an asterisk (*) are mandatory.

1. Student Details
Name Name First Last
Student ID Number
Student Contact Number
Student Email
Student Type

Student Type Domestic International
2. Current Course Details
Course Name
Campus
3. Reason for enquiry
What is the reason for your instalment request?
4. Student declaration
Student declaration

Student declaration I have read and understood the guidelines and advice on this application form. I certify that all information including supporting documentation and proof of identity is correct. I authorise UOW College to contact the professional authority concerned for the purpose of verifying the information provided. I acknowledge that UOW College, where appropriate, will advise the relevant Commonwealth Government authority of this application. In signing this form I understand that details are protected by the Privacy and Personal Information Protection Act 1998 (NSW).
Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Date Date / DD / MM YYYY

Instalment Plan Request Form

Instalment Plan Request Form

1. Student Details

2. Current Course Details

3. Reason for enquiry

4. Student declaration