Student Information

Student Full Name:
Student ID:
Email Address:
Contact Number:

Course Code & Name (Tick Your Course)

SIT40521 Certificate IV in Kitchen Management	YesNo
SIT50422 Diploma of Hospitality Management	YesNo
SIT60322 Advanced Diploma of Hospitality Management	YesNo
CHC30121 Certificate III in Early Childhood Education and Care	YesNo
CHC50121 Diploma of Early Childhood Education and Care	YesNo
BSB40520 Certificate IV in Leadership Management	YesNo
BSB50420 Diploma of Leadership Management	YesNo

Assessment Information

List of Units (Code)	Date of Result Released	Second Re-Submission/ Third Re-submission

Reason For Late Submission

Please provide the reason for failing to submit the assessment by the due date.
(Select one or more and provide details below.)

Medical
Technical / System issues
Other

Detailed Explanation (required):

Supporting Documents Attached

Medical Certificate
Other
Not applicable

Late Submission Fee & Conditions

Please read carefully and acknowledge each statement:
I understand that a $250 late submission fee is required to process this request and reopen the assessment submission linkI understand that once reopened, the assessment submission link will be available for 3 calendar days only.
I understand that once reopened, the assessment submission link will be available for 3 calendar days only.
I understand that if I fail to submit within the late submission period, the submission link will close automatically.
I understand that an additional $100 fee will be charged to reopen the submission link if I miss the late submission deadline.
I understand that all fees are non-refundable.

Student Declaration

Please tick all boxes to confirm your understanding:
I confirm that the information provided in this form is true and correct
I understand that late submission approval is not automatic and is subject to AEI policy.
I understand that no extensions will be granted beyond the approved submission period.
I understand that failure to submit may affect my academic progress, visa conditions (if applicable), and course completion.

Student Signature

Student Full Name:
Signature:
Date:

Office Use Only (Staff Section)

Received by:
Department	Student Services	Academic	Administration
Date Received

Fee Details

Invoice Issued
Invoice Number
Fee Charged	$250 (Late Submission)$100 (Reopening Fee)
Payment Confirmed	yesNo
Payment Date

Late Submission Access

Submission Link Opened By
Link Open Date
Link Close Date

Comment/ Notes: