Student Leave of Absence Form

Completing this Application Form

Please submit the completed form using one of the options below:

Email: info@aei.edu.au.

Or in person: Level 3, 233 Castlereagh Street, Sydney 2000 NSW

Instructions for Completing this Form

The form must be completed in English. Information should be typed, or, if written, block capitals must be used.
Please complete all sections of the form clearly. Missing sections or non-legible content may cause delays in your application.
This form is an official document, so please make sure your statements are true and accurate to the best of your knowledge.

Grounds for Leave of Absence

The grounds for a leave of absence for students are:

Compassionate or compelling circumstances such as:

Illness (the student must have a medical certificate that states you are unable to attend classes)
Other compassionate or compelling circumstances that, in the opinion of the college, are sufficient grounds for a leave of absence.

STUDENT DETAILS

Student ID Number:
Student Name:
Date of birth
Course name:

Leave Of Absence Request

I need leave from my studies in the above course, effective from to because
(please write reasons below):

and
I’ve enclosed all the evidence to support my request. The attached evidence are as below:

Evidence 1:

Evidence 2:

Evidence 3:

Evidence 4:

STUDENT DECLARATION

I certify that all information including any supporting evidence provided in this request are true and correct. I
also declare that I have read and understood the relevant policies of the college in regard to the leave of
absence including fees and charges, and possible effects to my student visa status under various government
legislation.

Signature
Date

OFFICE USE ONLY

Approved

Not Approved

Comments:

Approving Officer’s Name:
Signature:
Date