Refund Request Form

 Mr. Miss. Mrs

 Male Female

 BSB50215 (Diploma of Business) BSB60215 (Advance Diploma of Business) BSB51915 (Diploma of Leadership and Management) AUR30616 (Cert III in Light Vehicle Mechanical Technology)
 Yes No


 Visa has been refused by DIBP Student Choose to withdraw from the course College Can’t issue the agreed qualification Student transferring to another Provider Other (if selected Other, please specify the reason below)

Bank Details

I authorise refunded amounts to be deposited into the above nominated account.


I declare that the information I have provided on this form, is correct and that I have read, fully understand and accept the information advised in the Brisbane Professional College Student Handbook and agree to be bound by them and that I accept the conditions of refund policy.