Change of Enrolment Request

Change Of Enrolment Request Form
Student Details
Full Name*
Student ID*
PIA Email Address*
example@pia.edu.au
Contact Phone Number*
Please enter a valid phone number.
Course Details
Please select the course you are enrolled in*
Request Information
Please select your request*
Please select your request
Course to exit with (New)
Please select your current campus*

SydneyGeelongMelbourne
Please select which campus you want to attend*

SydneyGeelongMelbourne
Please select your current Course/Specialisation*
Please select the new Course/Specialisation you want to enroll*
List what class time and unit/s you wish to enroll in*
Please provide any additional information here to help us understand or approve your request
Please provide the new agency and agent's name*
Attachment

Cancelof
Please verify that you are human*
Signature*

Clear
Office Use Only
Outcome of request

Request approvedRequest rejected
Reason for rejection

Lack of evidence of compelling and compassionate circumstancesPoor academic historyUnable to make the requested changeNew agent not on fileCensus date has passed. You should lodge the request again for next semester before the census date.
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Change Of Enrolment Request Form