Course Extension – Student Application Form 1COURSE EXTENSION PERIOD2STUDENT DETAILS3DECLARATION & PAYMENT This application form MUST be used by I.T.S. students wanting to apply for a course extension beyond their original course end date. To apply for a course extension, students must submit this course extension application form and pay the appropriate fee at the time of submission. NOTE: Course extension requests should be submitted as soon as possible, and NO LATER than 48 hours before the original course end date. To view our Course Extension Policy, visit: https://www.its.vic.edu.au/knowledge-base/course-extension-policy/ PLEASE SELECT THE COURSE EXTENSION PERIODPlease select the Extension Period(Required) One Month (Minimum) Two Months Three Months Four Months Five Months Six Months (Maximum) TOTAL TO BE PAID STUDENT DETAILSI.T.S Student NumberExample: ITS000123X (10 characters) or AITS200001X (11 characters) - Your student number must start with 'ITS' or 'AITS' and contain the correct amount of charactersName(Required) First Last Date of Birth(Required) Day Month Year Mobile Phone Number(Required)Email Address(Required) Enter Email Confirm Email COURSE DETAILSCourse Name(Required) TLI41222 Certificate IV in Motor Vehicle Driver Training (Car) TLI41222 Certificate IV in Motor Vehicle Driver Training (Heavy Vehicle) TLI41222 Certificate IV in Motor Vehicle Driver Training (Motorcycle) TLISS00162 Driving Instructor Skill Set TAESS00021 Facilitation Skill Set Other If Other: Enter Course Name(Required)Course CodeYear First Enrolled(Required) STUDENT DECLARATIONStudent Declaration(Required) I declare and acknowledge the following in relation to my request for a course extension:Understanding of Extension Start Date: I understand that any course extension granted will commence from the original end date of my course, without exception. Impact of Delay in Application: I acknowledge that if I delay in applying for a course extension, and my application is submitted within 30 days of my course's scheduled end date, the duration of my course extension may be reduced accordingly. Consequence of Late Application: I am aware that if my application for a course extension is submitted after my course's scheduled end date (30-days after), my course will be finalised, and my request for an extension may be denied. Responsibility for Timely Application: I accept that it is my responsibility to apply for a course extension in a timely manner, considering the stipulated time frames outlined by Intelligent Training Solutions. Acknowledgment of Policy Terms: I have read, understood, and agree to adhere to the terms and conditions set out in the Student Course Extension Policy of Intelligent Training Solutions, and that the information in the policy is available to me at the top of this form. Accuracy of Information: I confirm that the information provided in my course extension application is true and accurate to the best of my knowledge. By signing below, I acknowledge and agree to the above terms related to my course extension request. Signature(Required)PAYMENT METHODPREFERRED PAYMENT METHOD(Required) Credit Card (Stripe) PayPal NO ADDITIONAL FEES APPLYTotal
