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Application for Review

Fields marked with are mandatory

Personal Details

First Name

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Last Name

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Address:

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Suburb:

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State:

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Postcode:

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Telephone:

Email:

Please enter a valid email address

If you are a current Swinburne student, you should use your Swinburne student email address, as the University's official email communication method.

Student ID:

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Your Study Division:

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Vocational Education and Training School:

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Higher Education School:

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Campus:

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Your course code or title:

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Are you a domestic or international student?

Local International
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Review Request

What is the decision or outcome that you are applying to have reviewed? The outcome must be a Reviewable Decision as defined by the Review and Appeals Regulation.

Decision Type

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If other, or a deemed refusal, specify the decision or outcome:

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Note: You must upload a copy of the decision or outcome you are seeking to be reviewed at the end of this online form. (Example: complaint outcome; academic progress review notice of decision; proposed cancelation of enrolment letter)

Please identify the decision maker (Swinburne staff member):

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The date of the letter/email notifying you of the reviewable decision or outcome:

/ /
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Note: an application for review must be received within 21 working days of being notified of the decision.

Please provide an explanation for your late application (your application will be considered late if it has been lodged more than 21 working days after the date of your original notification). If the application is late, it will be rejected unless the Academic Registrar decides to accept it as a late application.

Grounds for Review Request

State your case for review. Please specify the grounds upon which you wish to have the decision reviewed, explain your reasons concisely, present any further evidence you believe should be considered, and set out the outcome you desire. Mandatory

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Supporting Documents

You may upload documents that support your grounds for review here. You must also upload a copy of the notice of decision or outcome you are seeking to be reviewed. Mandatory

You can attach up to 10 documents. Accepted document formats are: GIF, JPG, DOC, DOCX, PDF. Maximum document size is 3MB.

[Add]
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[Add][Remove]

[Remove]

You may be requested to provide additional information or documentation before your application is considered complete.

Applicant's Declaration

Swinburne University of Technology collects, uses and destroys your information in accordance with our Privacy Statement.

I declare that my submission is true and correct. I consent to the university verifying and investigating my written statement and any associated documentation submitted

I agree to the terms stated above

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