Application to Appeal

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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:

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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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Appeal of Review Decision

What is the review decision or outcome that you are appealing? The decision must be the result of an application for review, as set out in the Review and Appeals Regulations.

Decision Type

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If other, specify the decision or outcome:

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Review officer name as indicated in the Review Outcome:

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Review decision as set out in the Review Outcome:

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Date of notification:

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Note: an application to appeal must be received within 21 working days of being notified of the review outcome.

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 University Secretary decides to accept it as a late application

Grounds for Appeal

Please select one (1) or more of the following:

There was relevant evidence which could not have been known by you prior to the review and was not taken into account by the review officer.
The decision was manifestly wrong.
A procedural irregularity occurred which may have affected the review officer’s decision.
The penalty imposed on you was manifestly excessive.
The review officer failed to make a decision within the time required by regulation 16(1).
Please select at least one option.

Reasons for Application to Appeal

Please specify the reasons for your application to appeal, 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 application to appeal here. You must also upload a copy of the Review Outcome and the notice of the original decision that was under review. Mandatory

I agree that the submitted documentation may be verified by the university.

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

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

Applicant's Declaration

I declare to the best of my knowledge that the information entered and attached to this form is correct and complete.

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

I agree to the terms stated above

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