Before completing this form, you must read the VET FEE-HELP information booklet, available at www.studyassist.gov.au. You must: complete this form if you are requesting for all or part of your VET tuition fees for your VET course(s) of study; ensure that you complete each question that is relevant to you, including ticking the relevant boxes. Your form will not be valid unless each question is completed correctly; and return the completed form to the student administration/enrolments office at your VET provider (provider) on or before the census date for the first unit(s) of study for which you are requesting VET FEE HELP assistance. You will be provided with a copy of this form for your records. IMPTANT: you will only be entitled to for a particular VET unit of study if you remain eligible and have sufficient FEE-HELP balance to cover your tuition fees; it is your responsibility to be aware of your FEE HELP balance and you must advise your provider if you do not have enough FEE-HELP balance to cover your VET tuition fees; and your provider may set an earlier date for the submission of the form check with your provider. 2014 09/13
When completing this form, please use a black or blue ballpoint pen and write neatly in BLOCK LETTERS. You MUST read the VET FEE-HELP information booklet before completing this form. 1. Family Name: Given names: 2. Date of birth: 3. Gender: Female / / Male 8. What is your student status? I am a full fee-paying student Yes Go to question 9 I am a subsidised student in a state or territory that has implemented subsidised VET FEE-HELP arrangements. Yes Go to question 9 9. Tax file number (TFN): (TFNs have 9 digits e.g. 123 456 789) 4. Name of VET provider: Campus/delivery location: 5. Student identification number: 6. Name of VET course of study: (eg. Diploma of Business Administration) This form is valid for your whole course of study unless you cancel your request for VET FEE-HELP at your provider by the census date of the first unit of study for which you are requesting. Provider use VET course of study code: Certificate of application for a TFN (the certificate) attached. Your provider is authorised under the Higher Education Support Act 2003 (the Act) to collect your TFN. You will not be able to obtain for the amount of your VET tuition fees that remain unpaid on the census date unless you give your provider, on or before the census date, either your TFN or the certificate from the Australian Taxation Office (ATO), stating that you have applied for a TFN. te: as TFNs are usually provided within 28 days of application, it is essential that you apply early to ensure you have your TFN on or before the census date. For more information on requesting a TFN visit www.ato.gov.au or phone 13 28 61 between 8.00am and 6.00pm (EST), Monday to Friday. Your provider is authorised to retain your TFN information only for the purpose of reporting details of your to the ATO. Privacy and taxation laws protect your TFN information. There may be severe penalties if these laws are broken. Go to item 10 7. What is your citizenship status? I am an Australian citizen Yes Go to question 8 I am the holder of a permanent humanitarian visa and I will be resident in Australia for the duration of the VET unit(s) of study for which I am applying for. Yes Go to question 8 You are not eligible for. Do not complete this form. 2014 STUDENT COPY
www.studyassist.gov.au 10. Your obligations: I have read the VET FEE-HELP information booklet and I am aware of my obligations if I receive. I understand, over my lifetime, the amount of VET FEE-HELP assistance (and FEE-HELP assistance) that I access must not exceed the FEE-HELP limit. I understand that it is my responsibility to be aware of my FEE-HELP balance and to advise my provider/s (and FEE-HELP providers if applicable) if I am approaching the FEE-HELP limit and may not have enough FEE-HELP balance to cover my tuition fees. In this situation, I will advise each relevant provider of how much VET FEE-HELP (or FEE-HELP) assistance I wish to access for my units of study. I understand the statements in item 11 relating to repayments of VET FEE-HELP debts (and refunds under special circumstances). I understand that under the Act, the term Commonwealth supported student refers to a student who is enrolled in a Commonwealth supported place a subsidised higher education place (visit www.studyassist.gov.au for more information). A student accessing VET FEE-HELP (or FEE-HELP) is not a Commonwealth supported student. Go to item 11 11. By signing this form, you: declare that: you have read the VET FEE-HELP information booklet and are aware of your obligations if you receive ; and the information on this form is complete and correct and you can produce documents to verify this if required. you will not be able to obtain for VET unit(s) of study if you do not meet the TFN requirements; you will no longer be able to obtain VET FEE-HELP assistance when the total amount of VET FEE-HELP (and FEE-HELP assistance) you have obtained reaches the FEE HELP limit as set out in the Act; you are able to cancel this request, in writing, at any time, with your provider, and that it will no longer apply from that time. However, this must be done by the census date, otherwise you will have a debt to the Australian Government that you are legally required to repay; your personal information will be collected and stored by the Australian Government in order to administer your Commonwealth assistance and may be shared for this purpose with the ATO; if your eligibility for VET FEE-HELP changes you must notify your VET provider; the authority to collect the information on this form is contained in the Act; the information may not otherwise be disclosed without your consent unless authorised or required by law; and giving false or misleading information is a serious offence under the Criminal Code Act 1995. Go to item 12 12. Declaration: Signature request that: the Commonwealth lend you the amount of the VET tuition fees for the units in your course outstanding at the census date and to use the amount so lent to pay your provider on your behalf. Date / / understand that: if you are a full fee-paying student, a loan fee of 20% will be applied to the amount of provided (if you are a subsidised student in a state or territory that has implemented subsidised VET FEE-HELP arrangements, you will not incur a loan fee). The loan fee will be included in your VET FEE-HELP debt. You should contact your provider for more information; you will repay to the ATO the amount that the Commonwealth has loaned to you (plus the loan fee if applicable). These repayments will be made in accordance with Chapter 4 of the Act when your income reaches a certain level, even if you have not completed your studies; your debt with the Commonwealth will remain if you withdraw or cancel your enrolment after the census date but that your debt may be removed by your provider in special circumstances; your HELP debt will be indexed annually in line with the Act; STUDENT COPY 09/13
When completing this form, please use a black or blue ballpoint pen and write neatly in BLOCK LETTERS. You MUST read the VET FEE-HELP information booklet before completing this form. 1. Family Name: Given names: 2. Date of birth: 3. Gender: Female / / Male 8. What is your student status? I am a full fee-paying student Yes Go to question 9 I am a subsidised student in a state or territory that has implemented subsidised VET FEE-HELP arrangements. Yes Go to question 9 9. Tax file number (TFN): (TFNs have 9 digits e.g. 123 456 789) 4. Name of VET provider: Campus/delivery location: 5. Student identification number: 6. Name of VET course of study: (eg. Diploma of Business Administration) This form is valid for your whole course of study unless you cancel your request for VET FEE-HELP at your provider by the census date of the first unit of study for which you are requesting. Provider use VET course of study code: Certificate of application for a TFN (the certificate) attached. Your provider is authorised under the Higher Education Support Act 2003 (the Act) to collect your TFN. You will not be able to obtain for the amount of your VET tuition fees that remain unpaid on the census date unless you give your provider, on or before the census date, either your TFN or the certificate from the Australian Taxation Office (ATO), stating that you have applied for a TFN. te: as TFNs are usually provided within 28 days of application, it is essential that you apply early to ensure you have your TFN on or before the census date. For more information on requesting a TFN visit www.ato.gov.au or phone 13 28 61 between 8.00am and 6.00pm (EST), Monday to Friday. Your provider is authorised to retain your TFN information only for the purpose of reporting details of your to the ATO. Privacy and taxation laws protect your TFN information. There may be severe penalties if these laws are broken. Go to item 10 7. What is your citizenship status? I am an Australian citizen Yes Go to question 8 I am the holder of a permanent humanitarian visa and I will be resident in Australia for the duration of the VET unit(s) of study for which I am applying for. Yes Go to question 8 You are not eligible for. Do not complete this form. 2014 PROVIDER COPY
www.studyassist.gov.au 10. Your obligations: I have read the VET FEE-HELP information booklet and I am aware of my obligations if I receive. I understand, over my lifetime, the amount of VET FEE-HELP assistance (and FEE-HELP assistance) that I access must not exceed the FEE-HELP limit. I understand that it is my responsibility to be aware of my FEE-HELP balance and to advise my provider/s (and FEE-HELP providers if applicable) if I am approaching the FEE-HELP limit and may not have enough FEE-HELP balance to cover my tuition fees. In this situation, I will advise each relevant provider of how much VET FEE-HELP (or FEE-HELP) assistance I wish to access for my units of study. I understand the statements in item 11 relating to repayments of VET FEE-HELP debts (and refunds under special circumstances). I understand that under the Act, the term Commonwealth supported student refers to a student who is enrolled in a Commonwealth supported place a subsidised higher education place (visit www.studyassist.gov.au for more information). A student accessing VET FEE-HELP (or FEE-HELP) is not a Commonwealth supported student. Go to item 11 11. By signing this form, you: declare that: you have read the VET FEE-HELP information booklet and are aware of your obligations if you receive ; and the information on this form is complete and correct and you can produce documents to verify this if required. you will not be able to obtain for VET unit(s) of study if you do not meet the TFN requirements; you will no longer be able to obtain VET FEE-HELP assistance when the total amount of VET FEE-HELP (and FEE-HELP assistance) you have obtained reaches the FEE HELP limit as set out in the Act; you are able to cancel this request, in writing, at any time, with your provider, and that it will no longer apply from that time. However, this must be done by the census date, otherwise you will have a debt to the Australian Government that you are legally required to repay; your personal information will be collected and stored by the Australian Government in order to administer your Commonwealth assistance and may be shared for this purpose with the ATO; if your eligibility for VET FEE-HELP changes you must notify your VET provider; the authority to collect the information on this form is contained in the Act; the information may not otherwise be disclosed without your consent unless authorised or required by law; and giving false or misleading information is a serious offence under the Criminal Code Act 1995. Go to item 12 12. Declaration: Signature request that: the Commonwealth lend you the amount of the VET tuition fees for the units in your course outstanding at the census date and to use the amount so lent to pay your provider on your behalf. Date / / understand that: if you are a full fee-paying student, a loan fee of 20% will be applied to the amount of provided (if you are a subsidised student in a state or territory that has implemented subsidised VET FEE-HELP arrangements, you will not incur a loan fee). The loan fee will be included in your VET FEE-HELP debt. You should contact your provider for more information; you will repay to the ATO the amount that the Commonwealth has loaned to you (plus the loan fee if applicable). These repayments will be made in accordance with Chapter 4 of the Act when your income reaches a certain level, even if you have not completed your studies; your debt with the Commonwealth will remain if you withdraw or cancel your enrolment after the census date but that your debt may be removed by your provider in special circumstances; your HELP debt will be indexed annually in line with the Act; PROVIDER COPY 09/13