STUDENT COMPLAINT APPLICATION FORM

This form and any supporting evidence should be submitted. The student will be notified within 20 working days the outcome of their complaint.

For further information please refer to the Student Complaint and Appeal Policy and associated Procedure available on the Australian Institute of Higher Education website: www.aih.nsw.edu.au

PERSONAL DETAILS

Student ID: *

Title: *

Mrs

Other (please specifty) Other (please specifty)

First name(s): *

Family name: *

Sex: *

Male

Female

Date of birth (dd/mm/yyyy): * +

Phone (home/mobile): *

Email address: *

Full Address: *

City: *

State: *

Post code: *

Country: *

Course: *

Your start date at AIH (dd/mm/yyyy): * 🛈 +

COMPLAINT DETAILS

You wish to: * 🛈

Complaint

Appeal

Semester and year this request related to: *

Grounds for complaint or appeal: *

Unit code (if applicable):

Unit name (if applicable):

Evidence(s) upload: *

Detail(s) of evidence provided (please state below): *

Outcome sought: *

Please note that sufficient evidence must be provided for your complaint application form to be processed.

Incomplete applications will not be processed.

STUDENT DECLARATION

I declare that the information provided by me in this application is accurate. I have read and I understand the information about the complaints process in the Student Complaint and Appeal Policy and associated procedure.

Student's signature *

clear

Date: *

Privacy: We recommend that you read the AIH's Management of Personal Infomation Policy and associated Procedure published on our website [www.aih.nsw.edu.au]

Valid from March 2020. Details may change. Published [March 2020]. V [ 1 ].

The Australian Institute of Higher Education is listed as a Higher Education Provider on the Tertiary Education Quality and Standards Agency’s National Register of Higher Education Providers, provider number (PRV12013). ABN 70117349256. CRICOS Provider No. 03147A.

www.aih.nsw.edu.au