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You must:

• complete this form if you are requesting VET FEE-HELP assistance 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.

IMPORTANT:

• you will only be entitled to VET FEE-HELP assistance 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.

Before completing this form,

you must read the

VET FEE-HELP information

booklet,

available at www.studyassist.gov.au.

1296A

Request for

VET FEE-HELP assistance

(2)

1. Family Name:

Given names:

2. Date of birth:

/ /

3. Gender:

Female Male

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 VET FEE-HELP assistance.

Provider use—

VET course of study code:

7. What is your citizenship status?

(please tick the box that relates to you) I am an Australian citizen

Yes

Go to question 8

No

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 VET FEE-HELP assistance.

Yes

Go to question 8

No

You are not eligible for VET FEE-HELP assistance. Do not complete this form.

8. What is your student status?

(please tick the box that relates to you)

I am a full fee-paying student Yes

Go to question 9

OR

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)

OR

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 VET FEE-HELP assistance 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 certificatefrom the Australian Taxation Office (ATO), stating that you have applied for a TFN.

Note: 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 VET FEE-HELP assistance 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

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.

STUDENT COPY

1296A

1296A – 2014

Request for

(3)

10. Your obligations:

I have read the VET FEE-HELP information booklet and I am aware of my obligations if I receive VET FEE-HELP assistance. 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 VET FEE-HELP assistance; and

– the information on this form is complete and correct and you can produce documents to verify this if required.

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.

understand that:

– if you are a full fee-paying student, a loan fee of 20% will be applied to the amount of VET FEE-HELP assistance 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;

– you will not be able to obtain VET FEE-HELP assistance 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

Date

/ /

STUDENT COPY

09/13

(4)

PROVIDER COPY

1296A – 2014

1. Family Name:

Given names:

2. Date of birth:

/ /

3. Gender:

Female Male

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 VET FEE-HELP assistance.

Provider use—

VET course of study code:

7. What is your citizenship status?

(please tick the box that relates to you) I am an Australian citizen

Yes

Go to question 8

No

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 VET FEE-HELP assistance.

Yes

Go to question 8

No

You are not eligible for VET FEE-HELP assistance. Do not complete this form.

8. What is your student status?

(please tick the box that relates to you)

I am a full fee-paying student Yes

Go to question 9

OR

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)

OR

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 VET FEE-HELP assistance 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 certificatefrom the Australian Taxation Office (ATO), stating that you have applied for a TFN.

Note: 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 VET FEE-HELP assistance 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

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.

1296A

Request for

(5)

PROVIDER COPY

09/13

10. Your obligations:

I have read the VET FEE-HELP information booklet and I am aware of my obligations if I receive VET FEE-HELP assistance. 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 VET FEE-HELP assistance; and

– the information on this form is complete and correct and you can produce documents to verify this if required.

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.

understand that:

– if you are a full fee-paying student, a loan fee of 20% will be applied to the amount of VET FEE-HELP assistance 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;

– you will not be able to obtain VET FEE-HELP assistance 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

Date

/ /

References

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