Exercise Research Australia Pty Ltd Refund Request Form
This form is to be read in conjunction with our Refunds Policy and Procedure. You will be notified by email of the outcome of your request for a refund within 10 business days of receipt of this form. Should you require assistance completing this form, please phone our office on 9480-1800 and speak to the Training & Quality Coordinator.
Email address *
Program Name
HLT43015 Certificate IV in Allied Health Assistance (Physiotherapy)
Personal details
Student First Name: *
Your answer
Student Surname: *
Your answer
Address: *
Your answer
Contact Number: *
Your answer
Name as it appears on your bank account: *
Your answer
Bank Name & Branch *
Your answer
BSB: *
Your answer
Account number: *
Your answer
Refund Details
Refer to the information below to identify the conidition you believe you meet and provide a description of your situation that has resulted in you requesting a refund in the space provided.
Condition 1 – Student withdrawal (after 1-7 days)
A student has a 7-day cooling off period from the date they sign the enrolment form with which to change their mind and withdraw their enrolment. The student can request a full refund of any amounts paid to Exercise Research Australia Pty Ltd towards their Student Services & Amenities and Materials fees. Note: ‘Condition 3’ – no refund automatically applies from the date of their first scheduled class.

Condition 2 – Student withdrawal (after 7 days)
When a student chooses to withdraw their enrolment after 7 days from the date they sign their enrolment form and prior to their first scheduled class, 50% of the Student Services & Amenities and Materials fees remain payable to Exercise Research Australia Pty Ltd. The student can request a proportionate refund equal to the amount paid that exceeds 50%. Note: ‘Condition 3’ – no refund automatically applies from the date of their first scheduled class.

Condition 3 – Student withdrawal (on or after 1st scheduled class)
No refund applies when a student chooses to withdraw their enrolment from the date of their first scheduled class, irrespective of whether the student has attended. The total value of the student’s Tuition, Student Services & Amenities and Materials fees remain payable to Exercise Research Australia Pty Ltd.

Condition 4 – Student hardship
Exercise Research Australia Pty Ltd may in its absolute discretion take into consideration a student’s request for a refund where extenuating circumstances exist. The student must provide sufficient detail for consideration of their circumstances when requesting a refund.
Which refund condition do you believe you meet? *
Please detail your reasons for requesting a refund ensuring sufficient information is provided: *
Your answer
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