Course Change Request Form

I confirm that my name, address and contact details above are correct, and if they do not match the
records held by Insight Academy then they will update their records accordingly. If any of these details
change I will inform Insight Academy within five (5) working days.
I also inform that I continue to agree to the following clauses in my original letter of offer, including:

- Course entry conditions; Course costs and fees schedule; Arranging for personal living
expenses; Fees and Charges including late payment and other course costs and refund policy
(also available on the website); Course Conduct; Monitor Course Progress Policy;
Reassessment Policy; Statement Regarding Academic honesty; Statement Regarding
Statements of Attainment; Statement Regarding Cancellation; Suspension or Deferment;
Statement Regarding Your Personal Information; Transfers; Communication Policy; Visa
Conditions.

In signing the request above, I declare the following:

That the information provided by me in this request and my original application (a copy of which is
available upon request) is correct.

By accepting the offer of a place at Insight Academy, I am updating my original agreement and
substituting the course above that I agreed to in my original” Enrolment Acceptance Agreement”.

I also confirm that I will keep myself abreast with the latest Institute’s Policies and Procedures which
would be posted on the Institute’s website from time to time or by requesting a copy by emailing to
startup@insightacademy.edu.au.