Examination Refund Request Form



If any students are unable to take the examination on the set day due to illness or injury, the teacher can apply by submitting this form.


A 75% refunds of the ATOD Exam Fee are granted for reasons of illness and injury only and will be paid / issued to the studio owner.

The studio owner is responsible for returning 75% of the ATOD cost to the parent / student.


Form to be completed within 6 weeks from your

allocated examination date.


Medical Certificate required for Major Examinations

(i.e. Elementary and upwards).


NOTE: If a student would like to take the examination at a later date at another studio, the normal guidelines for examinations will apply. This is to be organised with the Exam Coordinator. i.e. paperwork must be resubmitted by Exam planner and full fee paid on submission.


A student who is incapacitated just prior to or during the examination is permitted to transfer their examination fee to another day within the same session. The officiating Examiner must be the Examiner at both the original and subsequent examination sessions. In the case of injury a medical certificate must be produced stating that they are medically fit to undertake the examination. If this is not possible then normal reimbursement procedures listed above will apply.

 

TEACHER INFORMATION:

 
 
 
 

Number, Street, Suburb, State and Postcode

 

 

STUDENT INFORMATION:

 
 
 
 
 
 
 

 

BANK ACCOUNT DETAILS FOR REFUND:

 
 
 
 

 

By submitting this form, I hereby confirm that the provided information is accurate and true.

 

Full name of the person completing this form.