AUTHORITY TO INVOICE FOR STUDENT FEES

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• To: Kangan Institute Private Bag 299 Somerton Vic 3062. Campus Fax 9620 3167

Details of Employer/ Sponsor agreeing to pay the Student fees.

• Trading Name:

• Address:

• ABN:

• Post code:

• Phone:

Enrollment and Fee details

• Student Name:

• Course:

This ATI is to be used for an individual apprentice only

• Tuition Fees* $

• Service and Amenities fees* $

• Ancillary fees:

• Material fees:

• Skills Recognition/ RPL Application fees:

• Total Fees;

• * Where concessions on fees are being claimed for employees, the student should present the relevant Health Care Cards, Pensioner Concession Cards and Veteran Gold Cards at the time of enrollment, otherwise please attach copies.

• Please note that concession rates do not apply to enrollments in Fee For Service activities (Such as Short Courses) or where the fees are being paid for by Commonwealth Government Department or Agency or as part of a Commonwealth program or initiative.

Declaration

• We/I agree to pay the invoice within 30 days of the date of issue of the invoice.

• We/I hereby agree to that in the event of our/my failure to pay Kangan Institute pursuant to the terms of this agreement, we/I shall pay Kangan Institute, upon demand, all collection costs, commissions, fees, charges and expenses, including legal costs, which Kangan Institute may elect to pay in its absolute discretion to make good any failure by us/me to comply with the terms of this agreement and/or to protect the rights of Kangan Institute generally under this agreement.

• Name and position:

  Sign