Bendigo Kangan Institute Education Verification Request Sept 2024 V.1

EDUCATION VERIFICATION REQUEST FORM

This form is to be completed by the Requester or RTO

STUDENT DETAILS

Please provide as much information as possible, this will help us locate the students record within our systems.

Student ID Number (if known)

First Name

Last Name

If known by other names

Date of Birth *

Course Name, Course Code, Certificate Year of Issue and Certificate Number (if known)

REQUESTER/RTO CONTACT DETAILS

Name *

Contact Number

Email *

Reason for Request

Student Consent

Educational Verifications require a consent to release, signed or approved by the student.

If you have a standard consent to release form this is acceptable, if you do not, we also accept the consent/approval in the form of email correspondence you have had with the student, indicating their approval.

Please use the below to upload consent evidence.

Consent Upload *

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Documents

Please use the below to upload copies of the documents you are seeking to verify.

Document Upload *

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Requests are free of charge. Please click the 'Submit' button below once you have finished completing this form.

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