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Application for post-Census remission of debt due to special circumstances

This form is provided to allow domestic students to apply for a remission of their Swinburne study fees after the census deadline due to special circumstances.

Fields marked with Mandatory are mandatory

Personal details

Course details

IMPORTANT: Applying for all the units you are enrolled into for a study period amounts to taking a break from your study. Before applying for a PCRD, you must first apply for an authorised Leave of Absence or if appropriate, withdraw from your course.

Units for which you are applying for a Post-Census Remission of Debt

Unit CodeUnit TitleTeaching Period Year

Details surrounding your special circumstance

You must provide an explanation below describing your special circumstances, and submit your independent supporting documentation as evidence of special circumstances.

       For Example:
  • Medical reasons (e.g. occurring or worsening after Census date)
  • Family reasons (e.g. death, illness)
  • Employment related reasons (e.g. compulsory transfer, change of hours)
  • Other

1000 characters left

Attach supporting documentation

* including OUA Special Circumstances professional authority form


A maximum of 5 documents can be submitted with this form, if you need to submit more documents, please email these to with your name, student ID and the receipt number of this application.

Privacy Statement and Disclaimer

Swinburne University of Technology collects, uses and destroys personal information in accordance with our Privacy Policy.

I declare that the information supplied on this form and the information given in support of my application is correct and complete.
I acknowledge that the provision of incorrect information or the withholding of relevant information relating to my application may result in a delay in processing.
I understand that if the details I submit are incorrect or incomplete that this request will not be processed.