Concession Request – Alfirdaus College

Contact Details

Surname *

First Name *

Phone Number *

Email Address *

Work status

Mother *
EmployedUnemployed

Father *
EmployedUnemployed

Mother's place of work *

Mother's position *

Father's place of work*

Father's position *

Other income source (including Centrelink)

Source *

Amount per week *

Number of children *

School children attend *

Do your children participate in any extracurricular activities (e.g sport, tutoring)? *
YesNo

If yes, please provide details of the activities they are involved in *

Student(s) Details

Child Name *

Class Day & Time *

Program *

Enrolment *
Existing StudentNew Student

Period of enrolment *

Centre *

Reason/s for fee concession (Please outline detailed reason(s) for appliation) *

Asset Details

Do you own your own home? *
YesNo

Rent or repayment amount per week? *

Do you own a car? *
YesNo

If yes, please enter make and model? *

Other assets (e.g investment property, second car, boat) *

Financial Status Codes - Please select from the options below that describes your current situation best:

Refugee/Asylum Seeker Family (ASF)	Low-income family (LIF)
Single mother low-income family (SMF)	Fulltime Student (FST)
Single father low-income family (SFF)	Revert Muslim with low-income status (REV)
Breadwinner injured, unable to work (INJ)	Other (OTH): E.g.: Widow/Orphan (W/O)

Declaration (please tick checkbox)

I declare that all information provided in this application and in all documents submitted is true and correct.
I declare that I have read and understood the terms and conditions set out in the Concession Policy.
I agree to pay at least half (50%) of any outstanding fees while my application is being reviewed.