International Student extension request form International Student Request to Extend* requiredPersonal DetailsAlliance College Student ID * Date of Birth (dd/mm/yyyy) * Family Name * Given Names * Student Visa (please tick) * YesNoPostal Address * Contact Phone Number (day) * Email Address * Why do you request extension? Supporting Document Course InformationCourse Name * Course Start Date * Course Finish Date * Visa Expiry Date Overseas Student Health Cover Expiry Date I have read and understand the refunds policy on my letter of offer and I certify that all information on this form, including supporting documentation and evidence, is correctDigital SignatureDate * Parent/Guardian Name if under 18 Sign with your mouse (Parent/Guardian Signature if under 18)* Application forms not signed by the student and where applicable Parent/Guardian will not be accepted.