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Journal Transfer Request Form

For payment via a journal transfer, please provide the information requested below.

Department/Faculty details

Department/Faculty Name ^*

Responsibility Centre Code (RC) ^*

Project Code (PC) ^*

Analysis Code (optional)

Person authorising the funds transfer (approving manager/supervisor)

Name ^*

Position ^*

Contact number ^*

Email address ^*

Person enrolling in the course

Partcipant 1

Name ^*

Contact number ^*

Date of birth

Email address ^*

Name and date of course/s ^*

Partcipant 2

Name

Contact number

Date of birth

Email address

Name and date of course/s

Partcipant 3

Name

Contact number

Date of birth

Email address

Name and date of course/s

Additional information (Optional) Please also use this space if you would like to enrol more than 3 partipants, ensuring that you include their Name, Contact number, Date of birth (if known), Email address and Name and date of course.

Your enrolment/s will be processed once we have received all the above information. A copy of the paid invoice will be sent to the person authorising the funds transfer, and all participants will receive an enrolment confirmation email.

Please be advised that by enrolling into a course with us and opting to pay by Journal Transfer,you are agreeing to the enrolment Terms and Conditions published on the Sydney Short Courses website. Please take the time to read them carefully.