Claim for Short Term Boarding Allowance Instructions
This form contains 132 fields organized into 22 sections. Below is a complete list of every field, its type, and what information is expected.
| Field Name | Type | Description |
|---|---|---|
| Agent Payment Details | ||
| No | Checkbox |
Check this box if you do not want your payments to be made to an agent. Fill only if 'Periods of short term board' is completed
Depends on:
Start Date Day, Start Date Month, Start Date Year, End Date Day, End Date Month, End Date Year, Boarding Fees Payable, Second Period From Day, Second Period From Month, Second Period From Year, Second Period To Day, Second Period To Month, Second Period To Year, Second Period Boarding Fees Payable, Third Board Period From Day, Third Board Period From Month, Third Board Period From Year, Third Board Period To Day, Third Board Period To Month, Third Board Period To Year, Third Board Period Fees Payable, Fourth Period From Day, Fourth Period From Month, Fourth Period From Year, Fourth Period To Day, Fourth Period To Month, Fourth Period To Year, Fourth Period Boarding Fees Payable, Fifth Period From Day, Fifth Period From Month, Fifth Period From Year, Fifth Period To Day, Fifth Period To Month, Fifth Period To Year, Fifth Period Boarding Fees Payable, From Day (Sixth Period), From Month (Sixth Period), From Year (Sixth Period), To Day (Sixth Period), To Month (Sixth Period), To Year (Sixth Period), Boarding Fees Payable (Sixth Period), Seventh Period From Date Day, Seventh Period From Date Month, Seventh Period From Date Year, Seventh Period To Date Day, Seventh Period To Date Month, Seventh Period Boarding Fees Payable, Eighth Period From Day, Eighth Period From Month, Eighth Period From Year, Eighth Period To Day, Eighth Period To Month, Eighth Period To Year, Eighth Period Boarding Fees Payable, Ninth Period Start Day, Ninth Period Start Month, Ninth Period Start Year, Ninth Period End Day, Ninth Period End Month, Ninth Period End Year, Ninth Period Boarding Fees Payable, Tenth Period From Day, Tenth Period From Month, Tenth Period From Year, Seventh Period To Date Year, Tenth Period To Day, Tenth Period To Month, Tenth Period To Year, Tenth Period Boarding Fees Payable
|
| Yes | Checkbox |
Check this box if you want your payments to be made to an agent. Fill only if 'Periods of short term board' is completed
Depends on:
Start Date Day, Start Date Month, Start Date Year, End Date Day, End Date Month, End Date Year, Boarding Fees Payable, Second Period From Day, Second Period From Month, Second Period From Year, Second Period To Day, Second Period To Month, Second Period To Year, Second Period Boarding Fees Payable, Third Board Period From Day, Third Board Period From Month, Third Board Period From Year, Third Board Period To Day, Third Board Period To Month, Third Board Period To Year, Third Board Period Fees Payable, Fourth Period From Day, Fourth Period From Month, Fourth Period From Year, Fourth Period To Day, Fourth Period To Month, Fourth Period To Year, Fourth Period Boarding Fees Payable, Fifth Period From Day, Fifth Period From Month, Fifth Period From Year, Fifth Period To Day, Fifth Period To Month, Fifth Period To Year, Fifth Period Boarding Fees Payable, From Day (Sixth Period), From Month (Sixth Period), From Year (Sixth Period), To Day (Sixth Period), To Month (Sixth Period), To Year (Sixth Period), Boarding Fees Payable (Sixth Period), Seventh Period From Date Day, Seventh Period From Date Month, Seventh Period From Date Year, Seventh Period To Date Day, Seventh Period To Date Month, Seventh Period Boarding Fees Payable, Eighth Period From Day, Eighth Period From Month, Eighth Period From Year, Eighth Period To Day, Eighth Period To Month, Eighth Period To Year, Eighth Period Boarding Fees Payable, Ninth Period Start Day, Ninth Period Start Month, Ninth Period Start Year, Ninth Period End Day, Ninth Period End Month, Ninth Period End Year, Ninth Period Boarding Fees Payable, Tenth Period From Day, Tenth Period From Month, Tenth Period From Year, Seventh Period To Date Year, Tenth Period To Day, Tenth Period To Month, Tenth Period To Year, Tenth Period Boarding Fees Payable
|
| Agent's Name | Text |
Please provide the full name of the agent who will receive the payments. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Agent Payment Information | Text |
Please provide the complete payment details for the agent, such as bank name, branch number, and account number. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Board Provider Details | ||
| Board Provider Name | Text |
Enter the full legal name of the board provider. Fill only if 'Periods of short term board' is completed
Depends on:
Start Date Day, Start Date Month, Start Date Year, End Date Day, End Date Month, End Date Year, Boarding Fees Payable, Second Period From Day, Second Period From Month, Second Period From Year, Second Period To Day, Second Period To Month, Second Period To Year, Second Period Boarding Fees Payable, Third Board Period From Day, Third Board Period From Month, Third Board Period From Year, Third Board Period To Day, Third Board Period To Month, Third Board Period To Year, Third Board Period Fees Payable, Fourth Period From Day, Fourth Period From Month, Fourth Period From Year, Fourth Period To Day, Fourth Period To Month, Fourth Period To Year, Fourth Period Boarding Fees Payable, Fifth Period From Day, Fifth Period From Month, Fifth Period From Year, Fifth Period To Day, Fifth Period To Month, Fifth Period To Year, Fifth Period Boarding Fees Payable, From Day (Sixth Period), From Month (Sixth Period), From Year (Sixth Period), To Day (Sixth Period), To Month (Sixth Period), To Year (Sixth Period), Boarding Fees Payable (Sixth Period), Seventh Period From Date Day, Seventh Period From Date Month, Seventh Period From Date Year, Seventh Period To Date Day, Seventh Period To Date Month, Seventh Period Boarding Fees Payable, Eighth Period From Day, Eighth Period From Month, Eighth Period From Year, Eighth Period To Day, Eighth Period To Month, Eighth Period To Year, Eighth Period Boarding Fees Payable, Ninth Period Start Day, Ninth Period Start Month, Ninth Period Start Year, Ninth Period End Day, Ninth Period End Month, Ninth Period End Year, Ninth Period Boarding Fees Payable, Tenth Period From Day, Tenth Period From Month, Tenth Period From Year, Seventh Period To Date Year, Tenth Period To Day, Tenth Period To Month, Tenth Period To Year, Tenth Period Boarding Fees Payable
|
| Board Provider Address Line 1 | Text |
Enter the first line of the board provider's street address. Fill only if 'Periods of short term board' is completed
Depends on:
Start Date Day, Start Date Month, Start Date Year, End Date Day, End Date Month, End Date Year, Boarding Fees Payable, Second Period From Day, Second Period From Month, Second Period From Year, Second Period To Day, Second Period To Month, Second Period To Year, Second Period Boarding Fees Payable, Third Board Period From Day, Third Board Period From Month, Third Board Period From Year, Third Board Period To Day, Third Board Period To Month, Third Board Period To Year, Third Board Period Fees Payable, Fourth Period From Day, Fourth Period From Month, Fourth Period From Year, Fourth Period To Day, Fourth Period To Month, Fourth Period To Year, Fourth Period Boarding Fees Payable, Fifth Period From Day, Fifth Period From Month, Fifth Period From Year, Fifth Period To Day, Fifth Period To Month, Fifth Period To Year, Fifth Period Boarding Fees Payable, From Day (Sixth Period), From Month (Sixth Period), From Year (Sixth Period), To Day (Sixth Period), To Month (Sixth Period), To Year (Sixth Period), Boarding Fees Payable (Sixth Period), Seventh Period From Date Day, Seventh Period From Date Month, Seventh Period From Date Year, Seventh Period To Date Day, Seventh Period To Date Month, Seventh Period Boarding Fees Payable, Eighth Period From Day, Eighth Period From Month, Eighth Period From Year, Eighth Period To Day, Eighth Period To Month, Eighth Period To Year, Eighth Period Boarding Fees Payable, Ninth Period Start Day, Ninth Period Start Month, Ninth Period Start Year, Ninth Period End Day, Ninth Period End Month, Ninth Period End Year, Ninth Period Boarding Fees Payable, Tenth Period From Day, Tenth Period From Month, Tenth Period From Year, Seventh Period To Date Year, Tenth Period To Day, Tenth Period To Month, Tenth Period To Year, Tenth Period Boarding Fees Payable
|
| Board Provider Address Line 2 | Text |
Enter the second line of the board provider's address, such as the suburb or city. Fill only if 'Periods of short term board' is completed
Depends on:
Start Date Day, Start Date Month, Start Date Year, End Date Day, End Date Month, End Date Year, Boarding Fees Payable, Second Period From Day, Second Period From Month, Second Period From Year, Second Period To Day, Second Period To Month, Second Period To Year, Second Period Boarding Fees Payable, Third Board Period From Day, Third Board Period From Month, Third Board Period From Year, Third Board Period To Day, Third Board Period To Month, Third Board Period To Year, Third Board Period Fees Payable, Fourth Period From Day, Fourth Period From Month, Fourth Period From Year, Fourth Period To Day, Fourth Period To Month, Fourth Period To Year, Fourth Period Boarding Fees Payable, Fifth Period From Day, Fifth Period From Month, Fifth Period From Year, Fifth Period To Day, Fifth Period To Month, Fifth Period To Year, Fifth Period Boarding Fees Payable, From Day (Sixth Period), From Month (Sixth Period), From Year (Sixth Period), To Day (Sixth Period), To Month (Sixth Period), To Year (Sixth Period), Boarding Fees Payable (Sixth Period), Seventh Period From Date Day, Seventh Period From Date Month, Seventh Period From Date Year, Seventh Period To Date Day, Seventh Period To Date Month, Seventh Period Boarding Fees Payable, Eighth Period From Day, Eighth Period From Month, Eighth Period From Year, Eighth Period To Day, Eighth Period To Month, Eighth Period To Year, Eighth Period Boarding Fees Payable, Ninth Period Start Day, Ninth Period Start Month, Ninth Period Start Year, Ninth Period End Day, Ninth Period End Month, Ninth Period End Year, Ninth Period Boarding Fees Payable, Tenth Period From Day, Tenth Period From Month, Tenth Period From Year, Seventh Period To Date Year, Tenth Period To Day, Tenth Period To Month, Tenth Period To Year, Tenth Period Boarding Fees Payable
|
| Board Provider Postcode | Text |
Enter the postcode of the board provider's address. Fill only if 'Periods of short term board' is completed
Depends on:
Start Date Day, Start Date Month, Start Date Year, End Date Day, End Date Month, End Date Year, Boarding Fees Payable, Second Period From Day, Second Period From Month, Second Period From Year, Second Period To Day, Second Period To Month, Second Period To Year, Second Period Boarding Fees Payable, Third Board Period From Day, Third Board Period From Month, Third Board Period From Year, Third Board Period To Day, Third Board Period To Month, Third Board Period To Year, Third Board Period Fees Payable, Fourth Period From Day, Fourth Period From Month, Fourth Period From Year, Fourth Period To Day, Fourth Period To Month, Fourth Period To Year, Fourth Period Boarding Fees Payable, Fifth Period From Day, Fifth Period From Month, Fifth Period From Year, Fifth Period To Day, Fifth Period To Month, Fifth Period To Year, Fifth Period Boarding Fees Payable, From Day (Sixth Period), From Month (Sixth Period), From Year (Sixth Period), To Day (Sixth Period), To Month (Sixth Period), To Year (Sixth Period), Boarding Fees Payable (Sixth Period), Seventh Period From Date Day, Seventh Period From Date Month, Seventh Period From Date Year, Seventh Period To Date Day, Seventh Period To Date Month, Seventh Period Boarding Fees Payable, Eighth Period From Day, Eighth Period From Month, Eighth Period From Year, Eighth Period To Day, Eighth Period To Month, Eighth Period To Year, Eighth Period Boarding Fees Payable, Ninth Period Start Day, Ninth Period Start Month, Ninth Period Start Year, Ninth Period End Day, Ninth Period End Month, Ninth Period End Year, Ninth Period Boarding Fees Payable, Tenth Period From Day, Tenth Period From Month, Tenth Period From Year, Seventh Period To Date Year, Tenth Period To Day, Tenth Period To Month, Tenth Period To Year, Tenth Period Boarding Fees Payable
|
| Boarding School Details | ||
| School/Program Name | Text |
Provide the name of the school or education/training program attended while boarding. Fill only if 'School Name' is different to the details provided in question 6.
Depends on:
School Name
|
| School/Program Address Line 1 | Text |
Enter the first line of the address for the school or education/training program. Fill only if 'School Address Line 1' is different to the details provided in question 6.
Depends on:
School Address Line 1
|
| School/Program Address Line 2 | Text |
Enter the second line of the address for the school or education/training program. Fill only if 'School Address Line 1' is different to the details provided in question 6.
Depends on:
School Address Line 1
|
| School/Program Address Line 3 | Text |
Enter the third line of the address for the school or education/training program. Fill only if 'School Address Line 2' is different to the details provided in question 6.
Depends on:
School Address Line 2
|
| School/Program Postcode | Text |
Enter the postcode for the school or education/training program. Fill only if 'School Postcode' is different to the details provided in question 6.
Depends on:
School Postcode
|
| Customer Reference Number | ||
| Customer Reference Number Part 1 | Text |
Please enter the first segment of your Customer Reference Number.
|
| Customer Reference Number Part 2 | Text |
Please enter the second segment of your Customer Reference Number.
|
| Customer Reference Number Part 3 | Text |
Please enter the third segment of your Customer Reference Number.
|
| Customer Reference Number Part 4 | Text |
Please enter the fourth segment of your Customer Reference Number.
|
| Declaration | ||
| I have read, understood and agree to the above. | Checkbox |
Check this box to confirm you have read, understood, and agree to all the statements in the declaration. Fill only if 'Periods of short term board' is completed
Depends on:
Start Date Day, Start Date Month, Start Date Year, End Date Day, End Date Month, End Date Year, Boarding Fees Payable, Second Period From Day, Second Period From Month, Second Period From Year, Second Period To Day, Second Period To Month, Second Period To Year, Second Period Boarding Fees Payable, Third Board Period From Day, Third Board Period From Month, Third Board Period From Year, Third Board Period To Day, Third Board Period To Month, Third Board Period To Year, Third Board Period Fees Payable, Fourth Period From Day, Fourth Period From Month, Fourth Period From Year, Fourth Period To Day, Fourth Period To Month, Fourth Period To Year, Fourth Period Boarding Fees Payable, Fifth Period From Day, Fifth Period From Month, Fifth Period From Year, Fifth Period To Day, Fifth Period To Month, Fifth Period To Year, Fifth Period Boarding Fees Payable, From Day (Sixth Period), From Month (Sixth Period), From Year (Sixth Period), To Day (Sixth Period), To Month (Sixth Period), To Year (Sixth Period), Boarding Fees Payable (Sixth Period), Seventh Period From Date Day, Seventh Period From Date Month, Seventh Period From Date Year, Seventh Period To Date Day, Seventh Period To Date Month, Seventh Period Boarding Fees Payable, Eighth Period From Day, Eighth Period From Month, Eighth Period From Year, Eighth Period To Day, Eighth Period To Month, Eighth Period To Year, Eighth Period Boarding Fees Payable, Ninth Period Start Day, Ninth Period Start Month, Ninth Period Start Year, Ninth Period End Day, Ninth Period End Month, Ninth Period End Year, Ninth Period Boarding Fees Payable, Tenth Period From Day, Tenth Period From Month, Tenth Period From Year, Seventh Period To Date Year, Tenth Period To Day, Tenth Period To Month, Tenth Period To Year, Tenth Period Boarding Fees Payable
|
| Declaration Date Day | Date |
Enter the day of the declaration date. Fill only if 'Periods of short term board' is completed
Depends on:
Start Date Day, Start Date Month, Start Date Year, End Date Day, End Date Month, End Date Year, Boarding Fees Payable, Second Period From Day, Second Period From Month, Second Period From Year, Second Period To Day, Second Period To Month, Second Period To Year, Second Period Boarding Fees Payable, Third Board Period From Day, Third Board Period From Month, Third Board Period From Year, Third Board Period To Day, Third Board Period To Month, Third Board Period To Year, Third Board Period Fees Payable, Fourth Period From Day, Fourth Period From Month, Fourth Period From Year, Fourth Period To Day, Fourth Period To Month, Fourth Period To Year, Fourth Period Boarding Fees Payable, Fifth Period From Day, Fifth Period From Month, Fifth Period From Year, Fifth Period To Day, Fifth Period To Month, Fifth Period To Year, Fifth Period Boarding Fees Payable, From Day (Sixth Period), From Month (Sixth Period), From Year (Sixth Period), To Day (Sixth Period), To Month (Sixth Period), To Year (Sixth Period), Boarding Fees Payable (Sixth Period), Seventh Period From Date Day, Seventh Period From Date Month, Seventh Period From Date Year, Seventh Period To Date Day, Seventh Period To Date Month, Seventh Period Boarding Fees Payable, Eighth Period From Day, Eighth Period From Month, Eighth Period From Year, Eighth Period To Day, Eighth Period To Month, Eighth Period To Year, Eighth Period Boarding Fees Payable, Ninth Period Start Day, Ninth Period Start Month, Ninth Period Start Year, Ninth Period End Day, Ninth Period End Month, Ninth Period End Year, Ninth Period Boarding Fees Payable, Tenth Period From Day, Tenth Period From Month, Tenth Period From Year, Seventh Period To Date Year, Tenth Period To Day, Tenth Period To Month, Tenth Period To Year, Tenth Period Boarding Fees Payable
|
| Declaration Date Month | Date |
Enter the month of the declaration date. Fill only if 'Periods of short term board' is completed
Depends on:
Start Date Day, Start Date Month, Start Date Year, End Date Day, End Date Month, End Date Year, Boarding Fees Payable, Second Period From Day, Second Period From Month, Second Period From Year, Second Period To Day, Second Period To Month, Second Period To Year, Second Period Boarding Fees Payable, Third Board Period From Day, Third Board Period From Month, Third Board Period From Year, Third Board Period To Day, Third Board Period To Month, Third Board Period To Year, Third Board Period Fees Payable, Fourth Period From Day, Fourth Period From Month, Fourth Period From Year, Fourth Period To Day, Fourth Period To Month, Fourth Period To Year, Fourth Period Boarding Fees Payable, Fifth Period From Day, Fifth Period From Month, Fifth Period From Year, Fifth Period To Day, Fifth Period To Month, Fifth Period To Year, Fifth Period Boarding Fees Payable, From Day (Sixth Period), From Month (Sixth Period), From Year (Sixth Period), To Day (Sixth Period), To Month (Sixth Period), To Year (Sixth Period), Boarding Fees Payable (Sixth Period), Seventh Period From Date Day, Seventh Period From Date Month, Seventh Period From Date Year, Seventh Period To Date Day, Seventh Period To Date Month, Seventh Period Boarding Fees Payable, Eighth Period From Day, Eighth Period From Month, Eighth Period From Year, Eighth Period To Day, Eighth Period To Month, Eighth Period To Year, Eighth Period Boarding Fees Payable, Ninth Period Start Day, Ninth Period Start Month, Ninth Period Start Year, Ninth Period End Day, Ninth Period End Month, Ninth Period End Year, Ninth Period Boarding Fees Payable, Tenth Period From Day, Tenth Period From Month, Tenth Period From Year, Seventh Period To Date Year, Tenth Period To Day, Tenth Period To Month, Tenth Period To Year, Tenth Period Boarding Fees Payable
|
| Declaration Date Year | Date |
Enter the year of the declaration date. Fill only if 'Periods of short term board' is completed
Depends on:
Start Date Day, Start Date Month, Start Date Year, End Date Day, End Date Month, End Date Year, Boarding Fees Payable, Second Period From Day, Second Period From Month, Second Period From Year, Second Period To Day, Second Period To Month, Second Period To Year, Second Period Boarding Fees Payable, Third Board Period From Day, Third Board Period From Month, Third Board Period From Year, Third Board Period To Day, Third Board Period To Month, Third Board Period To Year, Third Board Period Fees Payable, Fourth Period From Day, Fourth Period From Month, Fourth Period From Year, Fourth Period To Day, Fourth Period To Month, Fourth Period To Year, Fourth Period Boarding Fees Payable, Fifth Period From Day, Fifth Period From Month, Fifth Period From Year, Fifth Period To Day, Fifth Period To Month, Fifth Period To Year, Fifth Period Boarding Fees Payable, From Day (Sixth Period), From Month (Sixth Period), From Year (Sixth Period), To Day (Sixth Period), To Month (Sixth Period), To Year (Sixth Period), Boarding Fees Payable (Sixth Period), Seventh Period From Date Day, Seventh Period From Date Month, Seventh Period From Date Year, Seventh Period To Date Day, Seventh Period To Date Month, Seventh Period Boarding Fees Payable, Eighth Period From Day, Eighth Period From Month, Eighth Period From Year, Eighth Period To Day, Eighth Period To Month, Eighth Period To Year, Eighth Period Boarding Fees Payable, Ninth Period Start Day, Ninth Period Start Month, Ninth Period Start Year, Ninth Period End Day, Ninth Period End Month, Ninth Period End Year, Ninth Period Boarding Fees Payable, Tenth Period From Day, Tenth Period From Month, Tenth Period From Year, Seventh Period To Date Year, Tenth Period To Day, Tenth Period To Month, Tenth Period To Year, Tenth Period Boarding Fees Payable
|
| Signature | Text |
Provide your signature, which is required if returning the form by post or in person. Fill only if 'Periods of short term board' is completed
Depends on:
Start Date Day, Start Date Month, Start Date Year, End Date Day, End Date Month, End Date Year, Boarding Fees Payable, Second Period From Day, Second Period From Month, Second Period From Year, Second Period To Day, Second Period To Month, Second Period To Year, Second Period Boarding Fees Payable, Third Board Period From Day, Third Board Period From Month, Third Board Period From Year, Third Board Period To Day, Third Board Period To Month, Third Board Period To Year, Third Board Period Fees Payable, Fourth Period From Day, Fourth Period From Month, Fourth Period From Year, Fourth Period To Day, Fourth Period To Month, Fourth Period To Year, Fourth Period Boarding Fees Payable, Fifth Period From Day, Fifth Period From Month, Fifth Period From Year, Fifth Period To Day, Fifth Period To Month, Fifth Period To Year, Fifth Period Boarding Fees Payable, From Day (Sixth Period), From Month (Sixth Period), From Year (Sixth Period), To Day (Sixth Period), To Month (Sixth Period), To Year (Sixth Period), Boarding Fees Payable (Sixth Period), Seventh Period From Date Day, Seventh Period From Date Month, Seventh Period From Date Year, Seventh Period To Date Day, Seventh Period To Date Month, Seventh Period Boarding Fees Payable, Eighth Period From Day, Eighth Period From Month, Eighth Period From Year, Eighth Period To Day, Eighth Period To Month, Eighth Period To Year, Eighth Period Boarding Fees Payable, Ninth Period Start Day, Ninth Period Start Month, Ninth Period Start Year, Ninth Period End Day, Ninth Period End Month, Ninth Period End Year, Ninth Period Boarding Fees Payable, Tenth Period From Day, Tenth Period From Month, Tenth Period From Year, Seventh Period To Date Year, Tenth Period To Day, Tenth Period To Month, Tenth Period To Year, Tenth Period Boarding Fees Payable
|
| Eighth Period of Short Term Board | ||
| Eighth Period From Day | Text |
Enter the day of the start date for the eighth period of short-term board.
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| Eighth Period From Month | Text |
Enter the month of the start date for the eighth period of short-term board.
|
| Eighth Period From Year | Text |
Enter the year of the start date for the eighth period of short-term board.
|
| Eighth Period To Day | Text |
Enter the day of the end date for the eighth period of short-term board.
|
| Eighth Period To Month | Text |
Enter the month of the end date for the eighth period of short-term board.
|
| Eighth Period To Year | Text |
Enter the year of the end date for the eighth period of short-term board.
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| Eighth Period Boarding Fees Payable | Number |
Enter the total amount of boarding fees payable for the eighth period of short-term board.
|
| Fifth Period of Short Term Board | ||
| Fifth Period From Day | Text |
Enter the day of the start date for the fifth period of short-term board.
|
| Fifth Period From Month | Text |
Enter the month of the start date for the fifth period of short-term board.
|
| Fifth Period From Year | Text |
Enter the year of the start date for the fifth period of short-term board.
|
| Fifth Period To Day | Text |
Enter the day of the end date for the fifth period of short-term board.
|
| Fifth Period To Month | Text |
Enter the month of the end date for the fifth period of short-term board.
|
| Fifth Period To Year | Text |
Enter the year of the end date for the fifth period of short-term board.
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| Fifth Period Boarding Fees Payable | Number |
Enter the total boarding fees payable for the fifth period of short-term board.
|
| First Period of Short Term Board | ||
| Start Date Day | Text |
Enter the day of the start date for the first period of short-term board.
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| Start Date Month | Text |
Enter the month of the start date for the first period of short-term board.
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| Start Date Year | Text |
Enter the year of the start date for the first period of short-term board.
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| End Date Day | Text |
Enter the day of the end date for the first period of short-term board.
|
| End Date Month | Text |
Enter the month of the end date for the first period of short-term board.
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| End Date Year | Text |
Enter the year of the end date for the first period of short-term board.
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| Boarding Fees Payable | Number |
Enter the total boarding fees payable for the first period of short-term board.
|
| Fourth Period of Short Term Board | ||
| Fourth Period From Day | Text |
Enter the day the fourth period of short term board began.
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| Fourth Period From Month | Text |
Enter the month the fourth period of short term board began.
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| Fourth Period From Year | Text |
Enter the year the fourth period of short term board began.
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| Fourth Period To Day | Text |
Enter the day the fourth period of short term board ended.
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| Fourth Period To Month | Text |
Enter the month the fourth period of short term board ended.
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| Fourth Period To Year | Text |
Enter the year the fourth period of short term board ended.
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| Fourth Period Boarding Fees Payable | Number |
Enter the boarding fees payable for the fourth period of short term board.
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| General | ||
| Instructions button | Button | |
| Q6.Address1 | Text | |
| Q6.Address2 | Text | |
| Q9.Address1 | Text | |
| Q9.Address2 | Text | |
| Q12 | Text | |
| Clear button | Button | |
| Ninth Period of Short Term Board | ||
| Ninth Period Start Day | Text |
Enter the day of the month the ninth period of short term board started.
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| Ninth Period Start Month | Text |
Enter the month the ninth period of short term board started.
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| Ninth Period Start Year | Text |
Enter the year the ninth period of short term board started.
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| Ninth Period End Day | Text |
Enter the day of the month the ninth period of short term board ended.
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| Ninth Period End Month | Text |
Enter the month the ninth period of short term board ended.
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| Ninth Period End Year | Text |
Enter the year the ninth period of short term board ended.
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| Ninth Period Boarding Fees Payable | Number |
Enter the total boarding fees payable for the ninth period of short term board.
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| Payment Account Details | ||
| Bank, Building Society, or Credit Union Name | Text |
Enter the full name of the bank, building society, or credit union where the account is held. Fill only if 'Periods of short term board' is completed
Depends on:
Start Date Day, Start Date Month, Start Date Year, End Date Day, End Date Month, End Date Year, Boarding Fees Payable, Second Period From Day, Second Period From Month, Second Period From Year, Second Period To Day, Second Period To Month, Second Period To Year, Second Period Boarding Fees Payable, Third Board Period From Day, Third Board Period From Month, Third Board Period From Year, Third Board Period To Day, Third Board Period To Month, Third Board Period To Year, Third Board Period Fees Payable, Fourth Period From Day, Fourth Period From Month, Fourth Period From Year, Fourth Period To Day, Fourth Period To Month, Fourth Period To Year, Fourth Period Boarding Fees Payable, Fifth Period From Day, Fifth Period From Month, Fifth Period From Year, Fifth Period To Day, Fifth Period To Month, Fifth Period To Year, Fifth Period Boarding Fees Payable, From Day (Sixth Period), From Month (Sixth Period), From Year (Sixth Period), To Day (Sixth Period), To Month (Sixth Period), To Year (Sixth Period), Boarding Fees Payable (Sixth Period), Seventh Period From Date Day, Seventh Period From Date Month, Seventh Period From Date Year, Seventh Period To Date Day, Seventh Period To Date Month, Seventh Period Boarding Fees Payable, Eighth Period From Day, Eighth Period From Month, Eighth Period From Year, Eighth Period To Day, Eighth Period To Month, Eighth Period To Year, Eighth Period Boarding Fees Payable, Ninth Period Start Day, Ninth Period Start Month, Ninth Period Start Year, Ninth Period End Day, Ninth Period End Month, Ninth Period End Year, Ninth Period Boarding Fees Payable, Tenth Period From Day, Tenth Period From Month, Tenth Period From Year, Seventh Period To Date Year, Tenth Period To Day, Tenth Period To Month, Tenth Period To Year, Tenth Period Boarding Fees Payable
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| Branch Number (BSB) | Text |
Enter the six-digit BSB (Bank State Branch) number for your account. Fill only if 'Periods of short term board' is completed
Depends on:
Start Date Day, Start Date Month, Start Date Year, End Date Day, End Date Month, End Date Year, Boarding Fees Payable, Second Period From Day, Second Period From Month, Second Period From Year, Second Period To Day, Second Period To Month, Second Period To Year, Second Period Boarding Fees Payable, Third Board Period From Day, Third Board Period From Month, Third Board Period From Year, Third Board Period To Day, Third Board Period To Month, Third Board Period To Year, Third Board Period Fees Payable, Fourth Period From Day, Fourth Period From Month, Fourth Period From Year, Fourth Period To Day, Fourth Period To Month, Fourth Period To Year, Fourth Period Boarding Fees Payable, Fifth Period From Day, Fifth Period From Month, Fifth Period From Year, Fifth Period To Day, Fifth Period To Month, Fifth Period To Year, Fifth Period Boarding Fees Payable, From Day (Sixth Period), From Month (Sixth Period), From Year (Sixth Period), To Day (Sixth Period), To Month (Sixth Period), To Year (Sixth Period), Boarding Fees Payable (Sixth Period), Seventh Period From Date Day, Seventh Period From Date Month, Seventh Period From Date Year, Seventh Period To Date Day, Seventh Period To Date Month, Seventh Period Boarding Fees Payable, Eighth Period From Day, Eighth Period From Month, Eighth Period From Year, Eighth Period To Day, Eighth Period To Month, Eighth Period To Year, Eighth Period Boarding Fees Payable, Ninth Period Start Day, Ninth Period Start Month, Ninth Period Start Year, Ninth Period End Day, Ninth Period End Month, Ninth Period End Year, Ninth Period Boarding Fees Payable, Tenth Period From Day, Tenth Period From Month, Tenth Period From Year, Seventh Period To Date Year, Tenth Period To Day, Tenth Period To Month, Tenth Period To Year, Tenth Period Boarding Fees Payable
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| Account Number | Text |
Provide the full bank account number where payments should be made. Fill only if 'Periods of short term board' is completed
Depends on:
Start Date Day, Start Date Month, Start Date Year, End Date Day, End Date Month, End Date Year, Boarding Fees Payable, Second Period From Day, Second Period From Month, Second Period From Year, Second Period To Day, Second Period To Month, Second Period To Year, Second Period Boarding Fees Payable, Third Board Period From Day, Third Board Period From Month, Third Board Period From Year, Third Board Period To Day, Third Board Period To Month, Third Board Period To Year, Third Board Period Fees Payable, Fourth Period From Day, Fourth Period From Month, Fourth Period From Year, Fourth Period To Day, Fourth Period To Month, Fourth Period To Year, Fourth Period Boarding Fees Payable, Fifth Period From Day, Fifth Period From Month, Fifth Period From Year, Fifth Period To Day, Fifth Period To Month, Fifth Period To Year, Fifth Period Boarding Fees Payable, From Day (Sixth Period), From Month (Sixth Period), From Year (Sixth Period), To Day (Sixth Period), To Month (Sixth Period), To Year (Sixth Period), Boarding Fees Payable (Sixth Period), Seventh Period From Date Day, Seventh Period From Date Month, Seventh Period From Date Year, Seventh Period To Date Day, Seventh Period To Date Month, Seventh Period Boarding Fees Payable, Eighth Period From Day, Eighth Period From Month, Eighth Period From Year, Eighth Period To Day, Eighth Period To Month, Eighth Period To Year, Eighth Period Boarding Fees Payable, Ninth Period Start Day, Ninth Period Start Month, Ninth Period Start Year, Ninth Period End Day, Ninth Period End Month, Ninth Period End Year, Ninth Period Boarding Fees Payable, Tenth Period From Day, Tenth Period From Month, Tenth Period From Year, Seventh Period To Date Year, Tenth Period To Day, Tenth Period To Month, Tenth Period To Year, Tenth Period Boarding Fees Payable
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| Account Holder Names | Text |
Enter the full name(s) of the person or people who hold this bank account. Fill only if 'Periods of short term board' is completed
Depends on:
Start Date Day, Start Date Month, Start Date Year, End Date Day, End Date Month, End Date Year, Boarding Fees Payable, Second Period From Day, Second Period From Month, Second Period From Year, Second Period To Day, Second Period To Month, Second Period To Year, Second Period Boarding Fees Payable, Third Board Period From Day, Third Board Period From Month, Third Board Period From Year, Third Board Period To Day, Third Board Period To Month, Third Board Period To Year, Third Board Period Fees Payable, Fourth Period From Day, Fourth Period From Month, Fourth Period From Year, Fourth Period To Day, Fourth Period To Month, Fourth Period To Year, Fourth Period Boarding Fees Payable, Fifth Period From Day, Fifth Period From Month, Fifth Period From Year, Fifth Period To Day, Fifth Period To Month, Fifth Period To Year, Fifth Period Boarding Fees Payable, From Day (Sixth Period), From Month (Sixth Period), From Year (Sixth Period), To Day (Sixth Period), To Month (Sixth Period), To Year (Sixth Period), Boarding Fees Payable (Sixth Period), Seventh Period From Date Day, Seventh Period From Date Month, Seventh Period From Date Year, Seventh Period To Date Day, Seventh Period To Date Month, Seventh Period Boarding Fees Payable, Eighth Period From Day, Eighth Period From Month, Eighth Period From Year, Eighth Period To Day, Eighth Period To Month, Eighth Period To Year, Eighth Period Boarding Fees Payable, Ninth Period Start Day, Ninth Period Start Month, Ninth Period Start Year, Ninth Period End Day, Ninth Period End Month, Ninth Period End Year, Ninth Period Boarding Fees Payable, Tenth Period From Day, Tenth Period From Month, Tenth Period From Year, Seventh Period To Date Year, Tenth Period To Day, Tenth Period To Month, Tenth Period To Year, Tenth Period Boarding Fees Payable
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| School Normally Attended Details | ||
| School Name | Text |
Please provide the full name of the school the student normally attends.
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| School Address Line 1 | Text |
Please provide the first line of the street address for the school.
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| School Address Line 2 | Text |
Please provide the second line of the street address for the school, if applicable.
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| School Postcode | Text |
Please enter the postcode of the school's address.
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| Student Year/Grade | Text |
Please enter the student's current year level or grade at the school.
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| Second Period of Short Term Board | ||
| Second Period From Day | Text |
Enter the day of the start date for the second period of short term board.
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| Second Period From Month | Text |
Enter the month of the start date for the second period of short term board.
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| Second Period From Year | Text |
Enter the year of the start date for the second period of short term board.
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| Second Period To Day | Text |
Enter the day of the end date for the second period of short term board.
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| Second Period To Month | Text |
Enter the month of the end date for the second period of short term board.
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| Second Period To Year | Text |
Enter the year of the end date for the second period of short term board.
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| Second Period Boarding Fees Payable | Number |
Enter the total boarding fees payable for the second period of short term board.
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| Seventh Period of Short Term Board | ||
| Seventh Period From Date Day | Text |
Enter the day for the seventh period's start date.
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| Seventh Period From Date Month | Text |
Enter the month for the seventh period's start date.
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| Seventh Period From Date Year | Text |
Enter the year for the seventh period's start date.
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| Seventh Period To Date Day | Text |
Enter the day for the seventh period's end date.
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| Seventh Period To Date Month | Text |
Enter the month for the seventh period's end date.
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| Seventh Period Boarding Fees Payable | Number |
Enter the total boarding fees payable for the seventh period.
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| Seventh Period To Date Year | Text |
Enter the year for the seventh period's end date.
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| Sixth Period of Short Term Board | ||
| From Day (Sixth Period) | Text |
Enter the day of the month when the sixth period of short term board started.
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| From Month (Sixth Period) | Text |
Enter the month when the sixth period of short term board started.
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| From Year (Sixth Period) | Text |
Enter the year when the sixth period of short term board started.
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| To Day (Sixth Period) | Text |
Enter the day of the month when the sixth period of short term board ended.
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| To Month (Sixth Period) | Text |
Enter the month when the sixth period of short term board ended.
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| To Year (Sixth Period) | Text |
Enter the year when the sixth period of short term board ended.
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| Boarding Fees Payable (Sixth Period) | Number |
Enter the total amount of boarding fees payable for the sixth period of short term board.
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| Student's Date of Birth | ||
| Day of Birth | Text |
Please enter the day of the student's birth.
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| Month of Birth | Text |
Please enter the month of the student's birth.
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| Year of Birth | Text |
Please enter the year of the student's birth.
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| Student's Name | ||
| Mr | Checkbox |
Check this box if the student's title is Mr.
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| Mrs | Checkbox |
Check this box if the student's title is Mrs.
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| Miss | Checkbox |
Check this box if the student's title is Miss.
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| Ms | Checkbox |
Check this box if the student's title is Ms.
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| Mx | Checkbox |
Check this box if the student's title is Mx.
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| Other Title | Text |
Please provide the student's title if it is not one of the options provided. Fill only if 'Mx' is 'Yes'.
Depends on:
Mx
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| Student's Family Name | Text |
Please provide the student's family name or surname.
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| Student's First Given Name | Text |
Please provide the student's first given name.
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| Student's Second Given Name | Text |
Please provide the student's second given name.
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| Tenth Period of Short Term Board | ||
| Tenth Period From Day | Text |
Please enter the day of the start date for the tenth period of short term board.
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| Tenth Period From Month | Text |
Please enter the month of the start date for the tenth period of short term board.
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| Tenth Period From Year | Text |
Please enter the year of the start date for the tenth period of short term board.
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| Tenth Period To Day | Text |
Please enter the day of the end date for the tenth period of short term board.
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| Tenth Period To Month | Text |
Please enter the month of the end date for the tenth period of short term board.
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| Tenth Period To Year | Text |
Please enter the year of the end date for the tenth period of short term board.
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| Tenth Period Boarding Fees Payable | Number |
Please provide the amount of boarding fees payable for the tenth period of short term board.
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| Third Period of Short Term Board | ||
| Third Board Period From Day | Text |
Enter the day for the start date of the third period of short term board.
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| Third Board Period From Month | Text |
Enter the month for the start date of the third period of short term board.
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| Third Board Period From Year | Text |
Enter the year for the start date of the third period of short term board.
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| Third Board Period To Day | Text |
Enter the day for the end date of the third period of short term board.
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| Third Board Period To Month | Text |
Enter the month for the end date of the third period of short term board.
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| Third Board Period To Year | Text |
Enter the year for the end date of the third period of short term board.
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| Third Board Period Fees Payable | Number |
Enter the total amount of boarding fees payable for the third period of short term board.
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| Your Date of Birth | ||
| Day of Birth | Date |
Enter the day of your birth.
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| Month of Birth | Date |
Enter the month of your birth.
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| Year of Birth | Date |
Enter the year of your birth.
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| Your Name | ||
| Mr | Checkbox |
Check this box if your title is 'Mr'.
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| Mrs | Checkbox |
Check this box if your title is 'Mrs'.
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| Miss | Checkbox |
Check this box if your title is 'Miss'.
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| Ms | Checkbox |
Check this box if your title is 'Ms'.
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| Mx | Checkbox |
Check this box if your title is 'Mx'.
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| Other Title | Text |
Please enter your title if it is not Mr, Mrs, Miss, Ms, or Mx. Fill only if 'Mx' is 'Yes'.
Depends on:
Mx
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| Family Name | Text |
Please provide your family name as it appears on your official documents.
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| First Given Name | Text |
Please provide your first given name as it appears on your official documents.
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| Second Given Name | Text |
Please provide your second given name if applicable, as it appears on your official documents.
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