This form contains 77 fields organized into 21 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name	Type	Description
Bank Account Details
Bank Name	Text	Please enter the full name of the bank, building society, or credit union where the account is held.
BSB Number	Text	Please enter the Branch State Bank (BSB) number for the account. Max length: 6 characters
Account Number	Text	Please enter the bank account number for where payments should be made.
Account Holder Name(s)	Text	Please enter the full name or names of the individual(s) in which the account is held.
Change from Full-time to Part-time Study
Last Date of Full-time Studies	Date	Please enter the last date on which you were enrolled in full-time studies. Max length: 10 characters
Date Dropped to Part-time Studies	Date	Please enter the date on which you transitioned to part-time studies. Max length: 10 characters
Change of Address
Date of Change	Date	Enter the date when the address change occurred. Max length: 10 characters
Home	Checkbox	Check this box if you are changing your primary home address.
Term	Checkbox	Check this box if you are changing your term-time or temporary address for studies.
Postal	Checkbox	Check this box if you are changing your postal address for mail delivery.
New Address Line 1	Text	Provide the first line of the new residential or mailing address.
New Address Line 2	Text	Provide the second line of the new residential or mailing address.
New Address Line 3	Text	Provide the third line of the new residential or mailing address.
Postcode	Text	Enter the postcode for the new address. Max length: 4 characters
Change of Institution
Old Institution or School	Text	Enter the name of the previous institution or school where the student studied.
Last Date of Attendance	Date	Provide the last date the student attended the old institution or school. Max length: 10 characters
New Institution or School	Text	Enter the name of the new institution or school where the student will be studying.
Date of Commencement	Date	Provide the date when the student commenced studies at the new institution or school. Max length: 10 characters
Full-time	Checkbox	Check this box if your study at the new institution will be full-time.
Part-time	Checkbox	Check this box if your study at the new institution will be part-time.
Customer Reference Number
Customer Reference Number Part 1	Text	Enter the first part of the customer reference number. Max length: 3 characters
Customer Reference Number Part 2	Text	Enter the second part of the customer reference number. Max length: 3 characters
Customer Reference Number Part 3	Text	Enter the third part of the customer reference number. Max length: 3 characters
Customer Reference Number Part 4	Text	Enter the fourth part of the customer reference number. Max length: 1 characters
Enquirer Details Field
Enquirer Type Student	Text	Please indicate if the enquirer is the student.
Enquirer Relationship
Student	Checkbox	Check this box if you are the student.
Student's parent/guardian	Checkbox	Check this box if you are the student's parent or legal guardian.
Student's partner	Checkbox	Check this box if you are the student's married partner, registered partner, or de facto partner.
Other	Checkbox	Check this box if your relationship to the student is not listed as student, parent/guardian, or partner.
Other Relationship Details	Text	Please specify your relationship to the student if your role is not listed above. Fill only if 'Other' is 'Yes'. Depends on: Other
Enquirer's Contact Information
Enquirer's Phone Number	Text	Provide the enquirer's contact phone number. Max length: 10 characters
Best Time to Call Back	Time	Enter the best time to call the enquirer. Max length: 4 characters
Enquirer's Full Name
Enquirer's Full Name	Text	Please provide the full name of the enquirer.
Form Actions
Print button	Button	Click this button to print the form.
Clear button	Button	Click this button to clear all fields in the form.
Instructions
Instructions	Button	Button to access instructions for filling out the form.
Instructions	Button	Button to access instructions for filling out the form.
Navigation
Q5GoToQ8	Button	Button to navigate to question 8.
New Rent Amount
New Rent Amount	Number	Enter the new amount of rent paid for student accommodation.
Other Changes
Other Changes Description	Text	Please provide details of any other changes to the student's circumstances that are not mentioned elsewhere in the form.
Page 4
Applicant/Student Signature	Text	Please provide the applicant's or student's signature.
Signature Date	Date	Please provide the date when the signature was made. Fill only if 'Applicant/Student Signature' is completed. Max length: 10 characters Depends on: Applicant/Student Signature
Student Contact Details
Home Phone Number	Text	Enter the student's home phone number. Max length: 10 characters
No	Checkbox	Check this box if the home phone number is not a silent number.
Yes	Checkbox	Check this box if the home phone number is a silent number.
Mobile Phone Number	Text	Enter the student's mobile phone number. Max length: 10 characters
Alternative Phone Number	Text	Enter an alternative phone number for the student. Max length: 10 characters
Student Income Change
New Weekly Income	Number	Enter the new weekly income amount. Max length: 10 characters
Full academic year	Checkbox	Check this box if the reported income change applies to the full academic year.
Semester 1	Checkbox	Check this box if the reported income change applies to Semester 1.
Semester 2	Checkbox	Check this box if the reported income change applies to Semester 2.
Semester 3	Checkbox	Check this box if the reported income change applies to Semester 3.
Term 1	Checkbox	Check this box if the reported income change applies to Term 1.
Term 2	Checkbox	Check this box if the reported income change applies to Term 2.
Term 3	Checkbox	Check this box if the reported income change applies to Term 3.
Term 4	Checkbox	Check this box if the reported income change applies to Term 4.
Income Change Start Date	Date	Enter the start date for the period the income changed. Max length: 10 characters
Income Change End Date	Date	Enter the end date for the period the income changed. Max length: 10 characters
Student's Contact Information
Contact Phone Number	Text	Please provide the student's contact phone number. Max length: 10 characters
Best Time to Call Back	Time	Please provide the best time to call the student back. Max length: 4 characters
Student's Date of Birth
Student's Date of Birth	Date	Please provide the student's date of birth. Max length: 10 characters
Student's Name
Mr	Checkbox	Check this box if the student's title is Mr.
Mrs	Checkbox	Check this box if the student's title is Mrs.
Miss	Checkbox	Check this box if the student's title is Miss.
Ms	Checkbox	Check this box if the student's title is Ms.
Mx	Checkbox	Check this box if the student's title is Mx.
Other Title	Text	Please enter the student's title if it is not one of the provided options (Mr, Mrs, Miss, Ms, Mx).
Family Name	Text	Please enter the student's family name.
First Given Name	Text	Please enter the student's first given name.
Second Given Name	Text	Please enter the student's second given name.
Tax Deduction
No	Checkbox	Check this box if the student does not want tax deducted from their fortnightly payment and wishes to proceed to the next question.
Yes	Checkbox	Check this box if the student wants tax deducted from their fortnightly payment and needs to provide details below.
DummyCalcQ15	Text	This field is used for internal calculations related to question 15. Fill only if 'Yes' is 'Yes'. Depends on: Yes
A set amount	Checkbox	Check this box if the student wants a specific dollar amount to be deducted as tax from each fortnightly payment. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Tax Deduction Amount	Number	Enter the set amount in whole dollars to be deducted from the fortnightly payment. Fill only if 'Yes' is 'Yes'. Max length: 3 characters Depends on: Yes
A percentage (%) of my payment	Checkbox	Check this box if the student wants a percentage of their payment to be deducted as tax from each fortnightly payment. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Tax Deduction Percentage	Number	Enter the percentage of the fortnightly payment to be deducted. Fill only if 'Yes' is 'Yes'. Depends on: Yes

Student Change of Circumstances Form Instructions