1. Healthcare

Graduation Application
(Higher Education)
Graduation Date
Applications Close
February 2015
CLOSED
May 2015
6 February 2015
September 2015
3 July 2015
December 2015
4 September 2015
Please complete Pages 1, 2 & 3 and submit completed form with payment to:
Graduation Office, Federation University Australia, PO Box 663, BALLARAT VIC 3353
or email to: [email protected]
PLEASE READ ACCOMPANYING INFORMATION SHEET THOROUGHLY.
1.
Name : __________________________________________________
Student ID: ____________________
For identification purposes only. Name changes can only be made in Q2 below
Are you an employee of Federation University Australia
2.
Campus: _______________________
 Yes  No
Please write your name in the order you want it to appear on your Testamur.
________________________
_____________________________
____________________________
__________________________
Correct pronunciation. If you believe there may be difficulty pronouncing your name, please write it phonetically below:
_________________________________________________________________________________________________________________________________
Please note: If the requested Testamur name is different from how it appears on your enrolment documentation, please
provide us with documentary evidence of this name ( see notes on Page 4 of Graduation Application)
3.
Please confirm your postal address for graduation correspondence.
__________________________________________________________________________________________
_____________________________________________________________________ Postcode _____________
Please note: By changing your address in this section you are hereby giving Federation University Australia permission to
change your nominated correspondence address. This address will be used for ALL further correspondence from the
University.
Is this address different to the one currently recorded with Federation University Australia?

4.
Yes
Please provide a daytime telephone contact number and clearly print a current email address.
Telephone Number (BH): (
4a.
)
 No
Mobile Phone Number:
Email: ______________________________________________________________ (Please write clearly)
Please note: An email will be sent to confirm receipt of your application – this does not indicate your eligibility to graduate.
5.
Which program do you expect to graduate from?
6.
If you completed your program before 31 December 2013, you will be issued with a University of Ballarat testamur.
st
st
If you commenced your program after 1 January 2014, you will be issued with a Federation University Australia testamur.
st
st
If you commenced before 31 December 2013 and completed after 1 January 2014, you have the option
to graduate with either a University of Ballarat or Federation University Australia testamur.

Please indicate your choice:

UB
FedUni
(If you do not tick a box you will be issued with a Federation University Australia testamur)
OFFICE USE ONLY
Receipt Number:
CRICOS Provider No. 00103D
Date Processed:
FEB
MAY
SEPT
DEC
Page 1 of 4
Graduation Application
(Higher Education)
7.
You have 6 options to graduate. Please select ONE:
Students who will be attending a presentation at their place of study (and not attending a Ballarat ceremony)
should choose In Absentia – and select postage/collection method at Q8 or Q9
Please fill out Section A below
Please fill out Section B below
(non-attendance)
(attendance)
1. In Absentia (no ceremony) in February
2. In Absentia (no ceremony) in May
3. In Absentia (no ceremony) in September
4. In Absentia (no ceremony) in December




5. Attend the May Ceremony

6. Attend the December Ceremony

SECTION A – IN ABSENTIA (no ceremony)
Please fill out your details and return with payment if applicable.
8.
Please select your preferred In Absentia option
No charge

Collect Testamur from Ballarat, Student Administration, Mt Helen campus
$20.00 fee**

Post Testamur within Australia via Registered Mail, Person to Person (see note below) *
*Person to Person – this means only you can sign for delivery.
If you will not be available to sign, ie overseas, you must contact the Graduation Office to make
alternate delivery arrangements prior to the graduation date.
$60.00 fee**

Post Testamur overseas via DHL (trackable)
Please note, an additional postage fee may be payable to resend Testamur if it is returned to the Graduation
** Fees current 2014
Office as undelivered.
9.
This option is ONLY available for students studying at Onshore/Offshore Partner campuses
No charge

Testamur returned to Campus of study (complete and sign below)
 I will be attending a presentation organised by my place of study
I give permission for the Graduation Office to forward my testamur to the following
Federation University Australia partner who will then forward it to me:
_________________________________
Signature of Applicant:________________________________
(eg MIT, MIS, IIBIT, St George, Kangan……)
SECTION B – ATTENDING CEREMONY
Please fill out the details and return with payment of $120.00* before the application closing date
Please note: Processing of payment may take up to 2 weeks after receipt of form.
*Fee current 2014
10.
Gown and Trencher (hat) sizes.
Please refer to Information Sheet to determine your sizes.
11.
Trencher size:
______________
____________cm
How many guest tickets are requested?
Please note:
(maximum of 2) Please circle one answer only
•
0
1
2
How many extra guest tickets are requested (if available)?
•
(maximum of 2) Please circle one answer only
0
12.
Gown size:
1
2
•
There is no guarantee that extra guest
tickets will be available.
If there is excessive demand for these
tickets, they will be available by telephone
only approx. 5 weeks prior to ceremony.
Date to call will be posted on the graduation
website when confirmed.
Do you or any of your guests have a disability that may require special attention?

(ie. Wheelchair access)
Yes
Please contact the Graduation Office directly on (03) 5327 9503 to discuss your needs.
Signature: ________________________________________
CRICOS Provider No. 00103D
No

Date: ____________________
Page 2 of 4
Graduation Application
(Higher Education)
Graduation Application Payment Form
Payment can be made in person at the Finance Office or by
cheque, money order (payable to Federation University Australia) or credit card.
CREDIT CARD EFTPOS AUTHORISATION REQUEST
This authorises Federation University Australia to process the following transaction via EFTPOS.
TO BE COMPLETED FOR TRANSACTION TO BE PROCESSED
(The following cards are acceptable for payment – please tick the appropriate box)
MASTERCARD
VISA
CARD NO.
EXPIRY DATE: ____/____
CARDHOLDERS NAME:
CARDHOLDERS SIGNATURE:
(Please note: electronic/typed signature is not acceptable)
AMOUNT: $_____________________
DATE: ____/____/____
Student ID (who payment is for):
If your testamur is being posted to an overseas address, and you wish to write the address in your
own language (to be attached to the item), please write it here:
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
CRICOS Provider No. 00103D
Page 3 of 4
Graduation Application
(Higher Education)
Name Details (Question 2)
Any change to name details must be accurately completed, as changes cannot be made afterwards.
You must provide documentary evidence of change of name. For example, a copy of one of the following:
•
•
Passport
Driver Licence
•
•
Birth Certificate
Deed Poll Certificate
•
Marriage Certificate
Postage
Testamurs posted within Australia will be sent by Registered Mail, using the Person to Person delivery option. This
means that your signature is required and the item can only be delivered to you. If you prefer not to use the Person to
Person option, (so that someone else can sign for your item) you must advise the Graduation Office prior to the conferral
date. If your item is unclaimed and returned to the Graduation Office, you may incur extra postal charges for us to resend
it.
Gown and Trencher (hat) sizes (Question 10)
If you are attending the graduation ceremony, please use the tables below to determine your gown
and trencher size, and record on Page 2 of your application form.
Gown size (according to height)
147-152 cm / 4’11” - 5’
Size 105
153-157 cm / 5’1” - 5’2”
Size 110
158-162 cm / 5’3” - 5’4”
Size 115
163-168 cm / 5’5” - 5’6”
Size 120
169-173 cm / 5’7” - 5’8”
Size 125
174-178 cm / 5’9” - 5’10”
Size 130
179-183 cm / 5’11” - 6’
Size 135
184-187 cm / 6’1” - 6’2”
Size 140
188-193 cm / 6’3” - 6’4”
Size 145
Trencher size (head circumference)
53cm
54cm
55cm
56cm
57cm
58cm
59cm
60cm
61cm
Dress Code for the Ceremony
As this is a formal ceremony to celebrate your achievement, it is suggested that you wear semi-formal clothing.
Please do not wear jeans, t-shirts or thongs. As access to the stage is via stairs, please wear appropriate footwear
and short length skirts/dresses should be avoided.
Guest Tickets (Question 11)
Please note graduands do not require a ticket.
All students will be issued with 2 complimentary guest tickets if requested and may also request up to 2 extra
guest tickets.
Please note: There is no guarantee that you will receive your requested number of extra guest tickets. If there is excessive
demand for these tickets, they will be available by telephone only approx. 5 weeks prior to ceremony. Date to call will be posted on
the graduation website when confirmed.
Ceremony Details- Collection of Tickets & Robing
Details confirming your graduation details – date/time of the ceremony, number of guest tickets you have been
allocated and robing, will be forwarded to you closer to the ceremony date.
Return of Graduation Application
The Graduation Application form must be received by the close of business on the application closing date.
Responses received after this date will be deferred until the following conferral.
Further Information
Graduations Website http://www.federation.edu.au/current-students/essential-info/administration/graduations
Phone: +61 3 5327 9503 TTY: (03) 5327 9849 (this is not a fax number) Email: [email protected]
CRICOS Provider No. 00103D
Page 4 of 4