FIN 21B SIS AGREEMENT FOR PAYMENT OF STUDENT FEES BY A THIRD PARTY

1. Third Party Details
Legal Entity Name
Trading Name
ABN
Postal Address / State / Post Code
Street Address / State / Post Code
Contact Name / Telephone No.
Email Address / Fax No.
Non Person ID
(Office Use Only) / Purchase Order #
2. Student/Course/Fee Details (If more than 10students, please attach student information in the same format as below)
Student ID / STUDENT/S’ NAME / TAFESA Program / FEES TO BE PAID BY THIRD PARTY
(Total for each student)
No. of Students / STUDENT FEES (this page) $
STUDENT FEES (from attached page B – if applicable) $
Term (E.g. 201210) / STUDENT FEES (from attached page B.2 – if applicable) $
TOTAL STUDENT FEES TO BE PAID BY THIRD PARTY
(N.B. These may not be the full fees applicable to the enrolments listed i.e. the Third Party may opt to pay only a portion of the full fees applicable to these enrolments.) $
3. Terms and Conditions - The Third Party acknowledges and agrees to the terms and conditions below
  1. The Third Party enters into this agreement with the Minister for Employment, Training and Further Education (“Minister”) acting through TAFESA.
  2. For the avoidance of doubt, “Third Party” under this agreement includes a body corporate (e.g. company, local council, incorporated association etc), or natural person/individual (i.e. sole trader).
  3. The Third Party must pay the total Student Fees within thirty calendar days of the date of the inv from TAFESA for the total Student Fees.
  4. The Third Party acknowledges that any part of the Total Student Fees detailed in Section 2 above which remain unpaid after the due date on an invoice constitute a debt payable by the Third Party to the Minister and may be recovered, together with any associated costs, by the Minister in a court of competent jurisdiction.
  5. Any refunds for Student Fees (or part thereof) claimed in writing by the Third Party will be determined strictly in accordance with TAFESA refunds of fees policy and any resulting refunds will be paid directly to the Third Party.
  6. The Third Party must not assign or encumber any of its rights and obligations under this agreement.
  7. Time is of the essence in respect of any time, date or period specified in this agreement or in any invoice issued under this agreement.
  8. This agreement remains binding on the Third Party notwithstanding that the Third Party ceases its relationship with the student/s (e.g. ceases to employ or provide services to the student/s) named on this form.

Third Party’s Duly Authorised Representative
Print Name / Signature
Position Title / Date / / /

NB: Please do not send payment with this form; you will be invoiced for the Total Student Fees as shown in Section 2 in due course.

Shared Services SAUSE ONLY:
SIS Contract Number
SIS Invoice Number / Invoice Date / / /
4. Detail Code Details – (each detail code with amount to be entered for each student)
Student ID / Detail Code Number / Total
TOTAL $ / Total of B must be recorded on FIN 21A
NewDetail Code / A FIN 9 Request for Account Classification/ Detail Code Creation form must be completed and emailed , the Detail Code will be created and emailed to the nominated requesting officer on the FIN 9 form. The workgroup must then record the new Detail Code on this FIN 21 SIS & send to Shared Services SA for processing
5. Work Group Details
Send Original Invoice to: / Workgroup / Debtor / email
post

Work Group Details

TAFESA Contact Name / Date / / /
Position Title / Phone No. (in full)
Campus / Fax No.
Work Group / Round Drop # IF NO Round Drop record Address
Email Address
Senior Workgroup Officer/PACS Manager
Print Name / Signature
Date / / /

The completed FIN 21SIS A/B must be forwarded to Shared Services SA Team 17Round Drop R11/39

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*New Non Person ID: If the Non Person does not exist in SIS a FIN 29 Debtor Maintenance form must be completed and emailed to . Once the Non Person ID has been created the ARPOS Administrator will email the Non Person ID to the requestor. The FIN21 can now be completed with the new Non Person IDand forwarded to Shared Services SA.

The FIN21SIS and FIN29 can not be sent together to Shared Services SA, the Debtor must first be created.

4. Additional Detail Code Details where applicable
Student ID / Detail Code Number / Total
TOTAL $ / Total must be recorded on FIN21A

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