Graduation Application
(Higher Education)

Graduation September 2010 December 2010 February 2011 May 2011

Application Close 6th August 2010 3rd September 2010 3rd December 2010 4th February 2011

PLEASE COMPLETE THIS FORM – WRITE CLEARLY IN BLACK OR BLUE INK.

PLEASE READ ACCOMPANYING INFORMATION SHEET THOROUGHLY.

1. Name : __________________________________________________ Student ID Number: _____________

For identification purposes only. Name changes can only be made in 2 below.
Campus: _______________________
2. Please write your name in the order you want it to appear on your testamur.
________________________ _____________________________ ____________________________ __________________________

Correct pronunciation. If you believe that the Head of School may have difficulty pronouncing your name, please write it
phonetically below:
_________________________________________________________________________________________________________________________________
Please note: If the spelling or order of your name is different from how it appears on your University of Ballarat enrolment
documentation, you will be asked to provide us with documentary evidence of this name (please see additional information for
requirements)
3. Please confirm your postal address for graduation correspondence.
__________________________________________________________________________________________
_____________________________________________________________________ Postcode _____________
Please note:By changing your address in this section you are hereby giving the University of Ballarat 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 you currently have listed with the University of Ballarat? [ ] Yes [ ] No
4. Which program do you expect to graduate from?
__________________________________________________________________________________________
5. In the final year of your program, did you study any units at other institutions? [ ] Yes [ ] No
If yes, please attach a separate page listing the name of the unit and the institution with which you are studying
Please note: If you results for these units are not received by your school by the Graduation Closing date, your graduation
may be delayed until the next ceremony.
6. You have 6 options to graduate. Please select ONE:

1. In Absentia in February* [ ] 2.
In Absentia in May * [ ]
3. In Absentia in September* [ ] 4.
In Absentia in December* [ ]
Please fill out Option A overleaf
5. Attend the May Ceremony [ ] 6. Attend the December Ceremony [ ]
Please fill out Option B overleaf
Please ensure you check the closing dates on the Graduations Website at
www.ballarat.edu.au/graduation/highered BEFORE selecting one of the options.
***International Students Only***
*I give permission for the University of Ballarat, Graduation Office to forward my testamur to the following partner:
______________________________________________________ on my behalf, who will then forward it to me.
Signed: ____________________________________

7. Please provide a daytime telephone contact number and a current email address.
Telephone Number (BH): ( ) Mobile Phone Number: ( )
Email: _________________________________________________
7a.
Please tick this box if you wish to receive notification via email that we have received your application.
Please note: This is for notification of receipt only, this does not indicate that you will be eligible to graduate.

8. _____________________________________________________________________ __________________
Signature Date

Please attach applicable fee or Credit Card Authorisation Request

and return this form by the application closing date

CRICOS Provider No. 00103D Page 1 of 3

Graduation Application
(Higher Education)

SECTION A – IN ABSENTIA
You have elected to Graduate In Absentia in our next available Ceremony.
Please fill out your details and return with payment if applicable.

9. Please select your preferred In Absentia option

[ ] Collect testamur from Graduation Office [ ] Testamur sent within Australia via registered post
(No Charge) (No Charge)

[ ] Testamur sent overseas via registered post

($50.00 fee)*
* Fees current for 2010
10. Would you like your testamur to be posted to the address listed in Q3?
If no, please provide preferred address below [ ] [ ]
Yes No
______________________________________________________________________________

______________________________________________________________________________

_____________________________ Postcode ___________ Country_________________________

SECTION B – ATTENDING CEREMONY

You have elected to Graduate In Person in our next available Ceremony. Please fill out the details
and return with payment of $80.00* before the application closing date. Please refer to website or
contact us on (03) 5327 9503 or TTY: (03) 5327 9849.
Please note: Forms will not be processed until payment is received.
*Fee current for 2010

11. Gown and Trencher (hat) sizes.

Please refer to Information Sheet to determine your sizes. Gown size: Trencher size:

______________ _________cm

12. How many guest tickets do you require? (maximum of 2)

Please circle one answer only

0 1 2

13. How many extra tickets do you require? (maximum of 3)

Please circle one answer only
0 1 2 3

Please note: There is no guarantee that you will receive your requested number of extra tickets. All extra tickets will be
allocated by ballot. Special requirements for guests with disabilities can be notified to the graduations office for assistance.
14. Do you or any of your guests have a disability that may require special attention? (ie. Wheelchair access)
Please contact the Graduation Office directly on (03) 5327 9503 to discuss your needs.
OFFICE USE ONLY
Graduation Details Form Date received: Date acknowledged:
Receipt Receipt number: Receipt date:
Processed Initial: Program Code:
Graduations Website http://www.ballarat.edu.au/graduation/highered
Phone: (03) 5327 9503 TTY: (03) 5327 9849 Fax: (03) 5327 9704 Email: graduation@ballarat.edu.au
GRADUATION OFFICE – UNIVERSITY OF BALLARAT
PO Box 663
BALLARAT VIC 3353
AUSTRALIA
CRICOS Provider No. 00103D Page 2 of 3
 
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  Birth Certificate  Marriage Certificate
 Driver Licence  Deed Poll Certificate
Gown and Trencher (hat) sizes (Question 11)
If you are attending your graduation ceremony, please use the tables below to determine your gown
and trencher size, and record on your Graduation Details Form.
Gown size (according to height) Trencher size (head circumference)
147-152 cm / 4’11” - 5’ Size 105 53cm
153-157 cm / 5’1” - 5’2” Size 110 54cm
158-162 cm / 5’3” - 5’4” Size 115 55cm
163-168 cm / 5’5” - 5’6” Size 120 56cm
169-173 cm / 5’7” - 5’8” Size 125 57cm
174-178 cm / 5’9” - 5’10” Size 130 58cm
179-183 cm / 5’11” - 6’ Size 135 59cm
184-187 cm / 6’1” - 6’2” Size 140 60cm
188-193 cm / 6’3” - 6’4” Size 145 61cm
Guest Tickets (Questions 12 & 13)
All students will be issued with 2 complimentary guest tickets, if required. Please note you do not require a
ticket for yourself.
Some complimentary extra tickets may be available, depending on numbers. Extra tickets will be allocated by
ballot and you may request up to 3 of these tickets. You will receive a letter confirming how many tickets you
have been allocated.
Ceremony Details- Collection of Tickets & Robing
Details regarding the 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 & Ticket Request Form
The Graduation Application & Ticket Request 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
Further information regarding all graduations can be found at www.ballarat.edu.au/graduation/highered

Payment can be made in person at the Finance Office or by cheque, money order (payable to the University of Ballarat) or
credit card.
CREDIT CARD EFTPOS AUTHORISATION REQUEST
This authorises the University of Ballarat to process the following transaction via EFTPOS.
TO BE COMPLETED FOR TRANSACTION TO BE PROCESSED
(The following cards are acceptable for payment – please tick one of the appropriate box)
MASTERCARD VISA AMEX
CARD NO.

EXPIRY DATE: ___/____ AMOUNT: $_______________________________

CARDHOLDERS NAME: DATE: ____/____/____
CARDHOLDERS SIGNATURE:
Student ID (who payment is for):

CRICOS Provider No. 00103D Page 3 of 3