Course Cancellation/Suspension Request Form

Course Cancellation/Suspension Request Form

Important Note(s):
- Suspension enables students who have commenced studies with our college to suspend their studies on limited grounds
- DHA has discretionary power to cancel a Student visa where we suspend the studies of a Student visa holder because of the student's conduct or our approval is based on fraudulent /misleading evidence
Part A. Personal Details:
Student ID: *
First Name: *
Family Name:
Date of Birth: *

Day Month Year
Gender: *

Male Female
Mobile Number: *
Email Validator *
Repeat Email Address: *
Address: *

Street Address Line 2
Part B. Course Details:
Your current course name: *
Group No:
Course Start Date: *

Day Month Year
Proposed Finish Date: *

Day Month Year
Please specify the reason for requesting for the cancellation: *
Attached Evidence to support your request: *

Cancel of
Part D. Student Declaration:
I understand that:
- That this is a request for leave of absence and that the application will be considered in accordance with the College’s Suspension or Cancelation Policy
- I will be informed of the outcome of this request including the reasons for the outcome
- I understand the implications for my student visa
- I have attached all required supporting documentation
- My Cancellation / Suspension will be reported to DHA as per Government Policy. This can affect my student visa and I am aware I need to contact DHA on 131 881 if I need more information on this.
Student Signature: *

Clear
Date: *

Month Day Year
Should be Empty:

Part A. Personal Details:

Part B. Course Details:

Part D. Student Declaration: