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:*

DayMonthYear
Gender:*

MaleFemale
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:*

DayMonthYear
Proposed Finish Date:*

DayMonthYear
Please specify the reason for requesting for the cancellation:*
Attached Evidence to support your request:*

Cancelof
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:*

MonthDayYear
Should be Empty:

Part A. Personal Details: