Learner withdrawal and transfer form

Learner withdrawal and transfer form
This document should be used where a centre wishes to withdraw a learner's registration for a qualification or to transfer a learner to a different qualification.

Centre may transfer a learner to a different qualification, but not to another centre. If a learner wishes to transfer to another centre, they should be withdrawn from the current centre and the new centre will need to complete a new registration.

There is no charge for withdrawal of learners, however where a learner is transferred to a different qualification with a higher registration fee, the difference will need to be paid. No refunds are given when a learner is transferred to a qualification with a lower registration fee.
Centre details
Centre Name*
Centre Number*
Site number (if applicable)
Learner details
Learner name*

First NameLast Name
Learner Number *
Withdrawal details
Qualification to be withdrawn from (if applicable)
Reason for learner withdrawal (please include number of components completed and or % progress if applicable)
Transfer details
Qualification to be transferred from(if applicable)
Qualification to be transferred to (if applicable)
Reason for learner transfer (please include number of components completed and or % progress for qualification being transferred from( if applicable)
Purchase order number(if applicable)
Declaration and approval

By signing below, I confirm all the information provided is accurate and the learner has been made aware of this change.
Email*
example@example.com
Name*

First NameLast Name
Role*
Date*

DayMonthYear
Date
Signature

Clear
Should be Empty:

Learner withdrawal and transfer form

Centre details

Learner details

Withdrawal details

Transfer details

Declaration and approval