ALPHA - WITHDRAWAL APPLICATION FORM

  • WITHDRAWAL APPLICATION FORM

  • About this form

    This form is to be used when making an application to discontinue with your studies.

    Please note that any refunds will be processed as per the information included in the International Student Handbook about fees and refunds. If you believe you are due a refund you should also complete the Refund Application Form.

  • Format: (000) 000-0000.

  • Reason for withdrawal

  • Please specify the date from which you wish this withdrawal notice to take effect.*
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  • Date (DD/MM/YYYY)*
     / /
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  • Should be Empty: