ACBI Enrolment Withdrawal Request

Withdrawal Request Form
Introduction

This form is to be completed by current students who wish to formally withdraw from their course. Submitting this form will allow us to process your withdrawal and update your enrolment records accordingly.

Before submitting, we strongly encourage you to speak with Student Support or our Academic Support team to discuss your options and understand the potential impacts on your future study, fees, and (for international students) visa conditions.
Section 1: Your personal details
ACBI student ID*
Name*

First NameLast Name
Email*
example@example.com
Phone number*
USI number*
This is your Unique Student Identifier (USI)

Withdrawal Request Form
Section 2: Withdrawal request
Course name*
Course start date*

DayMonthYear
Date
Withdrawal effective date*

DayMonthYear
Select the date that you would like your withdrawal to take effect from

Withdrawal Request Form
Section 3: Reason(s) for withdrawal request

Please explain the reasons behind your request to withdraw.

If you are an international student, please make sure you explain the compelling and compassionate circumstances which have led to your decision to withdraw.
Reason(s) for your withdrawal request*

Withdrawal Request Form
Section 4: File upload

Please upload all the relevant documents in support of your request. No request will be reviewed unless all the relevant supporting documents have been submitted.
File Upload*

Cancelof

Withdrawal Request Form
Section 5: Sign and submit your request

Please sign, date and submit your request using the fields and buttons below.

The approval of your request is subject to the Student Deferment, Suspension and Cancellation Policy & Procedure available on the ACBI website.

Your request will be processed within ten (10) working days from the day it is submitted. If you have any questions or concern, please contact us by emailing admissions@acbi.edu.au.

By submitting this request, you acknowledge that you have read and agree to all the relevant policies and procedures.
Acknowledgement of fees*

I acknowledge that withdrawing from my course requires a $500 withdrawal fee as outlined in the Schedule of Administrative Fees. I understand that to request a waiver of this fee on compassionate/compelling grounds, I must provide relevant supporting evidence.
Signature*

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Date*

DayMonthYear
Enter the date you signed this form
Please verify that you are human*
Privacy Statement – Collection of information

The Australian College of Business Intelligence (ACBI) is bound by the Privacy Act 1988 (Cth) (‘Privacy Act’) and will protect your personal information in accordance with the Australian Privacy Principles (APP). These principles govern how we can collect, use, hold and disclose your personal information, as well as ensuring the quality and security of your personal information. By completing this form, you give consent to Australian College of Business Intelligence to collect and use your personal information for the purpose of processing your request and keeping the Student Management System up-to-date as per regulatory bodies requirements. The information will be held by ACBI in accordance with its Privacy Policy and maybe accessed and used by people employed/engaged by the College. The information may be made available to government departments, third parties and agencies in relation to the College’s obligations under law and Education Provider requirements. You have a right to access and correct your personal information in accordance with privacy legislation and ACBI’s Privacy Policy.
Please note: After clicking on the "Submit" button below, you will need to review a preview of your answers in this form and confirm your electronic signature.

You will be able to do so by clicking on the "Sign document" button that appears. You may need to scroll up in order to see this button. Your form will not be successfully completed and sent to ACBI's team until you do so.
Should be Empty:

Withdrawal Request Form

Section 1: Your personal details

Withdrawal Request Form

Section 2: Withdrawal request

Withdrawal Request Form

Section 3: Reason(s) for withdrawal request

Withdrawal Request Form

Section 4: File upload

Withdrawal Request Form

Section 5: Sign and submit your request