ACBI Enrolment Withdrawal Request for New Students

Withdrawal Request for New Students
Introduction

This form is to be completed by domestic and international students who wish to withdraw from their studies with ACBI before the course commencement date. Submitting this form will formally notify ACBI of your intention to withdraw and cancel your enrolment.

International Students: Please note that the your withdrawal may affect your student visa. ACBI is requierd to update your enrolment status in PRISMS, which may result in visa cancellation or refusal by the Department of Home Affairs.

To process your request, you must:
- Complete all sections of this form accurately
- Provide a valid reason for withdrawal
- Attached any supporting documents if applicable
For assistance, please contact our Admissions team at admissions@acbi.edu.au.
Section 1: Your personal details
Name*

First NameLast Name
Email*
example@example.com
Phone number*
ACBI Student ID (if known)
This is your eight digit ACBI Student ID number
USI number (if applicable)
This is your Unique Student Identifier (USI)

Withdrawal Request for New Students
Section 2: Withdrawal request
Course name*
Course start date*

DayMonthYear
Withdrawal effective date*

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

Withdrawal Request for New Students
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 for New Students
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 for New Students
Section 5: Sign and submit your request

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

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 Admissions 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 available on the ACBI website.
Acknowledgement of fees*

Students who have accepted an ACBI Letter of Offer and Written Agreement may be entitled to a refund of tuition fees paid if their application to withdraw from the course is approved. The amount of tuition fees refunded is dependent on when the application for withdrawal was lodged, with the details as follows: More than 28 calendar days prior to commencement date: 100%; Less than 28 days prior to commencement date: 50%; After commencement date: Where no notice of cancellation is given, no refund will be issued.
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.
Signature*

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Withdrawal Request for New Students

Section 1: Your personal details

Withdrawal Request for New Students

Section 2: Withdrawal request

Withdrawal Request for New Students

Section 3: Reason(s) for withdrawal request

Withdrawal Request for New Students

Section 4: File upload

Withdrawal Request for New Students

Section 5: Sign and submit your request