Lead Enrolment Variation form

Enrolment Variation form

The outcome of this form will be released in 2 weeks after submission is received. You must contact DHA for any visa obligations in case of your enrolment status is changed.
Section 1 – Student Details
Name*

PrefixFirst NameLast Name
Student ID*
USI Number
Gender*

MaleFemaleOther
Phone Number*

Area CodePhone Number
Email*
Course *
Start Date

DayMonthYear
Course 1 Start Date
End Date

DayMonthYear
Course 1 End Date
Campus*
Section 2 – Change Details
I wish to apply for (please tick one)

Deferment of my courseAmendment (change of my course)Withdrawal from my courseExtension of my CoEReinstatement of my cancelled enrollmentTransfer to another CampusEarly Commencement
Withdrawal Date

DayMonthYear
Select the option for withdrawal

Visa RefusalChange of ProviderSpecial ConsiderationNon Satisfaction with the AICSE Support servicesNon Satisfaction with the Training Services
Please briefly describe the reason you have decided to discontinue your studies.
New Course 1
New Course 2
New Course 3
New Course Start Date

DayMonthYear
Reason for Change of course
What are your career objectives
How do you think this course will contribute towards you obtaining your objectives
What must you do to achieve your objectives
Defer Start Date

DayMonthYear
Date
Defer End Date

DayMonthYear
Date
Defer to Date

DayMonthYear
Please briefly describe the reason you have decided to defer your studies.
Early Commencement on*

DayMonthYear
Please briefly describe the reason you have decided to commence your studies earlier than actual start date
Are you extending for work placement

YesNo
Briefly describe reason for extension
Extension start Date

MonthDayYear
Date
Reason for cancellation
You will need to fill and submit Statutory Declaration and submit in the section below:

access the form from the following link STATUTORY DECLARATION
Statutory Declaration

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Cancelof
New enrolment Proposed start date

MonthDayYear
Date
would like to attend intervention meeting on

MonthDayYear
Date
Select the campus you would like to transfer
Briefly state the reason for your transfer
Supporting documents*

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Cancelof
I have already made the payment*

YesNo
Upload screenshot of your application fee payment*

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Cancelof
Application Fee
- Please refer "Fees & Charges" section in AICSE website for fee details.
Signature*

Clear
Should be Empty: