Deferral Suspension Cancellation Withdrawal (DSCW) Form
Section 1 - Client Details
Student ID
*
OXXXXX
Name:
*
Contact Tel:
Email:
*
example@example.com
Phone Number
*
-
Country Code
Phone Number
Course Currently Enrolled:
*
Please Select
Telecommunications Network Engineering
Cyber Security
Advanced Networking
Telecommunications Network Engineering & Advanced Networking
Telecommunications Network Engineering & Cyber Security
Cyber Security & Advanced Networking
Course Start date:
-
Day
-
Month
Year
Course End date:
-
Day
-
Month
Year
List Other courses, if in case you are applying for Cancellation and withdrawal
(Otherwise, leave blank)
Course Currently Enrolled:
Please Select
ICT50220 - Diploma of IT
ICT60220 - Advanced Diploma of IT
Course Currently Enrolled:
Please Select
ICT50220 - Diploma of IT
ICT60220 - Advanced Diploma of IT
Course Currently Enrolled:
Please Select
ICT50220 - Diploma of IT
ICT60220 - Advanced Diploma of IT
Section 2
Please select your reason for your application
*
Deferment
Suspension
Cancellation
Withdrawal
Date effective from:
-
Day
-
Month
Year
Till: (if applicable)
-
Day
-
Month
Year
Section 3
Evidence Provided
*
A letter from a registered Medical Practitioner due Sickness.
Evidence for the family emergency, if cited as a family reason.
Appropriate evidence for compassionate grounds
If traveling overseas, attach a copy of travel tickets
Other
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Section 4 – Reasons
Reason:
*
Student Declaration
I understand that:
*
The application will be considered in accordance with Omni College’s Deferral Suspension Cancellation Withdrawal Policy.
I understand and acknowledge that my request will take up to 30 calendar days.
My deferral will be subject to course availability.
I understand the implications of my student visa
I have attached all required supporting documentation
I will notify Omni College in writing if my circumstances change
If the matter pertains to Deferment / Suspension, this will be reported to Department of Home affairs as per Government Policy. This can affect a student’s visa and I am aware that under such circumstances, I need to contact Department of Home affairs on 131881 if I need more information on this.
My Fee payment is up to date.
Signing this form does not mean that it is approved, you need to wait for Omni College's approval communication.
Signature
Date
*
-
Day
-
Month
Year
Date
Submit
Should be Empty: