EEP Opt-Out Form

English Enhancement Program (EEP)/Program Peningkatan Bahasa Inggeris

Student Opt-Out Form
Privacy Statement
The purpose of this form is to collect information on the matter stated in the form title and form body. The information is processed in accordance with the Personal Data Protection Act (PDPA) 2010. It is only disclosed to third parties for the above-mentioned purpose, with your consent, or to meet statutory obligations. For more information, please refer to the University’s Privacy Collection Notice at https://www.swinburne.edu.my/privacy/.
Section 1: Student Information
Full Name*

First NameLast Name
Identification Number (IC)*
e.g 910212131234
Contact Email*
e.g. example@example.com
Section 2: Opt-out Reason
Reason for Opting Out*
Section 3: Declaration
I acknowledge my decision on opting out from the English Enhancement Program (EEP), sponsored program by the Yayasan Sarawak.I agree for Swinburne Sarawak to proceed with my acceptance/registration into the Principal Program as stated in the offer letter.
Date*

DayMonthYear
Today's date
Please verify that you are human*
Should be Empty:

English Enhancement Program (EEP)/Program Peningkatan Bahasa Inggeris