Deferral Application Form

Deferral Application Form

Version 1.1 - June 2024
Instructions

Use this form to request a deferral of your enrolment for up to 12 months. You must provide evidence of compassionate or compelling circumstances and include supporting documents (e.g., medical certificate). Refer to the Deferral, Suspension and Cancellation Policy on our website and the Student Handbook for details.
Student Information
Full Name
Date of Birth

MonthDayYear
Date
Gender

MaleFemaleOther
Nationality
Student Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Postal Address (if different)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Email Address
example@example.com
Deferral Request Section
Reason for Deferral
(Brief description)
Preferred Deferral Date

MonthDayYear
(Specify the date up to 12 months)
Supporting Evidence

File Upload (Attach documents)
Cancelof
Student Declaration
I declare that the information provided is accurate and complete. I have read and understood the Deferral, Suspension and Cancellation Policy and acknowledge that my request will be processed according to the guidelines stated therein.
Signature

Clear
Date

MonthDayYear
Date

Instructions