Program Resignation Form

Program Resignation Form
Important Note:

You must consult with your primary advisor and academic advisor before resigning. Your financial aid status may be in jeopardy if you resign; for further information, you may contact the CUBE Office via cube@cmkl.ac.th.
- Student ID*
  Number ID
- Student Email*
  example@example.com
- Title*
  
  Mr.Mrs.Ms.
- Student Name*
- Contact Number*
- Degree*
  
  UndergraduateMastersDoctoral
- Program*
  
  Artificial Intelligence and Computer EngineeringArtificial Intelligence InnovationElectrical and Computer EngineeringTechnology and Creative Innovation
- Current Semester*
  
  FallSpringSummer
- Current Year*
- Have you spoken with your advisor regarding the request for your leave?*
  
  NoYes
- If yes, who?*
- Have you spoken with your primary advisor regarding the request for your leave?*
  
  NoYes
- If yes, who?*
- Semester of Resignation*
  
  FallSpringSummer
- Year of Resignation*
- Reasons for Resignation*
  
  0/20
- Students Signature*
- Date*
  
  MonthDayYear
  Date
- Should be Empty: