Release Application Form

Release Application Form

This form is only applicable to International Students.
Student Details
Full Name*

Given Name(s)Family Name
OC Student ID Number*
e.g. 000123
Date of Birth*

DayMonthYear
Please select your course from the list below:*
Select the course for which you are seeking a release. For multiple courses, select the one commencing first.
Have you commenced this course?*

Yes - Enter last date of attendance >No - Enter commencement date >
DayMonthYear
Enter date according to last question
Reason for Release Request
Please choose from the below options:*

Original Campus is unable to continue to provide the course that the student is currently enrolledOriginal Campus fails to deliver the course as outlined in the Letter of OfferThe course the student wishes to transfer to better meets the study capabilities or the long term goals of the studentThe student will be reported due to not being able to achieve satisfactory course progress in the current course, even after engaging in Original Campus' intervention strategy to assist the student in accordance with Standard 8 (Overseas student visa requirements)Compassionate/compelling circumstances which led to a permanent change in the student’s circumstances affecting their ability to study (refer to college EC table)Other
Please provide more details of the reason you have selected above:*
Do you have evidence to support the reasons/circumstances given above?*

Yes - Please attach supporting documents belowNo - If evidence is not provided, the application is likely to be refused
Please attach your supporting evidence

Cancelof
I, enter your name*, declare that the above information is true and correct.
I acknowledge that withholding relevant information or providing false/misleading information may delay processing of the application.
I understand that failure to comply with the information stated above will result in an unsuccessful outcome.
I understand a letter of release application does not remove Original Campus' right to cancel my enrolment (where I received sufficient time to submit a complaint and/ or appeal). The processing of this application and the cancellation of enrolment will take place in regards to whichever comes first.
Please sign to acknowledge the above declaration*

Clear
Submission Date*

DayMonthYear
Should be Empty:

Release Application Form

Student Details

Reason for Release Request