91视频

Skip to Content
Need Help
Show sidebar
  1. Home
  2. Current Students
  3. My Study
  4. Student forms
  5. Withdrawal request form

Withdrawal request form

Use this form to request to be withdrawn/removed either from a 91视频 course or individual units/subjects. NOTE: If your classes have commenced you are not entitled to a refund unless there are exceptional circumstances. 91视频 is unable to reverse your withdrawal once this form has been processed. Please complete the form below:

Fields marked with * are required.

Name*
91视频 number*
Email address*
Phone number*
Please list the course of study you wish to be withdrawn from*

Do you wish to be withdrawn from the full course?
If no, please list the individual CRNs (Class Reference Numbers)
Reason(s) for your withdrawal from study at 91视频*

Please indicate beside the most appropriate response/s or add a comment underneath of 'Other' to describe the reason(s) for your withdrawal from study at 91视频.
If other, please advise the reason for your withdrawal
I have already discussed my withdrawal with the teaching area
 

All personal information provided will be handled confidentially in accordance with the Information Privacy Act 2014. Any personal information you chose to provide will only be used for the purpose for which it was provided and will not be disclosed to other persons or organisations without your prior consent.