AEI Australia

Withdrawal Form

    About this form


    This form is to be used when making an application to discontinue your studies. If you are withdrawing before you have completed six months of your principal course of study, you must instead complete the Release Application Form. Please note that any refunds will be processed as per the information included in the International Student Handbook about fees and refunds. If you believe you are given a refund, you should also complete the Refund Application Form.

    Student details

    Given name/s

    Surname

    Date of birth

    Gender

    MaleFemaleOther

    Nationality

    Student Id

    New Address including street number and name,

    suburb or town, postcode and country

    Postal address (if different)

    Phone number/s

    Email address

    Reason for withdrawal


    Please briefly describe the reason you have decided to dis-continue your studies.

    Please specify the date from which you wish this withdrawal notice to take effect.

    Student Signature

    Name

    Signature

    Date

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