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Cancellation of Enrolment: Personal Details
Cancellation of Enrolment: Personal Details
Cancellation of Enrolment: Personal Details
FAMILY NAME
GIVEN NAMES
CONTACT NUMBER
STUDENT NUMBER
PROGRAM NAME
PROGRAM CODE
SCHOOL
CANCELLATION OF
ENROLMENT
Prep
ACADEMIC CAREER
TAFE
Postgraduate
Undergraduate
Research
NO
YES
It is advisable to attend your School for prior consultation with your Program Co-ordinator or Head of School (or nominee).
An Application for Refund of Fees form can be obtained from the Hubs and lodged at the Hubs.
The effective date is the date this form is received by the Hubs.
If you are entitled to a reversal of materials fees you are required to contact your school.
Please note the following:
If you are an international student you must read the instructions on the next page before completing this form.
If you are a sponsored student you must also contact your sponsor.
If you are in receipt of a scholarship you must also contact your scholarship provider.
Name of program(s) to be cancelled
Program Code
If you are enrolled in more than one level of a nested program (e.g. Cert IV, Dip and
Advanced Dip for the same discipline) do you wish to be cancelled from all levels?
YES
NO
Are you enrolled in other program(s) that you do not wish to have cancelled?
YES
NO
Program Plan
Program Name
(Please note that all courses listed will have an effective date as per the date this form is received at RMIT. Relevant penalties will
be applied, as are pertinent for the courses listed, at the date of submission).
My reason for Cancellation of Enrolment is: (Tick one box only)
Academic Difficulties
Illness
Travelling overseas
Financial
Support difficulties
Other
Personal
Work commitments
Family
I understand that I will remain liable for ALL FEES if this form is not received at the Hubs by the census date.
Date (DD/MM/YY)
Student Signature
Cancellation of Enrolment
GIVEN NAMES
CONTACT NUMBER
STUDENT NUMBER
YES
NO
YES
NO
ACADEMIC CAREER
UGRD - Higher Education Sector Undergraduate
Students
Bachelor Level Programs
PGRD - Higher Education Sector Postgraduate
Students
Masters by Coursework, Graduate Diploma
and Graduate Certificate Level Programs
RSCH - Higher Education Sector Research Students
Masters by Research, Graduate Doctural
Level Programs
TAFE Tafe Sector Students
Advanced Diploma, Diploma, Certificate Level
Programs
PREP - Preparatory Sector and Adult VCE Students
Providing entry to Higher Education Sector or
TAFE Sector Programs, such as Foundation
Studies programs
ACADEMIC TERM
TERM CODE
DESCRIPTION
0600
0605
0610
0645
0650
0680
0700
0705
0710
0745
0750
0780
0800
0805
0810
0845
0850
0880
Note: The first two digits of the term are the last two digits of the year, e.g. 0705 = 2007
Cancellation of Enrolment