Global Banking School

+44 (0) 207 539 3548

info@globalbanking.ac.uk
www.globalbanking.ac.uk
153-159 Bow Road, London, E3 2SE

CHANGE OF CIRCUMSTANCE FORM

All details must be completed electronically and submitted to the Senior Programme
Administrator or the Programme Leader with the corresponding Form indication below.

Surname Levinschi Last date of attendance 24.05.2024

First Name Carolina D.O.B 19.09.1997
Programme name and year Foundation Year
Student Start Date. 25.09.2023 Academic Year Affected 2024-2025
CCCU Student ID No. G115128 GBS Student ID No. CCC LN4

Change of Please tick

Definition
circumstance: one
A Cancellation is a permanent closure of the student’s
Cancellation
enrolment on the programme with no intention to return,
(Termination)
within 6 weeks of their start date.
Non-Continuing
Student has completed the year but will not be returning at
(Completed year but did
the start of the next academic year.
not Continue)
A break in learning involves temporary release from the 
Interruption / Break in
current academic year with intention to return at an agreed
Learning
date
A withdrawal is a permanent closure of the student’s
Withdrawal
enrolment on the programme with no intention to return, with
(Termination)
more than 6 weeks of attendance from their start date
The student has commenced HE study at GBS but is
Transfer Institution
transferring to another institution.
Transfer to another The student has commenced HE study at GBS but is
internal programme transferring to another HE Programme group within GBS.
Resumption of Study
When a student returns from their interruption of study and
(From Interruption/Break
need to re-enrol
in in Learning)

Action Y/N/NA Staff name Date

Agreed by Head of Programme
Agreed by Finance Team
Agreed Assistant Registrar
(Student Records)
Signed by SLT

Please explain reason for Change/Withdrawal/Cancellation. Please give full

details of the withdrawal and any action taken to counteract this. (Please continue on a
separate sheet if needed).
I want to take a break for a year because I am pregnant and I will give birth in
June, I am taking this break to be able to raise my child.

GBS Change of Circumstance Form February 2021 Version 1.0

1
 Global Banking School
+44 (0) 207 539 3548
info@globalbanking.ac.uk
www.globalbanking.ac.uk
153-159 Bow Road, London, E3 2SE
DECLARATION BY STUDENT
I can confirm that everything provided for in this change of circumstances form is true.

Student’s Signature: Date:01.05.2024

Print Name:

APPROVAL BY GBS STAFF

I/we agree to the change of circumstances form with effect from:
……………………………………… And/or accept change as set out above.

Staff Signature: …………..………… Date: …………………………

Print Name: ………………………………

Staff Signature: ………….………… Date: ………………………

Print Name: ………………..

GBS Change of Circumstance Form February 2021 Version 1.0

2