Withdrawal Request

Section A Student Personal Details

Student's Full Name British Council Student ID Number

Mobile Number Other contact number

Email Address (All correspondence(s) in relation to this application will be sent here)

Section B Course Information

Course Title Course Type

Course Day(s) Course Time Course Duration

Section C Withdrawal Request
CONDITIONS REFUND AMOUNT
Due to non-delivery of course
100% Refund of Course Fee
Excess Payment Paid

Additional Information for Withdrawal request received on or after course commencement date
Before course commencement date.^
After course commencement date.^
Subjected to the terms and
Please provide reason for request below
^Please note that documentary evidence to support your withdrawal request needs to be provided. conditions of your signed
Type of document attached Student Contract
Notification Letter from Authorised authorities. Eg: Immigration, Company, School
Medical Report
For other reasons not stated in our Charter, please specify below. We will review your request on a case to case
basis. You should continue to attend class until a decision is made on your case. Decision will not take longer than
7 working days.
Please provide more details here:

Section D Mode of refund (If applicable)

Local Bank Transfer (please complete the required bank details and submit copy of latest bank statement header showing the
name of bank, bank account, account number and bank/branch codes, The British Council cannot make payments to banks
sanctioned by the UK or any other relevant jurisdiction. If you request a refund to be sent to an account at a sanctioned bank, you will
be asked to nominate an alternative method of payment that does not breach sanctions);

**Full Name of Account Holder **Relationship of bank account holder to student (if
different)

Name of Bank Bank Code Branch Code Bank Account No

The United Kingdom’s international organisation for cultural relations and educational opportunities.
British Council (Singapore) Limited is incorporated in Singapore (UEN 201202363R) and registered as a charity.
 Withdrawal Request

Section E Declaration
I understand that my application will not be processed if I do not submit a complete application form with the relevant supporting documents
required for the application. I accept full responsibility to ensure that my application is accurate and complete.

For all refund requests, full documents are required to be submitted and completed within 6 months from the date of request. After which, the refund
request and amount will deem as forfeited.

Refunds (if applicable) are made in accordance with the approved refund policy stated in our Customer Charter.
Additional charges may be imposed for local bank charges due to incorrect bank details provided.

For overseas remittance application the payee shall bear all bank charges and will be refunded to the original country of remittance received.

By signing on this form you are giving the British Council (Singapore) Limited consent to process your request.

The British Council cannot make payments to banks (or other financial institutions) sanctioned by the UK or any other relevant jurisdiction. If you request a refund to be sent
to an account at a sanctioned bank and/or sanctioned financial institution, you will be asked to nominat an alternative method of payment that does not breach
sanctions. Failure to provide an alternative method of payment will result in non-payment of the relevant funds.

British Council complies with data protection law in the UK and laws in other countries that meet internationally accepted standards. You have the right to ask for a copy of
the information we hold on you, and the right to ask us to correct any inaccuracies in that information. If you have concerns about how we have used your personal
information, you also have the right to complain to a privacy regulator.

For detailed information, please refer to the privacy section of our website, www.britishcouncil.org/privacy or contact your local British
Council office. We will keep your information in line with our retention policies from the time of collection

Signed by the student or student's parent* or legal guardian* (if the

student is under eighteen (18) years of age) NRIC/Passport Number

*Name of parent or legal guardian Date (DD/MM/YYYY)

Section F Submission
Please return the completed form to our Customer Service desk with supporting documents (if applicable). If your request is
approved, refund process will take no longer than 4 weeks, from the date of withdrawal approval.

Official Use Only

Documents Submitted
Date received (DD/MM/YYYY) Staff Name
Remarks

Section G Review
Approved Not Approved (please write reasons in Comments)
75% of unconsumed course fee
100% of unconsumed course fee
Comments

Name and Signature of Approver Date (DD/MM/YYYY)

Section H Additional Checks and Actions to be taken

Course Withdrawal Effective Date (DD/MM/YYYY) Last lesson on (DD/MM/YYYY) No. of consumed classes

Student notified Phone Email

Last Updated: 27.03.2023

The United Kingdom’s international organisation for cultural relations and educational opportunities.
British Council (Singapore) Limited is incorporated in Singapore (UEN 201202363R) and registered as a charity.