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Withdrawal Request Form

Enter Your Invoice No:
Fin/IC
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Name of student
Student no. (if applicable)
Date of birth
Tel no.
Email Id
Name of Course
Course Commencement date
Effective date of withdrawal :

Reason:

Note:

Withdrawal means the student contract is terminated and the student is no longer a student of this school.
A transfer to another private school is also regarded as a withdrawal from the course of study at this school

I wish to request to withdraw from my course of study. I understand the school’s withdrawal policy which is on the school’s website.

Signed by the Student
Signature:

Signed by the Student’s parent or legal guardian (if the student is under eighteen (18) years of age)

Signature:
Name of Parent or Legal Guardian
NRIC / Passport No:

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