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This form is to be completed if you are requesting a Withdrawal with Special Circumstances from either your course or some units of study. Please ensure you refer to the Withdrawal Policy and Procedure before completing the form.
This form is to be completed if you are requesting a Withdrawal with Special Circumstances from either your course or some units of study. Please ensure you refer to the Withdrawal Policy and Procedure before completing the form.
Personal Details:
First Name
*
Last Name
*
D.O.B
*
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Street Address
*
Suburb
*
State
*
Postcode
*
Contact Number
*
Email Address
*
Special Circumstances
Which course are/were you enrolled in?
*
Accounting Principles Skill Set
Advanced Diploma of Leadership and Management
Certificate III in Business
Certificate III in Business Administration
Certificate IV in Customer Engagement
Certificate IV in Accounting and Bookkeeping
Certificate IV in Business
Certificate IV in Business Administration
Certificate IV in Business Sales
Certificate IV in Customer Engagement
Certificate IV in Financial Services
Certificate IV in Human Resources
Certificate IV in Leadership and Management
Certificate IV in Project Management Practice
Certificate IV in Work Health and Safety
Diploma of Accounting
Diploma of Business
Diploma of Business Administration
Diploma of Human Resources Management
Diploma of Leadership & Management
Diploma of Management
Diploma of Marketing
Diploma of Project Management
Diploma of Work Health and Safety
Double Diploma of Business and Business Administration
Double Diploma of Business and Management
Double Diploma of Management and Business Administration
Double Diploma of Marketing and Business
Double Diploma of Marketing and Management
When was your start date?
*
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How did your circumstances change AFTER the cooling off period?
*
How did these circumstances prevent you from completing your study?
*
How were your circumstances beyond your control?
*
Support Documentation:
To support your case further documentation should be provided and attached:
*
Medical Certificate
Police Report
Copy of an Accident Report
Letter from your employer
Counsellor / Psychologist Evaluation
Court or Legal Documentation
Other
Other
Attach Support Documentation here:
*
Attach Support Documentation here:
Attach Support Documentation here:
Attach Support Documentation here:
Signature
*
clear
Date
*
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Version 2.2