Forms - Variation of Enrolment

Student Details

Name*

Student Number*

Mobile*

Email address*

Enrolled through?*

Please Withdraw me from the following Unit/s:

Unit Code	Unit Title	Study Period	Study Mode (Online / On-Campus / Intensive)

If withdrawing, please tick one box:

Withdrawing before Admin Date (Friday of Week 2)
Withdrawing before Census Date (1st Sem - 31st March, 2nd Sem - 31st August, 3rd Sem - see course unit outline for dates)
Withdrawing before Withdrawal Date (Friday of 2nd week after Census Date)
Withdrawing after Withdrawal Date (Friday of 2nd week after Census Date)

There is a full refund of fees, and no academic or financial penalty.

There is a full refund of fees/FEE-HELP adjustment, and no academic penalty.

There is no refund of fees/FEE-HELP adjustment, and you will receive "W" grade on transcript

There is no refund of fees/FEE-HELP adjustment, and you will receive "FW" grade on transcript.

If withdrawing, please tick one box:

Withdrawing before Census Date (before or on Friday of Week 2 - see course unit outline for dates)
Withdrawing after Census Date (after Friday of Week 2 - see course unit outline for dates)

There is a full refund of fees, and no academic penalty (graded as Withdrawn).

There is no refund of fees/VSL adjustment, and you will receive "Competency Not Achieved/Fail" on transcript.

Signature of applicant*

NB: ONLY the applicant may sign this form - no proxy signature will be accepted