Application: Withdrawal

APPLICATION FOR WITHDRAWAL / TRANSFER / DEFERMENT FROM COURSE

 

I, [name], on this [date in DD/MM/YYYY], taking the course ______________________________[course name & Pass No] would like to apply to:

  • Change my existing modules to another module

  • Transfer my existing course to another course

  • Defer my existing course by ______ months

  • withdraw from my existing course

  • Others

Please specify details and reasons:

 

 

_____________________________________________________________________________________________________________________


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

 

 

____________________________ ____________________________

Name of Student:                                                Name of Parent or Legal Guardian:

Date: NRIC / Passport No:
Date:

 

Acknowledgment upon Receipt of Notice of Cancellation:


Staff Signature: _________________________

Staff Name: ____________________________

Date: _________________________________

 

REPLY LETTER FOR WITHDRAWAL / TRANSFER / DEFERMENT FROM COURSE

 

Dear _________________,

Your letter that was received on _______________________ [DDMMYY] seeking to:

 

  • Change my existing modules to another module
  • Transfer my existing course to another course
  • Defer my existing course by ______ months
  • withdraw from my existing course
  • Others: _______________________________________________________

Your request has been considered and is Rejected / Approved.

The changes in your course (if any) will take effect from ____________________ [DDMMYY]

Check list to follow up (please tick necessary follow ups):

  1. Inform parents/guardians (if student is below 18 years old)
  2. Inform FPS service providers (within 3 working days)
  3. Inform ICA of changes to student pass: shorten / lengthen / cancel (make additional copy of this letter to ICA)
  4. Terminating existing student contract / signing new student contract
  5. Refund from FPS service providers (to be returned within 7 days)
  6. Issue to student past student records for enrolment into another PEI

____________________________

Staff Signature:

Staff Name:

Date:

 
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