Withdrawal from course application

When should you use this form?

Use this form to request withdrawal from your course.

Before you apply to withdraw, it is strongly recommended that you discuss the matter with your Course Coordinator.
Depending on the date of your withdrawal you may still be liable for fees and not be eligible for a refund.
Refer to census dates and academic penalty dates on the Academic Calendar.
You cannot withdraw from your course enrolment to avoid the requirement to 'Show Cause' for unsatisfactory academic progress in a given academic year.

To withdraw from units only, you can complete this online by logging in to ' My Enrolment ' with your SIMS username and password.

Research students should submit the research withdrawal form (log in required).

Fields marked with are mandatory

Teaching Unit

Select your teaching unit:

Higher education
Vocational education
Unilink/Elicos/Foundation
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Personal details

Student ID:

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Family name:

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Given name:

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Date of birth:

/ /
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Are you a local or international student?

Local International This field is required

Contact details

Please enter a telephone number or a mobile phone number.

Telephone number:

Either home or mobile number is required

Mobile phone number:

Either home or mobile number is required

Email:

Please enter a valid email address

Address:

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Suburb/Town/City:

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State/Province:

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Postcode:

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Country:

(If other than Australia)

Course information

Course Code:

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Course Title:

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Faculty/Centre:

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Campus:

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Withdrawal effective from:

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Year:

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Reason:

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Which Institution?

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Primary reason for choosing this Institution

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Is this a dual qualification?

Yes No
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Date of last class attended:

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Please select the dates or the checkbox below.

Or tick this box if your class has never commenced or you haven't attended the class

Date of last work submitted:

/ /
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Would you like to schedule a meeting with a course adviser to look at your options before this form is processed?

Yes No
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Do you wish to complete your current semester?

Yes No
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Did you receive advice from your Department before deciding to withdraw?

Yes No
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Would you recommend studying at Swinburne?

Yes No

Comments:

International students

Do you intend to leave Australia?

Yes No
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When do you intend to leave Australia?

/ /
This field is required

Do you hold an international student visa?

Yes No
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International students holding a student or Australian Award visa note that withdrawing from your course may affect your visa. The Australian immigration authorities will be advised of any approved withdrawal. You are responsible for ensuring that you have a valid visa. Refunds to on-campus international students are made in accordance with the terms and conditions of the your agreement with the University. Refunds must be applied for at Swinburne International and will not be processed unit the withdrawal is approved.

Do you hold an Australian Award visa?

Yes No
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Australian Award scholarship students must have approval to withdraw from the Student Contact Officer. You must attach below your written approval.

Do you hold a scholarship from a government or organisation (other than Swinburne)?

Yes No
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Sponsored students must have approval to withdraw from their sponsor and from the Sponsor Program Team. You must attach below your written approval.

Letter of Release

An application for course withdrawal is not a Letter of Release. A letter of release only applies to international students on student visas who intend to transfer to another provider within the first six months of their main course.

Do you wish to apply for a Letter of Release?

Yes No
This field is required

If your release application is denied do you want to continue with your withdrawal?

Yes No
This field is required

Are you within the first six months of your main course?

Yes No
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Name of alternative provider:

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Reason for release:

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Supporting documents

Accepted file types: GIF, JPG, DOC, DOCX, PDF. Maximum file size is 2MB per file.

Please upload the letter of offer from the new provider. Mandatory

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Please upload a personal statement or evidence of personal circumstances. Mandatory

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Please upload any additional supporting documentation.

What should be included (if applicable):

Evidence that you have not met the conditions of offer,
Medical documentation,
Application for refund,
Written support from government sponsor,
If you are under 18, a written support from parent/guardian.

If you intend to transfer interstate or with family, additional information needed are:

Independent proof of family connection, or
Proof of future address and family connection in the form of a billing receipt i.e. electricity/water/gas bill.

Please upload any supporting documentation below.

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Conditions, Privacy Statement & Disclaimer

Letter of Release

I have read the Student Transfer Request - Assessment Guidelines.
You must accept the conditions

I understand that I will receive a written outcome after 10 working days. Assessments may take longer during peak periods. If my application is incomplete or more information is required the assessment may take longer to process.
You must accept the conditions

Conditions

For domestic students the last date for withdrawal without a Financial and Academic Penalty is by close of business on the unit of study census date OR prior to the commencement of classes for all unit of study undertaken in block mode. (For unit of study Census Date refer to your Statement of Account/Tax Invoice.
Refunds are subject to the return of your University ID card and any other University property or materials you may have in your possession.
No refund of fees will be made where a student withdraws from a module/unit of study after close of business of the module/unit of study Census Date.
Withdrawal after the module/ unit of study census date will incur financial and academic penalty resulting in a grade of WF (withdraw fail). Students may withdraw from their module/ units of study up until close of business on the last teaching day, after which the achieved result will show for the module/unit.
Before withdrawing students are advised to read the Higher Education policy and procedure.

Conditions

Full course withdrawal PRIOR to earliest Teaching Period Census date – To receive a refund/credit of fees you must submit this form and must officially withdraw from a course before the earliest unit census date. A full tuition fee and amenity fee refund/credit for units will be applied. Material fee refunds are at the discretion of the enrolling department.

Full course withdrawal AFTER the earliest Teaching Period Census date has passed – To receive a refund/credit of fees you must submit this form. A refund/credit of tuition fees will only be applied for any units with a future Census date. Amenities fees will only be refunded the difference if the student load reduces from 540+hrs to 539hrs or less. Material fee refunds are at the discretion of the enrolling department.

Disclaimer

Onshore international students who wish to transfer to another provider before you have finished six calendar months of study in your principle program should apply for a Letter of Release above.

An application for course withdrawal does not constitute an application for refund, and a separate refund application must be completed.
An application for course withdrawal does not constitute an application for release. If you want to apply for a release, a release application must be completed.
For sponsored students, the sponsor has to approve the course withdrawal before SUT can withdraw the student from the course.

Privacy Statement & Disclaimer

Swinburne University of Technology collects, uses and destroys personal information in accordance with our Privacy Policy.

I understand that if the request that I submit is incorrect or incomplete that my request will not be processed.

I accept the conditions and terms stated above.
You must accept the conditions