Withdrawal from Course Application > Student Forms > Student Administration

Is this a dual qualification?

Yes No
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Date of last class attended:

/ /
Please select a valid date or check 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:

/ /
Please select a valid date

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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International students

Do you intend to leave Australia?

Yes No
This field is required

When do you intend to leave Australia?

/ /
Please select a valid date

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 Student Counter and will not be processed until the withdrawal is approved.

Do you hold an Australian Award visa?

Yes No
This field is required

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
This field is required

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
This field is required

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

This field is required

Please upload a personal statement. Mandatory

This field is required

Please upload evidence of personal circumstances. Mandatory

This field is required

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.
Evidence that your reasonable expectations about your current course are not being met
Evidence that you were misled by the registered provider or an education or migration agent

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.

Conditions, Privacy Statement & Disclaimer

Letter of Release

I have read the Student Transfer Request - Assessment Guidelines.

This field is required.

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.

This field is required.

Withdrawal from course application

When should you use this form?

Teaching Unit

Personal details

Contact details

Course information

International students

Letter of Release

Supporting documents

Conditions, Privacy Statement & Disclaimer

Letter of Release

Conditions

Conditions

Disclaimer

Privacy Statement & Disclaimer