Cancellation of CoE & Withdrawal from Course Form · Visa not granted Work commitments Other...

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SECTION 1 – personal details Student no����������������������������������������������� University email address ���������������������������������� ��������������������������������������������������������� Family Name ��������������������������������������������� Given Name ��������������������������������������������� Date of Birth ��������������������������������������������� Mobile Phone �������������������������������������������� Mailing address ������������������������������������������ ��������������������������������������������������������� ��������������������������������������������������������� SECTION 2 – please list all courses you are seeking to withdraw from at the University, including English Language Centre courses COURSE 1 Code �������������������������������������� Name �������������������������������������� COURSE 2 Code �������������������������������������� Name �������������������������������������� COURSE 3 Code �������������������������������������� Name �������������������������������������� Agent Name SECTION 3 – reason for withdrawal (please tick ) Please note if you are an international student and you want to transfer to another education provider and you have not completed 6 months of your principal course you need to complete a Transfer Education Provider & Release Letter Application Form. Leaving Australia Academic difficulties Financial Reasons Dissatisfaction with program Illness English Language difficulties Personal Reasons Family reasons Program not what expected Travelling overseas Tuition fees too high Visa not granted Work commitments Other Staying in Australia Change to another visa subclass Other If Other has been chosen as a reason for withdrawal please give more detail here: _____________________________________ ��������������������������������������������������������� ��������������������������������������������������������� ��������������������������������������������������������� If you are an international student you may need to read the University of Tasmania’s International Student Transfer Request Policy. Cancellation of CoE & Withdrawal from Course Form (International Students only)

Transcript of Cancellation of CoE & Withdrawal from Course Form · Visa not granted Work commitments Other...

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SECTION 1 – personal details

Student no �����������������������������������������������

University email address ����������������������������������

���������������������������������������������������������

Family Name ���������������������������������������������

Given Name ���������������������������������������������

Date of Birth ���������������������������������������������

Mobile Phone ��������������������������������������������

Mailing address ������������������������������������������

���������������������������������������������������������

���������������������������������������������������������

SECTION 2 – please list all courses you are seeking to withdraw from at the University, including English Language Centre courses

COURSE 1 Code ��������������������������������������

Name ��������������������������������������

COURSE 2 Code ��������������������������������������

Name ��������������������������������������

COURSE 3 Code ��������������������������������������

Name ��������������������������������������

Agent Name���������������������������������������������

SECTION 3 – reason for withdrawal (please tick )Please note if you are an international student and you want to transfer to another education provider and you have not completed 6 months of your principal course you need to complete a Transfer Education Provider & Release Letter Application Form.

Leaving Australia Academic difficulties

Financial Reasons

Dissatisfaction with program

Illness

English Language difficulties

Personal Reasons

Family reasons

Program not what expected

Travelling overseas

Tuition fees too high

Visa not granted

Work commitments

Other

Staying in Australia Change to another visa subclass

Other

If Other has been chosen as a reason for withdrawal please

give more detail here:

_____________________________________���������������������������������������������������������

���������������������������������������������������������

���������������������������������������������������������

If you are an international student you may need to read the University of Tasmania’s International Student Transfer Request Policy.

Cancellation of CoE & Withdrawal from Course Form(International Students only)

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SECTION 4 – cancellation effect date (please tick )Provide the date you would like the cancellation to take effect

from: ����������������������������������������������������

My current enrolment*

A future enrolment**

Semester ������������������������������������������������

Year ����������������������������������������������������

OFFICE USE ONLY – this section is to be signed by an Enrolments officer when the course has been withdrawn.

��������������������������������������������������������� Enrolments Officer (print name)

���������������������������������������������������������Signature

���������������������������������������������������������Date

* Cancellation in your current enrolment will mean your cancellation effect date will be effective as of the date this form has been processed.

** If neither of the options above are selected the effective date of cancellation will be the date this form has been processed.

SECTION 5 – student declaration (please tick )I declare that by signing this form I understand that:

I will have my current, and any future electronic Confirmation of Enrolments (CoE) at the University cancelled.

I will remain liable for all fees if I do not formally cancel my enrolment prior to the relevant census date.

If a refund is due to me it will be payable in accordance with the University’s refund policy, which I will apply for in writing.

Before submitting this form I have withdrawn from my enrolled units. If I do not withdraw from my units the University will withdraw me from my units on the date this form is received.

After I have withdrawn from my units I may receive a fail grade for those withdrawn units if the census date has passed.

My student visa may be affected and I will contact the Department of Home Affairs- Immigration and inform them of my change

in circumstance.

On receipt of this form the University will withdraw me from the courses I have listed in this form.

���������������������������������������������������������Student signature

���������������������������������������������������������Date

CR

ICO

S 0

0586

BOFFICE USE ONLY – this section is to be signed by a Compliance officer when the COE has been cancelled.

��������������������������������������������������������� Compliance Officer (print name)

��������������������������������������������������������� Signature

��������������������������������������������������������� Date

utas.edu.au

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utas.edu.au CR

ICO

S 0

0586

B

Cancellation of COE & Withdrawal from Course Information

Prior to submitting this form you are strongly advised to meet with your school and/or an International Student Adviser to discuss any future study options and the implications of withdrawing from UTAS.

Census dates & Academic PenaltiesFor a full list of relevant census dates for cancellation without academic penalty please see this webpage: www.utas.edu.au/enrolments/census-dates

Financial liabilityIf you are enrolled in a unit at the census date you will be liable for the fees and charges for that unit for the relevant semester, even if you intended to withdraw from the unit. It is not sufficient to advise the lecturer that you will no longer be attending classes. If you do not wish to remain enrolled in a unit and incur the financial liability for it, you must formally withdraw from enrolment in that unit via the eStudent Centre.

All withdrawals after the unit census date will incur financial liability however a student may withdraw from a unit without academic penalty depending on the date of withdrawal and provided the date of withdrawal is up to and including the end of the week in which 50 percent of the teaching period for the unit is completed.

RefundsIf you believe you are entitled to a refund you can download the Fees Refund Form at: www.utas.edu.au/international/refund-form

When you have completed the form it can be emailed to:[email protected]

Please note, refunds take up to four weeks to be processed.

Our Refund Policy can be located at:www.utas.edu.au/international/refund-policy

Onshore international studentsWhen this form has been completed by UTAS, the Compliance office will cancel your electronic Confirmation of Enrolment (eCoE). When your eCoE has been cancelled you will be reported to the Department of Home Affairs - Immigration. After your eCoE has been cancelled your student VISA may be CANCELLED, or affected. You must contact the Department of Home Affairs - Immigration and inform them of your eCoE cancellation. The Department of Home Affairs - Immigration contact details can be found at www.homeaffairs.gov.au

If you are under 18 and are seeking to withdraw and transfer, UTAS must have written confirmation from your legal guardian or parent approving this transfer. If you are not being cared for in Australia by a legal guardian or parent, the receiving registered provider must accept responsibility for approving the student’s accommodation, support and general welfare. The letter of offer to another education provider must note this responsibility. If you are seeking to transfer to another provider and you have not completed 6 months of your principal course then you need to complete the Transfer Education Provider & Release Letter Application Form.

Sponsored and scholarship studentsSponsored students or students in receipt of scholarship must contact their sponsor or scholarship provider.

Submitting this formThis form should be submitted through an International Student Adviser, who will then forward the form to Compliance. Contact details for International Student Advisers are:

Student Centre – Hobart Private Bag 120Hobart, Tas [email protected] Telephone 1300 361 928

Student Centre – LauncestonLocked Bag 1345Launceston, Tas, [email protected] 1300 361 928