withdrawal
SECTION A: Student Details  
   
Student Number (ID)
Family Name
Given Name
Course Name
Study Year
Email
Your Application Details
I AM APPLYING FOR
(Tick applicable box/es)
Course Structure is not suitable
Course is not suitable
Course Timetable is not suitable
Visa Refused
Other
 
Student From
Please state in details the reasons for your Withdrawal
Attach Supporting Documents


 
Select Location
 
THIS FORM MUST BE APPROVED BY YOUR COLLEGE
INFORMATION ABOUT COURSE WITHDRAWAL APPLICATION
This form is used to apply for permanent withdrawal from a course.
INTERNATIONAL ONSHORE STUDENTS
If you are an international onshore student your application to withdraw from your course must be authorized by the College
Officer controlling your course and by Asia Pacific International College.
ID CARD
Your current Student Identification Card must be attached to this form as you cease to be an Asia Pacific International College -
student. A Statutory Declaration is to accompany this form if your current ID card has been lost or stolen.
REFUND OF FEES (ONSHORE STUDENTS ONLY)
If you believe you are eligible for a refund, please complete a Refund Application form and submit it with this form.
 
PRIVACY NOTICE
Asia Pacific International College Student Services Department (SSD) is committed to protecting and maintaining the privacy, accuracy and security of your personal and health information. SSD collects personal (including sensitive) and health information, such as academic, fee and other personal details,in accordance with Asia Pacific International College privacy commitments, guidelines and procedures for purposes relevant to your enrolment and the administration of your course (including assessment and processing of your application, administering enrolment details and assisting with statistical and market research and planning) and to provide you with information about other courses, products and services available at Asia Pacific International College. Personal information, including some sensitive and health information, is requested for government and statistical reporting. If any law requires particular information to be collected, SSD will inform you at the time the collection is to happen. If you do not provide SSD with the information SSD collects when you are asked, or to maintain your complete academic record. Asia Pacific International College will usually disclose information SSD collects about you to regulatory bodies, government and law enforcement agencies (such as the Australian Tax Office, TEQSA, DIAC, etc). In prescribed circumstances, health information is disclosed to prescribe health practitioners and/or prescribed emergency-related bodies.You should contact us if your details change, or if you believe the information we have about you is inaccurate. You may seek access to personal and health information SSD holds about you by contacting SSD, and you will be advised at the time of your request for access any applicable fee.

I have read the instructions and the Privacy Notice on the reverse of this form. I am aware that the approval of this application means that I cease to be a student of Asia Pacific International College and am therefore not entitled to any benefits available to Asia Pacific International College students. My student ID card (or a Statutory Declaration if card is lost) is attached to this application form.

I declare that to the best of my knowledge the information supplied on this form is correct and complete, and I agree to abide by the regulations of Asia Pacific International College.