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: