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4. Notification of Discontinuation - International Student Visa Holders

Notification of Discontinuation - International Student Visa Holders

Did you know the University of Canberra (UC) provides all sorts of student support services to international students? For example, have you spoken to a welfare officer about alternatives to ceasing your studies at UC? Their support may be able to assist you to continue your studies. For further information please access the UC’s student welfare resources.

Only complete this form if you want to cease studying at the University of Canberra.

Required fields are marked with an asterisk (*).

Personal Details

Student ID

Family Name *

Given Names/First Names *

Date of Birth *

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Personal Contact Details

Mailing Address

Address Line 1 *

Address Line 2

Town/Suburb *

State *

-- Please Select --ACTNSWNTQLDTASVICWA

Postcode * Please enter your postcode in 4 digit format (No spaces, no characters)

Telephone Number * (2 Digit Area Code + 8 Digit Number)

Email *

Residential Address Preference

Is your Residential Address the same as your Mailing Address? *

-- Please Select --YesNo

Residential Address

Address Line 1 *

Address Line 2

Town/Suburb *

State

-- Please Select --ACTNSWNTQLDTASVICWA

Postcode * Please enter your postcode in 4 digit format (No spaces, no characters)

Date of Discontinuation

I Wish to Discontinue *

-- Please Select --TodayEnd of UC Semester 1End of UC Semester 2End of UCC Term 1End of UCC Term 2End of UCC Term 3End of UCC Semester 1End of UCC Semester 2End of UCCELC Mod 1End of UCCELC Mod 2End of UCCELC Mod 3End of UCCELC Mod 4End of UCCELC Mod 5Other

Other *

Reason for Discontinuation

Reason *

-- Please Select --Dissatisfaction with CourseFinancialHealthStudy DifficultiesEmploymentTransferring to Another InstitutionPersonal

Further Explanation *

Please note: Your discontinuation confirmation will be sent to your student email account.

Acceptance

I accept upon discontinuation, any active Confirmation of Enrolment (CoE) will be cancelled and the Department of Immigration and Border Protection (DIBP) notified and I will have 28 days to leave the country; or be granted admission at an alternate institution

I accept the terms above *

• Yes

I have read and accept the Privacy Statement and Declaration *

• Yes