English language program cancellation request form

Cancellation Request Form

Important Information

This form must be used when a student wants to withdraw from their English Language program before the actual finish date. Please allow 10 working days for RMIT University Pathways (RMIT UP) to assess your application.

You must keep attending classes until your application is approved.

For information on applying for cancellation from your formal RMIT University program, please visit the RMIT University website.

If you have any questions, please contact rmit.up.studentservices@rmit.edu.au

Student Details

RMIT Student ID Number

Family Name (Surname)

Given Name (as written in your passport)

Date of Birth

Current Class Name

Contact Details

RMIT Student Email Address

Personal Email Address

Mobile Number

Address

Suburb

Post Code

Enrolment Details

When did you start your English Language program?

What date are your requesting to cancel your English Langauge program?

When is your actual English Language program finish date?

What is your original number of weeks offered?

What is your actual number of weeks studied?

Why are you applying to cancel your English Langauge program?

Visa rejection: The Australian Government has refused to grant a visa for study in AustraliaSpecial circumstances/Personal withdrawal: Special or extenuating circumstances of a compassionate nature, as determined by RMIT UP, necessitating withdrawal from the course Other

Details for Special circumstances/Personal withdrawal or Other

Supporting documents for Special circumstances/Personal withdrawal or Other

Additional Approval Requirements

Are you under the age of 18?

Yes, I am under the age of 18 (16 or 17 years old)No, I am over the age of 18 (18 years or older)If you are under 18 years of age, RMIT UP will require written parental approval to process this request.

Are you a sponsored student?

YesNoIf you are a sponsored student, you require approval from your sponsor for the request to be approved.

Sponsor

Privacy

RMIT is bound by laws that protect your privacy. All personal information you provide on this form will be handled in accordance with the RMIT Privacy and Data Protection Policy, which can be found on the Policy Register.

You can access and amend your personal information we hold by contacting rmit.up.studentservices@rmit.edu.au

For more information about how we manage and protect personal information, please refer to our RMIT Privacy Statement.

Declaration

I hereby request to cancel my English Language program and acknowledge that a separate refund application must be submitted. This will be processed in accordance with RMIT University Pathways English for Academic Purposes (EAP) Refund Procedure, which I have read and understood.

I understand that RMIT UP will report my cancellation to the Department of Home Affairs (DHA) and that my Confirmation of Enrolment (COE) will be cancelled.

I am advised to seek advice from the DHA on the potential impact on my visa.

Tick the box below to confirm that you have read and understand the above information

I have read and understand the above information.

Contact Information

Get in touch with us

Need help or have more questions?
Get in touch and we will help you with your enquiry.

Contact RMIT UP

Acknowledgement of Country

RMIT University acknowledges the people of the Woi wurrung and Boon wurrung language groups of the eastern Kulin Nation on whose unceded lands we conduct the business of the University. RMIT University respectfully acknowledges their Ancestors and Elders, past and present. RMIT also acknowledges the Traditional Custodians and their Ancestors of the lands and waters across Australia where we conduct our business - Artwork 'Sentient' by Hollie Johnson, Gunaikurnai and Monero Ngarigo.

Learn more about our commitment to Indigenous cultures