Notification of Discontinuation - International Student Visa Holders

Did you know the University of ��vlog��Bվ (��vlog��Bվ) 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 ��vlog��Bվ? Their support may be able to assist you to continue your studies. For further information please access the ��vlog��Bվ’s student welfare resources.

Only complete this form if you want to cease studying at the University of ��vlog��Bվ.

Are you an international student?

Yes

Required fields are marked with an asterisk (*).

Personal Details

Student ID

Family Name *

Given Names/First Names *

Date of Birth *

Day Month Year

Personal Contact Details

Mailing Address

Address Line 1 *

Address Line 2

Town/Suburb *

State *

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? *

Residential Address

Address Line 1 *

Address Line 2

Town/Suburb *

State

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

Date of Discontinuation

I Wish to Discontinue *

Other *

Reason for Discontinuation

Reason *

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 *

I have read and accept the Privacy Statement and Declaration *

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Notification of Discontinuation - International Student Visa Holders

Are you an international student?

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