CRICOS Student Withdrawal Form

Students who wish to withdraw their course should fill this form and submit to the student services. Please Note:

Withdrawing from your course will result in cancellation of your COE and this may affect your student visa.
You should attach all the necessary supporting documents to validate your reason.
If you are withdrawing course due to change of provider, you should attach an offer letter from your new provider.
If you wish to seek release from your enrolment at Nortwest, please fill the release request form. Letter of release will be issued only under certain circumstances as per the transfer between registered provider policy.
If you are withdrawing from the course due to refusal of Student Visa, please submit the letter of Visa Refusal along with this form. Any refund applicable will only be processed on submission of evidence of VISA refusal.
If there is any refund request, Refund application form should be submitted along with this form.

First Name:

Last Name:

Date Of Birth:

Student ID:

Please list all the courses you want to withdraw from

Course withdrawal details :

Reason for withdrawal

Date: