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 MILCOM, 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.

Student details

First Name:

Last Name:

Date:

Student ID:

Course withdrawal details

Course(s) currently enrolled and want to withdraw:(If the student wants to withdraw from all the subsequent courses enrolled with the Institute, he/she should list the courses below.)

Current Course:

Subsequent Course(s):

Reason for withdrawal

STUDENT SIGNATURE

Date:

CRICOS Student Withdrawal Form

Student details

Course withdrawal details

STUDENT SIGNATURE

GEORGE STREET CAMPUS

York Street Campus

Adelaide Campus

MELBOURNE CAMPUS

CRICOS Student Withdrawal Form

CRICOS Student Withdrawal Form

Student details

Course withdrawal details

STUDENT SIGNATURE

Nortwest - George Street, Sydney

Nortwest - York Street, Sydney

Nortwest - Melbourne

Nortwest - Adelaide