Change of Enrolment form

Change of Enrolment Form

Name*

PrefixFirst NameLast Name

ACD Student Number*

Email*

example@example.com

Home Campus*

I wish to:*

This form should be considered as your official request to change courses, and does not imply your acceptance into the new course.

Course Name*

I wish to*

Defer immediately and withdraw from any currently enrolled unitsComplete any current units and defer at the end of the current study period

I wish to defer for*

I wish to withdraw from*

Please indicate the main reason for this change*

Please state reason*

Acknowledgment: I understand that if I withdraw from a subject after the Census Date full fees are payable. I understand that if this changes reduces my study load from full time to part time, I must no longer use my student ID card to claim student discounts, and should ask Student Services for an updated card. I also acknowledge it is my responsibility to notify Centrelink of this change as it may have implications for any benefits I am receiving.*

I understand the above

A copy of this form will be sent to you automatically when you submit this form. Please keep this email in a safe place as proof that you have requested this change to your enrolment. If you do not recieve the confirmation email, please check your spam or junk folder. If you still cannot locate it please contact student services immediately.