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To be completed if you wish to withdraw from your course.

Do not use this form if you are a Research student - contact the Office of Research.

Please read the following important information:

Student ID (required)

Campus (required)

First Name (required)

Middle Name

Surname (required)

Date of Birth (required)

Contact Telephone Number (required)

Email Address (required)

Street Address (required)

Suburb (required)

State (required)

Postcode (required)

Course (required)

Are you an international student? (required)

Study period that withdrawal is to take effect from: (required)

Year (required)

Additional Comments

Before submitting this form please read and confirm by ticking the box that you understand the following important information:

(required)

I acknowledge that I have accessed the links at the top of this form and have read and understood the requirements for the withdrawal from the course.

(required)

I understand that by submitting this form I will cease to be a student of the Australian Catholic University and must return my ACU student ID card to the Student Centre.

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