Form Submission

Form Title

Form Description

Course Withdrawal Form

Course Withdrawal Form

This form is to be completed by a student seeking to withdraw from their course at Adelaide Institute of Higher Education (AIHE). Before withdrawing from your course, please consider your options carefully. Depending on when you withdraw from your course, there may be financial and academic penalties. Please refer to clause 9.2 Enrolment and Withdrawal Procedure under http://aihe.sa.edu.au/pages/policy-and-procedure/policy-andprocedure-directory and the Academic Calendar at http://aihe.sa.edu.au/students/important-dates-and-timetables.

If you are an international student, you should speak to the Student Support Officer prior to withdrawing. If you withdraw from your course, your visa will be cancelled, and you will need to return home within 28 days.

1. STUDENT DETAILS

2. COURSE AND SUBJECT DETAILS

2.1. Course Name: *

Course Code:

2.2. Study Period:

Year: *

Study Period: *

Study Period 1
Study Period 2
Study Period 3

2.3. Withdraw from the Course

I hearby give notice to AIHE that I want to withdraw from the course

2.4. Withdraw from Subjects - Complete this section if you are currently enrolled in any subjects.

I hearby give notice to AIHE that I want to withdraw from the following subject/s I am currently enrolled in

Subject Code	Subject Title

2.5. Reason for Withdrawal from Course

I hereby give notice to AIHE that I am withdrawing from my course for the following reason/s: *

Please upload all relevant supporting documentation for your Course Withdrawal request (e.g., medical certificates or other official documents). *

3. STUDENT DECLARATION

I have read and understood the Fees and Refunds Policy and related Procedure and understand that financial penalties may be incurred. I have read and understand the Enrolment and Withdrawal Procedure and understand that academic penalties may be incurred.

Student’s Name: *

Student’s Signature: *

Date: *

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August 2026 ▾

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