Application to Defer, Suspend,
cancel enrolment OR Release
CRICOS Provider Number: 02915G
letter
STUDENT PERSONAL DETAILS
Student Given Name: Surname:
D.O. B
Contact Number:
Email ID:
Address:
STUDENT STUDY DETAILS
Student Number:
Student USI Number:
(mandatory)
Course code and Name:
Course start and finish date:
Please select which of the following you require:
Cancel my enrolment
Early Finish
Release Letter/Transfer to another provider (please provide an offer letter)
Defer my enrolment (mention the period of your request.)
From …./…../….. To …./……/……..
Suspend my enrolment
Extend my course duration (in compelling or compassionate reasons only)
Document Name: Durban Application to Defer, suspend or cancel enrolment or release letter Created Date: January 2008
Document No: DIC-031-F1 Version No: V 2.3 Last Modified Date: August 2018
© Durban International College Page Sequence: Page 1 of 2
Please provide your reasons:
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Student declaration:
I hereby acknowledge that the college has provided me a copy of the relevant policies and I am also aware
that the decision to grant my deferral, suspension, or cancellation of enrolment may affect my Student visa.
Where my application to defer, suspend or cancel my enrolment is for period more than 28 days, I may be
required to return to my home country unless approved by the Department of Home Affairs(DHA).
Student Signature Date:
YOUR APPLICATION SHOULD BE APPROVED/SIGHTED BY THE FOLLOWING DURBAN STAFF:
Position Name SIGNATURE
Outcome of application Application has been (√)
(attach additional page/s if required) □ Granted
□ Rejected
Actions Taken if application is granted:
□ PRISMS: COE / Course variation submitted, printed and placed in
student file.
□ Letter of release provided to student.
Date of Decision............./................./.......................
Comments: ……………………………………………………………………………………………………
……………………………………………………………………………………………………
……………………………………………………………………………………………………
……………………………………………………………………………………………………
……………………………………………………………………………………………………
Document Name: Durban Application to Defer, suspend or cancel enrolment or release letter Created Date: January 2008
Document No: DIC-031-F1 Version No: V 2.3 Last Modified Date: August 2018
© Durban International College Page Sequence: Page 2 of 2
