Student name Student ID Date [datetime datetime-619 id:r-date date-format:mm/dd/yy time-format:HH:mm] Course Enrolled In Email Address Contact No Address Please tick the applicable box to indicate your amendment type: DEFER EnrolmentSUSPEND EnrolmentCANCEL EnrolmentWITHDRAW Enrolment Please give a brief explanation of your reasons for amending your enrolment to support your application: I am aware of the consequences of deferring, suspending, cancelling or withdrawing my enrolment. I am also aware that the decision to grant my deferral, suspension, or cancellation of enrolment may affect my student visa (international students only). Student name Student Sign Date[datetime datetime-533 id:rr-cf-sdate date-format:mm/dd/yy time-format:HH:mm]