Notification of Discontinuation - International Student Visa Holders Did you know the 五月天视频 (UC) provides all sorts of student support services to international students? For example, have you spoken to a welfare officer about alternatives to ceasing your studies at UC? Their support may be able to assist you to continue your studies. For further information please access the UC’s student welfare resources. Only complete this form if you want to cease studying at the 五月天视频. Are you an international student? Yes No Click here to proceed. Required fields are marked with an asterisk (*). Personal DetailsStudent ID Family Name * Given Names/First Names * Date of Birth * Day 12345678910111213141516171819202122232425262728293031 Month JanFebMarAprMayJunJulAugSepOctNovDec Year 19001901190219031904190519061907190819091910191119121913191419151916191719181919192019211922192319241925192619271928192919301931193219331934193519361937193819391940194119421943194419451946194719481949195019511952195319541955195619571958195919601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021202220232024202520262027202820292030203120322033203420352036203720382039204020412042204320442045204620472048204920502051205220532054205520562057205820592060206120622063206420652066206720682069207020712072207320742075207620772078207920802081208220832084208520862087208820892090209120922093209420952096209720982099 Personal Contact Details Mailing Address Address Line 1 * Address Line 2 Town/Suburb * State * -- Please Select --ACTNSWNTQLDTASVICWA Postcode * Please enter your postcode in 4 digit format (No spaces, no characters) Telephone Number * (2 Digit Area Code + 8 Digit Number) Email * Residential Address Preference Is your Residential Address the same as your Mailing Address? * -- Please Select --YesNo Residential Address Address Line 1 * Address Line 2 Town/Suburb * State -- Please Select --ACTNSWNTQLDTASVICWA Postcode * Please enter your postcode in 4 digit format (No spaces, no characters) Date of DiscontinuationI Wish to Discontinue * -- Please Select --TodayEnd of UC Semester 1End of UC Semester 2End of UCC Term 1End of UCC Term 2End of UCC Term 3End of UCC Semester 1End of UCC Semester 2End of UCCELC Mod 1End of UCCELC Mod 2End of UCCELC Mod 3End of UCCELC Mod 4End of UCCELC Mod 5Other Other * Reason for Discontinuation Reason * -- Please Select --Dissatisfaction with CourseFinancialHealthStudy DifficultiesEmploymentTransferring to Another InstitutionPersonal Further Explanation * Please note: Your discontinuation confirmation will be sent to your student email account. Acceptance I accept upon discontinuation, any active Confirmation of Enrolment (CoE) will be cancelled and the Department of Immigration and Border Protection (DIBP) notified and I will have 28 days to leave the country; or be granted admission at an alternate institution I accept the terms above * Yes I have read and accept the Privacy Statement and Declaration * Yes