FOUNDATION REQUEST FOR REVIEW OF DECISION / REQUEST FOR READMISSION

FOUNDATION AND DIPLOMA REQUEST FOR REVIEW OF DECISION / REQUEST FOR READMISSION

TERMINATION FROM COURSE ‐ NOT ACHIEVING SATISFACTORY COURSE PROGRESS

APPLICANT DETAILS
STUDENT ID MIRI*
SURNAME*
GIVEN NAMES*
DATE OF BIRTH*
CITIZENSHIP*
ATTENTION STUDENT VISA HOLDERS Under Commonwealth legislation, the University is obliged to report student visa holders who have been Terminated for not achieving satisfactory course progress to the Department of immigration and Citizenship (DIAC) following the finalisation of the appeals process.
CONTACT DETAIL*
PERSONAL EMAIL ADDRESS*
COURSE DETAILS (COURSE FROM WHICH I HAVE BEEN TERMINATED)
Course*
Study Period of Termination*
Study Period You are Requesting Reinstatement*
TYPE OF APPLICATION*
- I am requesting a review of decision to terminate within the 20 *working days from the date of the Official Communication advising me of my course termination (sent to me by the Examinations Office)
- I am requesting for a readmission into the course I have been terminated from
HAVE YOU BEEN ON CONDITIONAL STATUS PREVIOUSLY?*
- Yes
- No
Study Period & Year*

(If you have been on conditional status previously please state the study period and year)
ACTION TAKEN - List below the steps you have taken to improve your academic performance after being placed on conditional throughout your course. Please provide evidence of what you have done (e.g. attend workshops, counselling, other studies etc.)*
SUPPORTING DOCUMENT
Please upload your supporting document (i.e. medical certificate, letter of support from Counselling etc.)*
Max. file size: 16 MB.
Letter of Appeal (Providing full reasons for requesting a review of the decision to terminate from your course OR requesting readmission into an existing terminated course)*
STUDENT DECLARATION*
- I have read and understood the guidelines and advice on this application form. I acknowledge that where I have provided documentation from an external authority, the University may contact that authority in relation to this matter.
The University offers support to students to assist them to improve their academic status. You may wish to take advantage of the services offered by the University Counselling and Disability Service at https://studentaffairs.curtin.edu.my

FOUNDATION REQUEST FOR REVIEW OF DECISION / REQUEST FOR READMISSION

FOUNDATION AND DIPLOMA REQUEST FOR REVIEW OF DECISION / REQUEST FOR READMISSION

APPLICANT DETAILS

COURSE DETAILS (COURSE FROM WHICH I HAVE BEEN TERMINATED)

SUPPORTING DOCUMENT

The University offers support to students to assist them to improve their academic status. You may wish to take advantage of the services offered by the University Counselling and Disability Service at https://studentaffairs.curtin.edu.my

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