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Application for Intermission of Enrolment

Do NOT use this form if you re an HONOURS student. You have your own version Honours Intermission Form

Use the form below if you require a break in studies of one year or more due to serious illness or other exceptional personal circumstances which might prohibit you from continuing your enrolment. This may include but is not limited to, personal/family reasons, employment, sporting, cultural, legal or military duties. (Bach Deg Reg 38B)

Enrolment intermission requires the approval of the Fees and Enrolments Officer in the Office of Central Student Administration. This form will be forwarded to that Office.

Before you complete this form, the University would encourage you to seek advice from your Program chair and/or other support services such as the Teaching and Learning Centre, the Student Counselling service, the Student Equity Office and Faculty Student Administration.

International Students MUST obtain permission from Murdoch International before they apply for intermission of their enrolment, as the Department of Immigration does not allow international students to intermit their studies except in exceptional circumstances. Intermission of Enrolment may result in their student visa being cancelled. International Students should therefore use the hardcopy form.

Student number: *  
Surname: *    
Given Names : *  
Email Address: Correspondence will be send to this address  
Date of Birth *  
 
Course (eg Bachelor of Arts in History)
INTERMISSION is sought as follows:
From and Including Date and Year
I will recommence my studies in : Year
 
Please give a brief reason for intermission

* Compulsory Fields. Your application will not be processed without this information.

 

 

The Office of Central Student Administration will respond to your application.