Special Circumstances Request Form Page 2

ADVERTISEMENT

Section 3: Description of Special Circumstances
Please tick the options that apply to you:
I am applying for:
A refund or waiver of penalties imposed due to withdrawing from higher education
unit(s) after Close of Enrolment but before the 14 day refund period.
A refund or waiver of penalties imposed for withdrawing from any other unit available
through Unilearn
A refund of the unit fee, due to withdrawing after the 14 day refund period
Approval of a withdrawal without academic penalty
Description
Please provide a short description of your Special Circumstances. If you are applying for a
refund, include details of how and when your circumstance changed after you originally
enrolled.
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Documentation
Please list documentation you are providing to support your claim and state whether it is
attached or to follow. Please note that documentation will not be returned. Your application
will not be considered until all documentation is received.
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Version
Internal
Page Number
Document Name
Application for Special Circumstances – LNQIF1037
January 2013
Unilearn
Page 2 of 3

ADVERTISEMENT

00 votes

Related Articles

10 Things You Need To Know Before Applying To College
Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids

Related forms

Special Circumstances Request Form Special Circumstances Request Form Legal
Special Circumstance Request Form 2014 - Huntsville Bible College Special Circumstance Request Form 2014 - Huntsville Bible College Business
Special Circumstances Appeal Form Special Circumstances Appeal Form Legal
Special Circumstance Waiver Form Special Circumstance Waiver Form Legal
Special Event Request Form Special Event Request Form Business
Special Order Request Form Special Order Request Form Business
Form Wc-51 - Special Formula Request Form - Arkansas Department Of Health Form Wc-51 - Special Formula Request Form - Arkansas Department Of Health Medical
Instructions For Special Refund Request Form 123 1998 Instructions For Special Refund Request Form 123 1998 Financial
Special Event Planning Form Special Event Planning Form Life
Special Milk Reconciliation Form Special Milk Reconciliation Form Financial

Related Categories

Parent category: Financial
Download
Go
Page of 3