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Change to enrolment and withdrawal form

Change to enrolment and withdrawal form

If you wish to withdraw or change your enrolment in any Wintec programme or module(s) you must notify Wintec by completing and submitting this online form. The date this form is submitted is the date Wintec will formally use for processing and reporting purposes.

For full details of both the domestic and international refund policies please refer to the Student Fees and Refunds Policies available on our website at www.wintec.ac.nz/policies.

First Name (Ingoa Tuatahi) *

Family Name (Ingoa Whānau) *

Date of Birth *

Wintec Student ID

Email *

CURRENT ENROLMENT - PROGRAMME & MODULE(S) DETAILS

Please provide the details of the programme you wish to withdraw from or make changes to enrolment in *

Do you wish to withdraw from the whole programme? *

Yes

It is important to us you receive all the support you need before making the decision to withdraw from study. Have you spoken to anyone in your Centre about withdrawing?*

Yes

If you know the name of the person you spoke to, please provide this below

If you would like a staff member to contact you, please provide the best number for us to contact you on

Please provide the full details of the module(s) you wish to withdraw from - including the module code eg BIBM500/1802 Introduction to Accounting

Module Code / Class Code

Module Name

Semester

Module Code / Class Code

Module Name

Semester

Module Code / Class Code

Module Name

Semester

Module Code / Class Code

Module Name

Semester

Module Code / Class Code

Module Name

Semester

Module Code / Class Code

Module Name

Semester

Module Code / Class Code

Module Name

Semester

Module Code / Class Code

Module Name

Semester

REASON FOR WITHDRAWAL

Select a choice *

Chosen to study elsewhere

Changed to another Wintec module or programme

Timetable clash

Transfer of credit

Programme cancelled

Dissatisfied with tutor

Dissatisfied with programme

Dissatisfied with Wintec

Financial

Found employment

Relocating

Health issues

Circumstances have changed

Vaccine policy

Other personal reasons – please state

Please state*

If you have applied for a StudyLink loan or allowance you must notify them immediately of the change to your enrolment.

Wintec is required to advise StudyLink of a withdrawal or change to enrolment, within five days of receiving this form.

ENROLMENT INTO A NEW PROGRAMME OR MODULE(S)

Do you wish to enrol into a new programme? *

Yes

Same programme, new modules

Please provide the details of the new programme you wish to enrol into

REFUNDS

Are you a domestic or an international student?

Domestic Student

International Student

Are you applying for a refund?

Yes – for medical or compassionate reasons after 10% point of the programme or module

Yes – cancelling before the 10% point of the programme or module

For full details of the domestic refund policy please refer to the Student Fees and Refunds Policy available on our website at www.wintec.ac.nz/policies.

After the 10% point of the programme or module, a refund for domestic students will only be considered for medical or compassionate circumstances or where a student is unable to meet the requirements of Wintec’s Child Protection policy. All refund requests must be supported by the appropriate documentation e.g. a medical certificate which must be attached to this form.

Please provide details of why you wish to be considered for a refund

Any refund request received after the 10% point of the programme or module must be supported by documentation eg a medical certificate. Supporting documentation must be emailed to withdrawals@wintec.ac.nz – please include your name and student ID in the subject line. If supporting documents have not been received within five working days of the withdrawal application being submitted the refund request will not be considered.

If your request for a refund is approved you will be required to provide either a printed statement with your name, address and bank account number included or if you fees were paid by a third party a letter of authorisation from them.

If you are withdrawing prior to the 10% point of your module or programme you do not need to apply for a refund this will be automatically applied. The date of the 10% point is stated in your Fees Invoice. If you are uncertain, please speak to your Centre Administrative Team.

If StudyLink has paid your fees there is nothing further for you to do, otherwise we need you to supply either a printed statement with your name, address and bank account number included or if you fees were paid by a third party a letter of authorisation from them.

You should be aware that Wintec is required to inform Immigration New Zealand if you withdraw from your programme of study, as this will result in the termination of your visa. We recommend you contact the International pastoral care team if you would like to talk about this before you submit this form.

For full details of the international refund policy please refer to the Student Fees and Refunds Policy available on our website at www.wintec.ac.nz/policies.

Please provide the full details of the module(s) you wish to enrol into - including the module code eg TE06402/1800 Provide Resuscitation

Module Code / Class Code

Module Name

Semester

Module Code / Class Code

Module Name

Semester

Module Code / Class Code

Module Name

Semester

Module Code / Class Code

Module Name

Semester

Module Code / Class Code

Module Name

Semester

Module Code / Class Code

Module Name

Semester

Module Code / Class Code

Module Name

Semester

Module Code / Class Code

Module Name

Semester

Have you discussed this change of enrolment with the Programme Manager?

Yes

DECLARATION

Where I am transferring to other modules/programme at Wintec or where I am changing (either by adding modules/programme) or ceasing study in some of the modules or programme I was enrolled in, I agree:

The provisions of the Wintec enrolment declaration I signed or agreed to in my online enrolment continue to apply to me and I am bound by that agreement except to the extent as expressly varied on this form; and
The date of withdrawal is deemed to be the date this form is submitted online by me and the date Wintec will use as notification of my change of enrolment.

I declare that to the best of my knowledge the answers I have provided are correct and I have not withheld any information that could have a material bearing on my enrolment.

I acknowledge that I am bound by the statutes, regulations and policies of Wintec (available on the Wintec website). *

I agree

I disagree

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New code

Please type the code above

The letters are case sensitive

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