Official Withdrawal Form

OFFICIAL WITHDRAWAL FORM

STUDENT INFORMATION

Date of Request *

Time of Request *

Full Name *

IC Number / Passport

Matric No. *

Email *

Phone No. *

Please also include your country code

Program taken:

Sponsor * Sponsor

WIHDRAWAL INFORMATION

Withdrawal Session

Reason(s) Reason(s)

SUBJECT REGISTERED ON CURRENT SEMESTER

Declaration *

I hereby declare that the information provided is true and give permission to UniCAM to process my request. If the information is false and incomplete, UniCAM has the right to reject this request.

If you are human, leave this field blank.

Official Withdrawal Form

STUDENT INFORMATION

WIHDRAWAL INFORMATION

SUBJECT REGISTERED ON CURRENT SEMESTER

eXPLORE

lEARN

EXPERIENCE & cONNECT

CAMPUS INFORMATION