Request a Withdrawal

Complete this form to request a withdrawal from a course.

Name

First Name Last Name

Course Title

Course Code

Start Date

Why are you requesting a withdrawal?

Refer to the Fee and Refund policy for more information

Would you like a team member to contact you about transferring your course instead?

Yes

File

Accepted file types: gif, jpg, jpeg, png, pdf, doc, docx, Max. file size: 2 MB.

Parkshot
Richmond Upon Thames
London
TW9 2RE

0208 891 5907

info@rhacc.ac.uk

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