| School |
| Grade |
| Class |
|
| Name |
| Gender |
| Student Number |
|
| Contact Number |
| Date of Birth |
| I.D. Number |
|
| Student Category | □UE □Non-UE | Education type | □Bachelor’s degree□Associate degree |
| 1．Reason for requesting withdrawal: (please fill in the reason and check as appropriate)□Apply for cancellation of school registrationAttachments:□①Application for withdrawal by the student and a copy of his/her ID card;□②Written parental consent and a copy of ID card.Student Signature：Date: | 2．Records of counselors’ work:① It was verified that the student had no outstanding fees;② The class guide communicates meticulously with the student and parents and keeps a record.Parent phone number:Signature of class teacher (counselor)：Date: |
| 3．Opinion of the college: After verification, the situation is true, the student has no arrears of fees, and the pre-processing procedures have been completed and registered. After discussion at the student work meeting on , the college decided to agree to withdraw the student from the college and report it to the school for approval.Signature of the Vice President of Academic Affairs: Signature of the Dean:Date: |
| 4．Comments from the Director of Student Affairs Office:Signature (seal):Date: |
| 5．Opinion of the Director of Academic Registry Division:Signature (seal):Date: |
| 6．Opinion of the Dean of Academic Affairs:Signature (seal):Date: |
| 7．Opinion of the Chief Financial Officer:Signature (seal):Date: |
| 8．Comments from the Vice President for Student Affairs:Signature (seal):Date: |
| 9．Comments from the Vice President for Academic Affairs:Signature (seal):Date: |
| 10．Principal Comments:Signature (seal):Date: |
Remarks:1. The student himself/herself should fill in the basic information truthfully. Columns 4-7 must be handled by the class teacher (counselor) leading the student according to the process;
2. After the withdrawal approval form is completed, the form is submitted to the Student Affairs Section of the Academic Affairs Office for filing.
