Notice of Withdrawal

Students are required to settle the following matters within 10 days upon notification of withdrawal:
1. settle all outstanding fees in the student account.
2. return your attendance permit to CPE, Department of Social Work, CUHK

Surname (BLOCK letters in English) *
Given Names (BLOCK letters in English) *
Full name (in Chinese) *
Year of Admission *
Must be a number less than or equal to 4.
Programme Enrolled *
I hereby inform you of my decision to withdraw from my studies for the above programme with effect
from * / DD / MM YYYY
Reason for Withdrawal:
*
Frequently Checked Email Address *
My Attendance Permit *
is returned for cancellation. is not returned for cancellation.
I understand that there is no refund of the tuition fees paid.

Draw your signature into the box below. *

Clear
Notes to the applicants
1. The personal data provided on this form will be used by the Continuing Professional Education, Department of Social Work Hong Kong for the purpose of processing this application.
All information provided, when no longer required, will be destroyed.
2. For correction of or access to the personal data after submission of this form, please contact the Continuing Professional Education, Department of Social Work.
3. Information provided on this form may be transferred to other departments/administrative units within CUHK for consideration and granting approval, where applicable.
Disclaimer

The personal data collected will be used by Continuing Professional Education, Department of Social Work and the authorised personnel for processing captioned purposes only. All personal data you provided will not be disclosed to any third parties unless with your prior consent.
Type the letters you see in the image below.

Notice of Withdrawal

Notice of Withdrawal

Disclaimer The personal data collected will be used by Continuing Professional Education, Department of Social Work and the authorised personnel for processing captioned purposes only. All personal data you provided will not be disclosed to any third parties unless with your prior consent.

Disclaimer

The personal data collected will be used by Continuing Professional Education, Department of Social Work and the authorised personnel for processing captioned purposes only. All personal data you provided will not be disclosed to any third parties unless with your prior consent.