Withdrawal - Request to Withdraw form

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Name

Course Info

Reason(s) for withdrawal - please check all that apply
Refund Amount (as per Terms and Conditions of Enrolment): Upon receipt the request will be processed based on the following schedule: After registration but before the examination AND within 30 days of registration: 100% refund MINUS a $150 withdrawal fee. During or after the examination or after 30 days after registration: No credit and No refund