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    Official Withdrawal Request Form Official Withdrawal Request Form

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    Ljane de Guzman
    This document is an official withdrawal request form that must be completed by parents or authorized guardians to withdraw a student. The withdrawal process can be delayed if the student owes fees or has unreturned school equipment. To withdraw a student, authorized guardians must provide identification and a letter of authorization signed by the parent. They must also give the student's updated contact information and details about their new school. This form and a student clearance form are required for withdrawal.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Official Withdrawal Request Form Official Withdrawal Request Form

    Uploaded by

    Ljane de Guzman
    57 views2 pages
    This document is an official withdrawal request form that must be completed by parents or authorized guardians to withdraw a student. The withdrawal process can be delayed if the student owes fees or has unreturned school equipment. To withdraw a student, authorized guardians must provide identification and a letter of authorization signed by the parent. They must also give the student's updated contact information and details about their new school. This form and a student clearance form are required for withdrawal.

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    Withdrawal Form

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    This document is an official withdrawal request form that must be completed by parents or authorized guardians to withdraw a student. The withdrawal process can be delayed if the student owes fees or has unreturned school equipment. To withdraw a student, authorized guardians must provide identification and a letter of authorization signed by the parent. They must also give the student's updated contact information and details about their new school. This form and a student clearance form are required for withdrawal.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    57 views2 pages

    Official Withdrawal Request Form Official Withdrawal Request Form

    Uploaded by

    Ljane de Guzman
    This document is an official withdrawal request form that must be completed by parents or authorized guardians to withdraw a student. The withdrawal process can be delayed if the student owes fees or has unreturned school equipment. To withdraw a student, authorized guardians must provide identification and a letter of authorization signed by the parent. They must also give the student's updated contact information and details about their new school. This form and a student clearance form are required for withdrawal.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Date Received: _____________________________ Received by: __________________________________

    OFFICIAL WITHDRAWAL REQUEST FORM


    This is the Official Withdrawal Request Form that must be completed for students to withdraw. The process can
    be delayed if the student has outstanding fees and/or unreturned school equipment. Unreturned school
    OFFICIAL WITHDRAWAL REQUEST FORM
    properties will automatically be added to the student’s account.
    This is the Official Withdrawal Request Form that must be completed for students to withdraw. The process can
    be delayed if the student has outstanding fees and/or unreturned school equipment. Unreturned school
    Note:
    properties will automatically be added to the student’s account.
    AUTHORIZED GUARDIAN/S must present an Authorization Letter signed by the parent and valid ID.
    Note:
    Only PARENTS/AUTHORIZED GUARDIAN are allowed to withdraw the student.
    The PARENTS/AUTHORIZED GUARDIAN must provide the updated home address and contact AUTHORIZED GUARDIAN/S must present an Authorization Letter signed by the parent and valid ID.
    number.
    Only PARENTS/AUTHORIZED GUARDIAN are allowed to withdraw the student.
     The PARENTS/AUTHORIZED GUARDIAN must provide the information about the school where
    The PARENTS/AUTHORIZED GUARDIAN must provide the updated home address and contact
    the student will be transferred.
    number.
     This Form must be accompanied by the Student Clearance Form.
     The PARENTS/AUTHORIZED GUARDIAN must provide the information about the school where
    the student will be transferred.
    Requested Date of Withdrawal: _________________Grade Level:  This Form must be accompanied by the Student Clearance Form.
    Student’s Complete Name: ______________
    Student’s Date of Birth: ___________________ Requested Date of Withdrawal: _________________Grade Level:
    Student’s Complete Name: ______________

    Reason for Withdrawal: ¨ We will be moving to another location in the Philippines. Student’s Date of Birth: ___________________

    ¨ We will be moving out of the country / We will return to our home country
    ¨ Our child will be attending at a private / public school. Reason for Withdrawal: ¨ We will be moving to another location in the Philippines.
    ¨ We will be moving out of the country / We will return to our home country
    ¨ Other:
    ¨ Our child will be attending at a private / public school.
    Name of School ¨ Other:
    Address of New School Name of School

    Student’s Updated Address Address of New School

    Home Phone No.: Cell No.: Student’s Updated Address

    Home Phone No.: Cell No.:


    ________________________ ________________________

    Signature over Printed Name Date ________________________ ________________________


    Signature over Printed Name Date
    AS THE STUDENT CLEARANCE FORM IS SUBMITTED, THIS IS TO BE FILLED OUT BY NOBLESSE ADMIN:

    AS THE STUDENT CLEARANCE FORM IS SUBMITTED, THIS IS TO BE FILLED OUT BY NOBLESSE ADMIN:
    Date Received: _____________________________ Received by: __________________________________

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