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Instructions for Withdrawal without Academic

and/or Financial Penalty


Who should complete this form?
The form is primarily for the use of students in a coursework program (eg Bachelor, Masters etc) or Non Award
program seeking to withdraw without academic and/or financial penalty due to experiencing unavoidable disruption to
studies.
Local students that have experienced unavoidable disruption may use this form to request:
Refund or remission of fees due to withdrawing after census date (domestic students only)
Withdrawal without academic penalty due to withdrawing after the last day to withdraw
International students that have experienced unavoidable disruption may use this form to request:
Withdrawal without academic penalty due to withdrawing after the last day to withdraw
Only international students studying in the Non-Award program may apply for refund using this form. All other
international student seeking refund of fees must apply to Macquarie International
Do not complete this form if you are:

studying at Macquarie through Open Universities Australia email ouainfo@mq.edu.au


studying at Macquarie as a Study Abroad student contact your Study Abroad Advisor
a postgraduate applied finance student email studentsupport@mafc.mq.edu.au
a research student with the higher degree research office email hdrcurrent@mq.edu.au
studying at Macquarie Graduate School of Management lodge you application via
https://students.mgsm.edu.au/forms

Unavoidable Disruption
To be considered for withdrawal without academic penalty applicants must establish that they have experienced
unavoidable disruption to their studies. The timing of the disruption must have been evident after Census Date or
become substantially worse after Census Date such that it made it impossible to continue in your studies.
Macquarie University defines unavoidable disruption as an event or circumstance that:
1. could not have reasonably been anticipated, avoided or guarded against, and
2. was beyond the students control, and
3. caused substantial disruption to the students capacity for effective study and/or the completion of required
work to the extent that they were unfit to complete the unit, and
4. substantially interfered with the otherwise satisfactory fulfilment of unit program requirements.
Applicants must establish that their circumstances meet all four criteria before making an application.

Certification of Supporting Documents


Supporting document must be provided to Macquarie as either original documents or a certified copy. A Justice of the
Peace (JP) or other Authorised officers can certify photocopies of original documents after sighting originals.
Documents may be certified at Student Connect, Level 2, MUSE (C7A).
The person certifying the photocopies must not be related to you and must, on each page:
write This is a true copy of the original document sighted by me;
sign it
print the following details: name, contact phone number, type of authorised officer and date verified
affix the official stamp or seal of the verifiers organisation on the copy, if the organisation has a stamp

How will you know the outcome?


Assessing your application for withdrawal without academic penalty will take approximately six to eight weeks. You will
be notified of the outcome by email to your student email account.
After the academic decision has been made, the application will then be forwarded to the relevant departments to be
considered for fee refund/remission. International students must make an additional application to Macquarie
International and meet the guidelines for international fee refunds.

Support for Students


Campus Wellbeing offers support and assistance to students through their Medical, Counselling, Disability and Welfare
services. Students feeling in need of support are encouraged to seek assistance through these services.
Contact information can be found on the Campus Wellbeing website www.campuslife.mq.edu.au/wellbeing

How to make an application


1. Check that your circumstances meet the definition of unavoidable disruption
2. Complete the application form
Include a statement detailing how your circumstances meet each of the four criteria for unavoidable disruption.
3. Attach supporting documentation
You must include independent supporting documentation to support the circumstances you are claiming.
Documents must be either original documents or a certified copy of the original documents
Examples of independent supporting documentation include:
Medical certificates
Statement from medical practitioners
Statements from your faculty/department
Statement from your counsellor
Statement from your employer
Statutory declaration (in conjunction with other independent supporting documentation)

4. Lodge the application and supporting documentation with the relevant administration office

Postal Address

Street Address

North Ryde Coursework


Students :

Current Students Team


MUSE Building C7A Level 2
Macquarie University NSW 2109

Student Connect
MUSE Building C7A Level 2
Macquarie University NSW 2109

Non-Award Students:

Centre for Open Education


Building X5B level 1,
Macquarie University NSW 2109

Centre for Open Education


X5B Level 1

Macquarie City Campus


students:

Student Administration
Macquarie City Campus
Level 2, 11 York Street
Sydney NSW 2000

Macquarie City Campus


Level 2, 11 York Street
Sydney NSW 2000

Application to Withdraw without Academic


and/or Financial Penalty
Personal Details
Your Macquarie student identification number:
First Name(s):

Family Name:

Contact Address:
Home Phone (
Email:

):

Mobile phone:

_________________________________________ @students.mq.edu.au

* Students currently enrolled will received all correspondence via their official Macquarie University account.

Studies affected by Unavoidable Disruption


List below all units that you are seeking to withdraw without academic and/or financial penalty

Unit Code

Study Period

(eg. ANTH303)

(eg. Session 1)

Year of
enrolment
(e.g. 2014)

Unit Code

Study Period

(eg. ANTH303)

(eg. Session 1)

Year of
enrolment
(e.g. 2014)

Unavoidable Disruption
Provide specific information of the disruption to your studies. This statement must describe how the
circumstances meet all four criteria of the definition of unavoidable disruption. If you require more space to write

your statement, please attach a separate page together with your other supporting documents.

In order to support your case, please address any circumstances that have affected the length of time taken to
submit this request:

Declaration and Signature


(Your application cannot be considered unless you accept all conditions set out below by signing and dating this declaration and
authority.)

By submitting this application I declare that:

The information given in this application is true and correct

I have attached the relevant supporting documentation

I have read Macquaries Withdrawal policy available at www.mq.edu.au/policy/docs/withdrawal_penalty/policy.html

I have read the Guidelines for Applying for Re-crediting of SLE and/or Remission/Refund of fees in Special
Circumstances available at www.studentadmin.mq.edu.au/fees/withdrawalfees.html

Personal information collected on this form or supplied by you to the University will be treated in the strictest confidence
in accordance with the Privacy Act of 1988 and other relevant guidelines. This information is used to assist the
University to make an informed decision in your case. If your application is approved, the Department of Education,
Employment and Workplace Relations (DEEWR) will be supplied with the necessary details/Information for your debt to
be removed or reduced if relevant. The authority to collect this information is contained in the Higher Education Support
Act 2003.
Name

Signature

Checklist for Applicants


Before submitting your application, please check that you have completed the following:
[ ] I have completed all sections of the application form
[ ] I have read the definition of unavoidable disruption available at
www.studentadmin.mq.edu.au/undergrad/currentstudents/withdrawal.html
[ ] I have described how my circumstances meet all four criteria for unavoidable disruption
[ ] I have signed and dated the declaration above
[ ] I have attached certified copies of supporting documents

Date