Name of Student

Address

Name of Recipient
Position
Address of Institution

Date

Dear Name of Recipient,

Good day! I am (Name of Student) I enrolled as a first-year student of (section), student no. .
I would like to inform you of my intent to drop from the (College program)

(State your reason for dropping out of the course. Ex.: After enrolling in this institution, I was
notified by my preferred school that I was reconsidered in their (College program). I decided to
enroll in to this school as per my parents’ choice.)

(Ask if there is a possibility for a refund. Ex.: I understand that the reservation fee amounting to
(Amount of payment) is not refundable. May I respectfully ask if I could get the rest of the
amount of (Amount of other payment) I paid at the starting of the semester can still be refunded?
If so, what are the procedure to redeem said amount?)

Thank you so much. Please know that I have been very grateful for the opportunity this
institution has given me. Hoping for your kind consideration and understanding.

Respectfully yours,

(SIGNATURE)
Name of Student
Student No.