THE SHICHIDA METHOD SDN BHD

HQ: Units F1-F7 (Level 2) Centrepoint Bandar Utama, 47800 Petaling Jaya, Malaysia
Tel: (603) 7727-8149 Email: shichida.my@shichidamethod.com

Notice of Course Termination Term: ____

1 / Year ______
2024
FOR OFFICIAL USE
12 11 2023
Date of Submission: ____/____/_________ 7
Week: ___________
Processing Officer:
TAN HUI XIN
Name of Parent: _______________________________________
Term Ref:
016-7705016
Contact No (HP): ______________________

michaltan89@gmail.com
E.I. q Date:
E-mail: ______________________________________________
Approved by:
ETHAN CHOO EE TENG
Name of Child: ________________________________________
*as in birth certificate
Date of PEC attended:
28 MAY 2020
DOB: ________________

BU
SUN 4:30 Centre: ______
Class Day/ Time: _____/_____ LINDA
Instructor: ______
Attendee/s: qF qM
Any current student who wishes to withdraw from the programme to submit a withdrawal
form by week 7 of the current term to qualify for a refund of balance deposit after
deducting outstanding payments and other charges if any. Kindly be advised that the
refund process will take approximately 6 to 8 working weeks (excluding weekends &
public holidays) after the current term has ended.

To the Principal,
ETHAN CHOO EE TENG
I, parent of ______________________________, wish to withdraw my child from The Shichida Method™
for the following reason below:

q 1. Migration/ Parents’ Working Overseas

q 2. Child has other learning problems

q 3. Child has completed the full course

q RELOCATION
4. Other Reasons: __________________________________________________________________

*Mode of refund:
q Credit card no.: _______/_______/_______/_______
Card holder name: ___________________________
TAN HUI XIN
q Bank Transfer to: _____________________________
RHB 11207700465650
Name of Bank & Account no.: ___________________

19/11/2023
*Refund is based on your initial mode of payment to
The Shichida Method Sdn Bhd. Parent’s Signature & Date