Student Withdrawal Form

The data you provide will be processed in accordance with the QMU Data Protection Policy available at here.

Please note:

(All fields marked with an asterisk (*) are required.)

Please provide details of your reasons for withdrawing*

I confirm that I wish to withdraw from my programme.

The University will consider the completion of this form, and the ticking of the confirmation box as being equivalent to a signature, a further confirmation will be sent to your QMU email address requesting authorisation on submission of this form.