Cancellation/Postponement Form

CANCELLATION/POSTPONEMENT FORM

Please complete the information below in order for OW to process your Cancellation/Postponement.

Student Name/Surname*
First Last
Student Number*
ID Number*
Account Holder Name/Surname*
First Last
Account Holder ID Number*
Relation to Student*
We hereby apply to (tick appropriate box):*
- Cancellation (Registration Agreement clause 3)
- Postponement of Studies (Registration Agreement clause 4)
- Cancel subject(s) (Registration Agreement clause 2) (indicate which subject(s) to be cancelled)
Subject(s)
If you chose to cancel subject(s)
Module
Reason for Cancellation/Postponement*
- Personal
- Financial
- Medical (Medical Certificates required)
Medical Certificate
Short description outlining the reason for cancellation/postponement:*
Student Signature*
Account Holder Signature*
We (Student and Account Holder) understand that Open Window cannot be held accountable for the decision we have taken to terminate studies/cancel subject(s)/elective(s). We have read and understand the terms and conditions in the Registration Agreement. We acknowledge that Open Window will deal with this cancellation or postponement strictly in accordance with clauses 2, 3 and 4 of the Registration Agreement.