University Student Declaration and Withdrawal Form
This file contains forms necessary for new students at Universiti Tunku Abdul Rahman. It includes the declaration of compliance with university regulations and the withdrawal from studies along with fee refund policies. Essential for all prospective and current students to understand their rights and responsibilities.
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How do I fill this out?
To fill out this form, begin by reading through each section carefully. Ensure you provide accurate details, including your identification and contact information. Finally, review the terms and conditions before signing the document.

How to fill out the University Student Declaration and Withdrawal Form?
1
Read the instructions and terms carefully.
2
Fill in your personal information accurately.
3
Make sure to sign where indicated.
4
Double-check for any missing information.
5
Submit the form as instructed.
Who needs the University Student Declaration and Withdrawal Form?
1
New students who are required to officially declare their enrollment.
2
Students withdrawing from their studies who need to comply with the university's protocol.
3
Parents or guardians who wish to understand the obligations of their students.
4
Administrative staff who handle student admissions and records.
5
Students in the Faculty of Medicine who must observe confidentiality as per regulations.
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What are the instructions for submitting this form?
To submit this form, please complete all fields accurately and ensure it is signed. You may submit it via email to admissions@utar.edu.my, or fax to (603) 9019 8868. Alternatively, you can mail it to P O Box 11384, 50744 Kuala Lumpur, Malaysia.
What are the important dates for this form in 2024 and 2025?
The key dates for this form in 2024 include the start of the academic year in January and subsequent withdrawal deadlines. For 2025, similar deadlines are anticipated. Please check with the university for exact dates as they may change annually.

What is the purpose of this form?
The purpose of this form is to ensure that all new students at Universiti Tunku Abdul Rahman understand their obligations. It serves as a formal agreement to comply with university regulations and policies. Furthermore, it provides a clear procedure for students wishing to withdraw from their studies, including their rights to refunds.

Tell me about this form and its components and fields line-by-line.

- 1. Declaration: A commitment from the student to abide by university rules.
- 2. Personal Information: Information including the student's full name, ID number, and contact details.
- 3. Withdrawal Acknowledgment: Acknowledgment of understanding university withdrawal processes.
- 4. Signature: A mandatory field for signing the declaration.
- 5. Guardian Information: Details of the student's parent or guardian for additional contact.
What happens if I fail to submit this form?
Failing to submit this form can lead to miscommunication regarding your student status. It may also prevent you from receiving important notifications related to your enrollment. Additionally, without the proper documentation, your ability to withdraw from courses may be hindered.
- Missing Enrollment Confirmation: Failure to declare could lead to issues in confirming your student status.
- Fees Due: Not submitting could lead to misunderstandings regarding any outstanding fees.
- Withdrawal Delays: Not submitting the withdrawal form could delay processing and refund eligibility.
How do I know when to use this form?

- 1. Enrollment Confirmation: To formally declare your status as a registered student.
- 2. Withdrawal Request: For students wanting to officially withdraw from their current program.
- 3. Fee Refund Inquiry: To understand the process associated with potential fee refunds.
Frequently Asked Questions
What is the purpose of this form?
The form is designed for students to declare their enrollment and understand withdrawal policies.
How do I fill out the declaration section?
Simply provide accurate details as prompted and ensure your signature is included.
What if I need to withdraw my application?
You must submit the withdrawal form along with necessary identification.
Is there a fee for editing this PDF?
No, editing your PDF on PrintFriendly is completely free.
Can I sign this form digitally?
Yes, you can use PrintFriendly to add a digital signature.
What happens after I submit this form?
Your application will be processed according to university procedures.
Can I retrieve the caution money?
Yes, but only after following the specified refund process.
Are there partial refunds for tuition fees?
Yes, details for partial refunds are provided in the withdrawal policy.
How do I share this PDF after editing?
You can either download it to your device or share a link directly.
What should I do if I encounter problems while filling out this form?
Contact the university's admissions office for assistance.
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