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Cancellation Form
This form should either be completed electronically using Adobe Acrobat Reader, or if you wish to
complete the form by hand, please complete in BLOCK CAPITALS and use black ink.
This form may be used to inform the University of Wales Trinity Saint David that you wish to cancel your place
on your chosen programme. To exercise your right to cancel, you should inform us of your decision to cancel
within 14 days from the date that you accepted your offer. You are not required to provide any reason for
your decision. You are also not obliged to use this form. A written statement informing us of your decision to
cancel and sent to the relevant address below will also be acceptable.
Student Number
Title Mr/Mrs/Miss/Ms/Other
Surname / Family Name
Forenames / Given Names
Date of Birth (DD/MM/YYYY)
Permanent / Home Country Address
County/State
Post/Zip Code
Country
Home Telephone Number
Mobile Phone Number
Email
Programme of study
Year of entry (i.e. Year 1/2/3)
Location
Swansea
Carmarthen
Cardiff
Birmingham
London
Distance
Other please specify
I confirm that I wish to cancel my place to study at the University of Wales Trinity Saint David.
Signature of Applicant
By typing your name here, you
are signing this form electronically.
Date
This form may be submitted electronically, or as a hard copy by post to the address below:
admissions@uwtsd.ac.uk
Admissions Office, Registry, UWTSD, College Road, Carmarthen, SA31 3EP, UK
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