www.dovercourt.edu.sg
Your Contact Information:
Building / block / house #
Street name
Postal code Home telephone
Email
Student Information:
Student surname
Student first name Class
Student first name Class
Student first name Class
Please briefly explain
your reason for
leaving DCIS
Last day of school
Going to (new school name)
Would you like to arrange a meeting with the Head of School to discuss the withdrawal? Yes No
Updated 31st March 2021
Please complete this form and return it to the Admissions Oice at admissions@dovercourt.edu.sg. We shall activate all exit procedures on
receipt of your formal notification. Fill out all sections (type or print in capital letters). The Withdrawal Policy is outlined on the Student
Contract and in the Parent Handbook.
Relocation Details
New City New Country
New correspondence address
We hope that your child has had a successful and enriching education at DCIS and we wish you and your family the very best in the future.
I understand that my child has to return all school belongings (text/library books, musical instruments, etc.) on or before his/her final day of
school at DCIS.
Parent / guardian’s name Signature
Date
Notification of
Withdrawal
www.dovercourt.edu.sg
Dover Court International School (Pte) Ltd is registered with the Committee for Private Education | CPE Registration No: 197100313E | Registration Period: 05/07/2019 to 04/07/2023 | The Committee for Private Education (CPE) is part of SkillsFuture Singapore (SSG)
click to sign
signature
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