DHA SUFFA UNIVERSITY

DG-78,Off Khayaban-e-Tufail, Phase VII (Extension), DHA, Karachi 75500

Request Form for Withdrawal as External Student

Part A - To Be Filled by Student/Parent/Guardian

Semester in which
Registration No.
admitted:

Name: Contact #:

Course(s) from which withdrawal is desired:

Course Code & Title:

Course Credit Hours:

Fee Refund Policy:

1. I also understand / agree that in case I withdraw from any course(s) at DHA Suffa University for any reason:

a. Full amount of Tuition Fee will be refunded to me if I apply till the seventh day of the semester
commencement or if I apply before the semester commences.

b. 50% of the Tuition Fee will be refunded, if I apply between eighth to fifteenth day of the semester
commencement.

c. No refund will be granted, if I apply after fifteenth day of semester commencement.

d. In case of my admission after the semester commencement, I will abide by the aforementioned
cut off time periods w.e.f the date of my fee submission.

2. Date for add and drop of course(s) will be applicable as prescribed in respective semester's Academic Calender.

Student is requested to read and understand fee refund policy before signing below:

Refund cheque (if applicable) to be made in the name of: _________________________________

Student's Signature:___________________________ Date:_______________________

Part B To be processed by Registration Office

Approved External Student's Registration Form is attached.

1. Voluntary withdrawal

2. Expelled from University on disciplinary ground

Withdrawal Approved by the Dean / Registrar

Signature: __________________
Date: _____________________
 Part C - Clearance To be processed by Registrars Office
1. Library In-charge, DSU Approved (Nothing outstanding)

Not Approved
________________
Remarks: __________________________
2. Admin Office Approved (Nothing outstanding)

Not Approved
________________
Remarks: __________________________

3. Transporter Approved (Nothing outstanding)

Not Approved
________________
Remarks: __________________________

4. Controller of Examinations Approved (Nothing outstanding)

Not Approved
________________
Remarks: __________________________

5. Finance Office Approved (Nothing outstanding)

Not Approved
________________
Remarks: __________________________

6. Registrar Office Record Verified Yes / No

ID Card Recovered Yes / No

_________________

Part D - For Finance Office Use Only

(To be processed/completed only after completion of Parts A, B & C)
Fee Deposited Fee/Dues Remaining Amount Refundable

Fee Type Amount Type Amount

Rs. Rs. Net Dues: __________

Rs. Rs.

Rs. Rs. Net Refund: _________

Rs. Rs.

Rs. Rs.
Date:_________________

Signature:_____________

Total Rs. Total Rs. (Manager Finance)

Fee Refund Approved by Vice Chancellor

Signature:___________________

Date:______________________