COURSE
DEFERMENT FORM
NOTES & INSTRUCTIONS TO PARENT/GUARDIAN
Please note that an application for deferment has to be made before the commencement of a semester. A deferment, granted on medical and financial gounds, is normally for a
period of one semester and up to a maximum of one academic year, after which the student concerned will be required to withdraw from the study. Please consult the Admissions
and Administration Office should you wish to defer your child/ward studies. Please submit the completed form to the Admissions and Administration Office of the School.
DATA PROTECTION: The protection of personal data is an important concern to Sunway International School and any personal data collected on this form will be treated in
accordance with the Personal Data Protection Notice of the Institution [http://sunway.edu.my/pdpa/notice_english].
SECTION 1 - 3 (TO BE COMPLETED BY PARENT/GUARDIAN)
SECTION 1 (PARENT/GUARDIAN DETAILS)
Name
:
IC/Passport No.
:
Contacts No.
:
Email Address
:
(As per NRIC/Passport)
(Telephone)
(Mobile)
SECTION 2 (STUDENT DETAILS)
Name
:
IC/Passport No.
:
Student ID
:
Grade
:
Intake
:
Year of Study
:
Semester Commencement Date
(As per NRIC/Passport)
:
(DD/MM/YY)
FOR INTERNATIONAL STUDENT ONLY
Nationality
:
Student Pass Expiry Date
:
(DD/MM/YY)
Important Notes (i) A copy of a confirmed air ticket to home country must be attached upon submitting this form.
(ii) Upon arrival at home country, student must fax a copy of the passport entry stamp page to the International Office (Fax No.: 00 60 3 5635 8635)
SECTION 3 : DEFERMENT DETAILS
Period of Deferment Applied for
:
Reason of Deferment
:
From
Finance
Medical
Return to Home Country
Others
(DD/MM/YY)
To
Leave of Absence
(DD/MM/YY)
Signature of Parent/Guardian
Date
(DD/MM/YY)
SECTION 4: APPROVAL OF PRINCIPAL / DEPUTY PRINCIPAL
Application Approved
Name
Application Rejected
:
Signature of Principal / Deputy Principal
Remarks (if any)
Date
(DD/MM/YY)
SECTION 5: CHECKLIST FOR INTERNATIONAL OFFICE (For International Student Only)
Updated student visa
Name
Received copy of confirmed air ticket
:
Remarks (if any)
Signature of Authorised Personnel
Date
(DD/MM/YY)
Received copy of passport entry stamp page
Name
:
Remarks (if any)
Signature of Authorised Personnel
Date
(DD/MM/YY)
SECTION 6: CHECKLIST FOR ADMINISTRATION OFFICE
Updated EMX
Name
:
Remarks (if any)
SUNWAY INTERNATIONAL SCHOOL (JUBB006)
A member of the Sunway Education Group
Jalan Persiaran Medini 3, Sunway Iskandar, Bandar Medini Iskandar, 79250 Iskandar Puteri, Johor, Malaysia
 (607) 533 8071
 infosis@sunway.edu.my
 sis.sunway.edu.my
 (607) 533 8070
SISJ.Deferment(June2018)
Signature of Authorised Personnel
Date
(DD/MM/YY)