Discontinuing Studies at UCU
(termination of enrolment)
Name:
FLOW:
Student ID:
Tutor:
STUDENT -> TUTOR -> DEAN -> ADMISSIONS OFFICE
Student
I have decided to discontinue my studies at UCU as of: ___/__/____
If you are leaving before the end of the academic year:
 I would like to stay on campus for the remainder of the semester if
possible
 I want to de-register from the Utrecht University and I will terminate my
enrolment in Studielink. I have read the document called “Leaving UCU” on the
intranet carefully.
 I would like an exit interview with the Dean
Reasons for discontinuing studies (attach extra pages if required):
You must take the following steps:
Contact the UCU Admissions Office about termination of enrolment in Studielink
ucu.admissions@uu.nl
Contact the UCU Finance Office to discuss any financial matters arising
d.c.reedijk@uu.nl
Date:
Signature:
Tutor
Comments:
Date:
Signature:
Tutor must pass this form to the Dean a.s.a.p.
Dean
Comments:
Date:
Signature:
The Dean must pass this form to the Admissions Office a.s.a.p.
The Admissions Office inform the Senior Tutors, Financial Controller, Housing Officer,
Housemaster and Student Life Officer.
The Admissions Office photocopy the Form and put copies in the Student Life Officer’s
and Senior Tutors’ pigeon holes.