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Office of the RegistrarPhone: (812) 2372020Fax: (812) 2378039Retroactive Withdrawal Form Submission of this form initiates the request for a retroactive withdraw. This request is only active for the
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How to fill out retroactive withdrawal form

01
Gather all necessary documents, including your student ID and any relevant course information.
02
Obtain the retroactive withdrawal form from your school's academic office or website.
03
Fill in your personal details such as name, student ID, and contact information.
04
Clearly indicate the courses you wish to withdraw from and the reasons for your request.
05
Provide any supporting documentation, such as medical records or extenuating circumstances.
06
Review the form for completeness and accuracy before submission.
07
Submit the completed form to the appropriate academic office or designated authority.
08
Keep a copy of the submitted form and any correspondence for your records.

Who needs retroactive withdrawal form?

01
Students who have faced extenuating circumstances such as medical issues, personal emergencies, or excessive workload may need to fill out a retroactive withdrawal form.
02
Students who wish to withdraw from a course after the official withdrawal deadline also need this form.
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A retroactive withdrawal form is a document that allows a student to officially withdraw from a course or program after the deadline for withdrawal has passed, typically for reasons such as medical emergencies or other extenuating circumstances.
Students who wish to withdraw from a course after the official withdrawal deadline due to valid reasons such as serious illness, personal issues, or other unforeseen circumstances are required to file a retroactive withdrawal form.
To fill out a retroactive withdrawal form, a student typically needs to provide personal identification, specify the course(s) from which they wish to withdraw, detail the reasons for the late withdrawal, and submit any required supporting documentation, such as medical records or personal statements.
The purpose of the retroactive withdrawal form is to allow students who have experienced legitimate difficulties to formally withdraw from courses without academic penalty, ensuring they do not suffer negative impacts on their academic record due to circumstances beyond their control.
The retroactive withdrawal form must typically include the student's name, student identification number, course details (such as course codes and titles), the semester or term of enrollment, the reasons for withdrawal, and any supporting documents justifying the request.
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