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Course Withdrawal / Drop Form

Your Name: *
Date of Birth: *
Your Email: *

I wish to drop / withdraw from the following courses in accordance with the Academic Regulations. I understand that if I drop / withdraw from this course after the term's add/drop period, a "Wd" grade will remain on my official transcript.
Reason for Course Withdrawal / Drop:
Course Term/Year: *
Course Code and Section:
Course Title: *
Professor Name:
* By checking this box I hereby affirm that this is my official signature indicating my request to withdraw from this course and hereby affirm that no additional signature is required once I check this.
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