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Get Notification Of Withdrawal From Academic Program - University Of ...

S/ Notification of Withdrawal from Academic Program SECTION A: To Be Completed By Student LAST (FAMILY) NAME FIRST NAME IMMIGRATION STATUS F-1 J-1 Other Withdrawing for: Fall DU ID# I will withdraw from DU and do not intend to return to DU or any other U.S. institution in F-1 or J-1 status within 5 months of my departure. Winter Spring Summer Year: When do you plan to leave the United States? (mm/dd/yyyy): / / REASON F.

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