Continuing Education Institutional Withdrawal Form

To withdraw from DigiPen (Singapore), trainees must complete the Institutional Withdrawal Form after an exit interview with the Program Manager. All property belonging to DigiPen (Singapore) must be returned to the appropriate departments. If you have any questions, please email ce.sg@digipen.edu.

Program *
Name of Trainee (As in NRIC) Name of Trainee (As in NRIC) * First Last
Frist Name is your given name. Last Name is your surname or family name.
DigiPen Email *
Personal Email *
Mobile Number *
I have decided to withdraw due to: *

I have decided to withdraw due to: Academic incapability (unable to cope) Found employment Medical/health issues Other Other
Upload documents/medical memo (PDF format only)

Attach Files
Please check the boxes below: *

Please check the boxes below: I have consulted my instructor I have consulted the CE Program Manager I have consulted the IBF Program Manager I have returned all property belonging to DigiPen (Singapore)

If you have not spoken to all of them, please email ce.sg@digipen.edu before completing this form.
Please elaborate on the reason(s) of withdrawal. *
Please elaborate on your plan after the withdrawal. *
I declare that all information provided is true to the best of my knowledge. *

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.