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ATCFM03

The student is applying to change their program from their current program to a new program. They have paid all fees according to the payment plan. They understand that if approved, they will need to pay an admission status change fee. Any fees paid for career services or previous upgrades are non-refundable. Any scholarships or discounts received will be withdrawn and the student will need to pay the difference in fees between the programs. The student provides their contact information and signature for the application. The document also includes a section for office use only regarding refund details, programs, amounts paid and owed, and any refund amount.

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24 views

ATCFM03

The student is applying to change their program from their current program to a new program. They have paid all fees according to the payment plan. They understand that if approved, they will need to pay an admission status change fee. Any fees paid for career services or previous upgrades are non-refundable. Any scholarships or discounts received will be withdrawn and the student will need to pay the difference in fees between the programs. The student provides their contact information and signature for the application. The document also includes a section for office use only regarding refund details, programs, amounts paid and owed, and any refund amount.

Uploaded by

vishaldownload
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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NIIT_____________________________________________________

Application for Change in Program


ATC.FM.03:01

Date : __________________ Centre : ___________


Name : __________________ Regis # : ___________
Batch : __________________ Faculty : ___________
Student ID ________________

Dear Sir/Madam,
I would like to change my program from _________to _________because

I have paid all my fees as per payment plan. I understand and agree that:
• I require to pay Admission Status Change Fee as applicable
• Any fees paid by me towards Career Development Services/ Admission Status Change fees
towards Upgrade are non-refundable
• Any scholarship/discount availed by me so far stand withdrawn and I agree to pay the
differential fee
• In case of any refund due to me, kindly address the cheque in favour of ________________

My address for correspondence: ___________________________________________________

Student Signature: ________________ Telephone No: _________________


---------------------------------------------------------------------------------------------------------------------
Section B: Refund Details For Office/Use Only
Type of Refund: PCCR/ Downgrade

Course registered for: _____________ Last Semester Attended: _____________

Total amount for Program Registered for: ____________________

Amount Paid till date: ______________ Total Scholarship/Discount Amount: ______________

Fees Applicable for downgraded program : _________________

Refund Amount : ________________ Cheque dated : _________

Bank/Branch: _________ Remarks: ____________________________________


---------------------- Tear Away as Application acknowledgement -------------
Section C : Acknowledgement for Receipt of Application for Change in Program

Registration #: _________________
Dear ______________,
This is to acknowledge receipt of your application for change in program dated __________from
program ________ to program ________.
Please contact me on ___________ (date & time) to obtain status of processing and future course
of plan.

TH/CH/HOC Name & Signature: _________________________

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