Time Elapsed: 0 minutes Time Remaining: 0 minutes Total Time: 0 minutes   Page 1 of 1     1. First name.*       2. Surname.*       3. Student ID number.*       4. Student email address.*       5. Degree programme (for example, MMath Mathematics, BSc Mathematics etc).*       6. Current year on programme.   Year 1 Year 2 Year 3 Year 4 PGT     7. Name of your academic advisor.*       8. Have you discussed your withdrawal with your academic advisor?*   --Please Select--Yes No     9. Address for correspondence after withdrawal.*       10. Contact telephone number.*       11. If you are planning on transferring to another college or university, please give brief details of the institution and course.       12. Please tick one or more of the following options to describe your reasons for withdrawing from the programme.   Family difficulties    Financial    Health    Other personal circumstances    Don't enjoy or wrong choice of programme    Poor examination performance    Unable to cope with workload    Unable to adapt to life in Manchester    Transfer to another institution    Taken up employment    Other, please specify          13. Please note the last day on which you will attend the programme.*

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