Leaver's Clearance Form

The leaver's form is for any student that is leaving JPC.

The information required is mandated by the legislation administered by the Education Directorate ACT. JPC is required to update the student movement register with the Department of Education.

Student First Name *

Student Surname Name *

Current Year Level *

Year 7

Year 8

Year 9

Year 10

Year 11

Year 12

House & PC Number *

Last Day at JPC *

New School - Mandatory if moving to another school (enter N/A if this does not apply) *

Note - School fees will be payable for the full term and final payment is to be made by the departure date.
Please refer to the School Fees Policy - https://cg.catholic.edu.au/parents/policies/

To enable us to continue to improve the education we offer, could you provide us feedback as to why you have decided to withdrew you child from the school

Parent/Guardian Full Name *

Parent/Guardian Signature *

Undo

Clear

Write your signature above the line

Leaver's Clearance Form

Leaver's Clearance Form

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