Notification of Programme Withdrawal

(* = compulsory input)
Personal Information
Given name *
Family name *
Civic registration number (yymmdd-xxxx) * Swedish civic registration number
Postal address *
Postal code, zip code *
City *
E-mail *
User account (ex. asdfgh-1) *
Information about withdrawal
If you intend to take a temporary break in your studies you should apply for a leave of absence instead.

The application for programme withdrawal is done if you do not intend to complete your studies.

The start date for your withdrawal will be the date we receive the application.

If you are uncertain about what to do, please contact Service Point.
I have understood the above information *
My programme: *
Reason for withdrawal

By filling in this form, you approve that your data is registered by LTU for administrative purposes. Läs mer här »
Luleå University of Technology
Org-nbr: 202100-2841
Vat-nbr: SE202100284101