The Pique Lab Learning Centre

Regular Class Withdrawal

GAP™ Withdrawal Form

Please fill in the following form accurately.

  • SECTION I: STUDENT PARTICULARS

  • This field is hidden when viewing the form
    Please select the relevant level and subject for your child.
  • Select date DD slash MM slash YYYY
  • SECTION II: CONFIRMATION OF WITHDRAWAL

  • Clear Signature
  • Note: Please click the "Confirm Class Withdrawal" button to process the above withdrawal.

    You'll be redirected to a confirmation page after the above withdrawal has been successfully processed.

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