section A (to be completed by student)
Name of Student:
...........................................................................................................................................................
Matriculation No:
................................................................................................................................................................
Study Centre:
..................................................................................................................................................................
Faculty:
..................................................................................................................................................................
Programme:
................................................................................................................................................................
Signature/Date:
...........................................................................................................................................................
List of Registered Courses:
1.
2.
3.
4.
5.
6.
7.
8.
9.
SECTION B - Study Centre Clearance (to be completed by Study Centre Registration Officer)
I have seen this student's Registration and Examination Slip. He/She is CLEARED/NOT CLEARED to
sit for Examination
Name of Officer:
...........................................................................................................................................................
Designation:
...........................................................................................................................................................
Signature/Date:
...........................................................................................................................................................
SECTION C - Bursary Clearance (to be completed by Study Centre Accountant)
I have seen this student's Evidence of payment. He/She is CLEARED/NOT CLEARED to sit for
Examination
Name of Officer:
...........................................................................................................................................................
Designation:
...........................................................................................................................................................
Signature/Date:
...........................................................................................................................................................
SECTION D - Study Centre Director's Clearance (to be completed by Study Centre Director)
Student is CLEARED/NOT CLEARED
Name of Study Centre Director:
...........................................................................................................................................
Signature/Date:
...........................................................................................................................................................
seat Number Assigned to Student
......................................................................................................................................