Thanks to visit codestin.com
Credit goes to www.scribd.com

Scribd
Upload
2 views2 pages

Course Extension Deferral Form

Shafi'i Hussein Ismail is requesting a course extension for his Post Graduate Diploma in Monitoring & Evaluation due to personal and family challenges, including difficulties in finding stable employment. He proposes a new completion date of December 30, 2025. The request form includes personal information and confirms that the details provided are accurate.

Uploaded by

shaaficihussein19102022
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
2 views2 pages

Course Extension Deferral Form

Shafi'i Hussein Ismail is requesting a course extension for his Post Graduate Diploma in Monitoring & Evaluation due to personal and family challenges, including difficulties in finding stable employment. He proposes a new completion date of December 30, 2025. The request form includes personal information and confirms that the details provided are accurate.

Uploaded by

shaaficihussein19102022
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 2

STUDENT COURSE EXTENSION/DEFERRAL REQUEST FORM

Personal Information
Full Name: ____________________________________________
Shafi'i Hussein Ismail
Student Admission Number: ____________________________
SN3325/09/2024
Email Address: __________________________________________
[email protected]
Phone Number: __________________________________________
063-6609196

Course Details
Course Title: ____________________________________________
Monitoring & Evaluation
Current Course Level (e.g., Diploma, PGD, Certificate): Post
______________
Graduate Diploma
Start Date: ___________________
08/10/2024
Expected End Date: ___________________
30/12/2025

Request Type
☐x Course Extension
☐ Course Deferral
*(Tick one)*

Reason for Request


Please explain why you are requesting a course extension or deferral:
_________________________________________________________
Iam requesting a course extension due to personal and family challenges
_________________________________________________________
i have been unable to find stable employment, partly due to
_________________________________________________________
widespread corruption and limited opportunities.
Iam committed to completing my program and will do my best to finish
the remaining requirements within the extended period
Proposed New Completion Date (if applicable):
_____________________________
30/12/2025

Attachments (if any)


☐ Medical Report
☐ Employer Letter
☐ Other (please specify): ___________________________

Declaration
I confirm that the information provided above is true and accurate. I understand
that approval is subject to review and may require supporting documentation.
Signature: _______________________
Date: 30/07/2025
___________________
For Official Use Only
Received By (Academic Coordinator’s Name): ____________________
Date Received: ____________________
Decision:
☐ Approved
☐ Declined
Remarks:
_________________________________________________________
Authorized By: _______________________
Signature: _______________________
Date: _______________________

You might also like