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Def Form

Andrew McKenzie, a Year 4 Bachelor of Education Arts student, has submitted a request form for academic leave, course adjustments, or transfer. He has specified dropping 'Entrepreneurship in Education' and adding 'Population Geography' due to financial reasons and an unregistered unit. The form includes sections for approval from the Dean, availability in the requested department, and comments from the Finance and Registrar's offices.

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0% found this document useful (0 votes)
3 views3 pages

Def Form

Andrew McKenzie, a Year 4 Bachelor of Education Arts student, has submitted a request form for academic leave, course adjustments, or transfer. He has specified dropping 'Entrepreneurship in Education' and adding 'Population Geography' due to financial reasons and an unregistered unit. The form includes sections for approval from the Dean, availability in the requested department, and comments from the Finance and Registrar's offices.

Uploaded by

mbithianne4
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 3

STUDENT REQUEST FORM

NAME: ANDREW MCKENZIE ADM.NO: BEDK/2/00182/3/21 PROGRAMME: Bachelor of


Education arts STAGE OF STUDY: Year 4 SEMESTER: 4.1 EMAIL ADDRESS:
[email protected] TEL: 0702286713 DATE :15/09/2025

A. I hereby request (tick relevant one and specify the period in the space provided)
1. Academic leave (Trimester Deferment)
2. Deferment of Examinations (Fill Table 1 Below)
3. Transfer (Programme to programme)
4. Dropping/ Adding a course(s) (Fill Table 1 Below)

(Specify duration for 1and 2 above).............................................................................................


(Specify programmes for 3 above) FROM ……………….. TO ……………………………….
COURSE DROPPED/EXAM COURSE ADDED SESSION
COURSE/S DEFERED
1 Enterprenuership in Education(registered Population geography( GEO416)
twice)
2
3
4
5
6
7
8

B. Give specific reasons for your request (Please tick appropriately)

Financial Medical (Attach medical documents) Compassionate

Others (Specify)
Unregistered unit
………………………………………………………………………………………………………

Student’s Signature: Date: 15/09/2025

FOR OFFICIAL USE ONLY

STUDENT REQUEST FROM Page 1of 3


C. To be filled in by the Dean of School

STUDENT REQUEST FROM Page 2of 3


a) Does the Dean of the School approve of this request? Please give detailed comments.
.………………………………………………………………………………………………………………
…………………………………………………………………………………………………………

Name: ……………………………………………. School: ……………………………………………

Signature and official stamp ………………………………….

D. To be filled by Director/ Dean of School/ Department/ to which student requests transfer


Please indicate availability of vacancy in your department in the intake or course requested.

AVAILABLE NOT AVAILABLE OTHERS (Specify):


..............................................................................................................................................................

Name: ……………………………………………. School: ……………………………………………

Signature and official stamp ………………………………….

E. Finance/ Accounts Department

Fee balance
Comments……………………………………………………………………………………………….……
…………………………………………………………………………………………………………………
……………………………………………………………………………………
................................................. …………………….
Signature Date
Chief Finance Officer

F. Registrar’s comment

ACCEPT REJECT

Name: ……………………………………………. Date: ……………………………………………

……………………………….
Signature
Registrar (ASA)

STUDENT REQUEST FROM Page 3of 3

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