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COURSE REGISTRATION FORM

(To be completed in Quadruplicate by both Fresh and Returning Students)

SESSION: ...............................................................Reg. Number: .........................................................................

  1. Name of Candidate in Full: ............................................................................................................................

  2. (Surname First, in Block Letters)
  3. School of Study: ............................................................ Dept: .....................................................................

  4. Diploma in View: ............................................................................................................................................

  5. Address During Session: ..............................................................................................................................

  6. Course Registered for (See Note Below): ....................................................................................................

FIRST SEMESTER
Course Code Course Title Credit Unit
SECOND SEMESTER
Course Code Course Title Credit Unit
  1. Student's Signature: ...................................................... Date: .....................................................................

  2. Head of Department: ...................................................... Date: .....................................................................

  3. Admission Officer: ......................................................... Date: .....................................................................

N/B

  1. The following given in (5) above will form part of the Student's Permanent Academic Record.

  2. Care should be taken in completing it.