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Course Registration Form

The document is a course registration form for a university. It requests a student's personal details and academic information. The student is to list the course codes, sections, status, credits, and lecturer's signature for up to 12 courses. The form must be signed by the student and academic advisor to register, and may require the dean's approval if the advisor disagrees. It collects contact details and is submitted in triplicate to the faculty office, advisor, and student.

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Abdulkadir Adilah
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© © All Rights Reserved
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117 views1 page

Course Registration Form

The document is a course registration form for a university. It requests a student's personal details and academic information. The student is to list the course codes, sections, status, credits, and lecturer's signature for up to 12 courses. The form must be signed by the student and academic advisor to register, and may require the dean's approval if the advisor disagrees. It collects contact details and is submitted in triplicate to the faculty office, advisor, and student.

Uploaded by

Abdulkadir Adilah
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
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COURSE REGISTRATION FORM UTM.

E/3-1
PLEASE READ CAREFULLY, REFER TO THE GUIDELINES (Amendment 1/08)

Student’s Name : _____________________________________________________________________________


(In BLOCK letters and as stated in Identity Card/Passport)

Matric Card No. : Session/Semester :

Identity Card/ : Total Credit Transferred :


Passport No.

Year/Program : Email : ______________________________________________________

Please fill in the boxes clearly and correctly. If you are registering for more than 12 courses, please use two forms. Fill the code
‘UM’ in the status column for Repeat Course, ‘HW’ for the Compulsory Attendance ‘HS’ for Attendance Only ‘HWUM’ Compulsory
Attendance Repeat Course.

NO. COURSE CODE SECTION STATUS CREDIT LECTURER’S SIGNATURE

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
Total Credit (Exclusive of ‘HS’ courses)

Mailing
Address :

Postcode Town or State

I intend to register for the courses above. Agree/Disagree

______________________________________ ______________________________________
(Student’s Signature) (Academic Advisor’s or Supervisor’s Signature)

Mobile Phone No : _______________________ Name: ________________________________


Tel. Extension: ________________________
Date: ______/________/__________ Date: _________/_________/__________

IF THE ACADEMIC ADVISOR OR SUPERVISOR DISAGREE

Dean’s/Deputy Dean’s of Academic Decision Approved/Not Approved


(First Copy – Faculty’s Use)
Signature _______________________ Date ______/_______/_____

(1st copy – Faculty Office, 2nd copy – Academic Advisor, 3rd copy – Student)

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