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Clear Form111

The document is a Student Clearance Form for postgraduate students at Bule Hora University, outlining the procedure for completing the form in triplicate and obtaining necessary signatures. It includes sections for personal information, reasons for clearance, and a list of required signatures from various university departments. The clearance is only complete with the stamp of the University Registrar.

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23 views1 page

Clear Form111

The document is a Student Clearance Form for postgraduate students at Bule Hora University, outlining the procedure for completing the form in triplicate and obtaining necessary signatures. It includes sections for personal information, reasons for clearance, and a list of required signatures from various university departments. The clearance is only complete with the stamp of the University Registrar.

Uploaded by

orofunny70
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
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BULE HORA UNIVERSITY

REGISTRAR OFFICE

STUDENT CLEARANCE FORM (for PG student)


PROGRAM (put x)
A. Regular B. Summer
Procedure:
1) To be filled in triplicate
2) Complete the first part of this form
3) Obtain the signatures designated in part II
4) Return this form to the Registrar office’s after three days of your collection
PART I
1. Full Name ___________________________________________
2. ID.NO_________________________________________________
3. College____________________ Department _______________________
4. Class Year_______________ Semester________Ac. Year______________
5 .REASON(S) FOR CLEARANCE (PUT X)
5.1. End of semester (Ac. year) 5.2.Withdrawals
5.3. Academic dismissals 5.4. RE admission
5.5. Graduations 5.6.Any other (specify)
PURPOSE:
If a student is withdrawing or clearin g at the end of academic year or graduating from the university he/she h
complete the procedures on this form. Only with the proper clearance of withdrawal can transcripts, letters of enrolm
honorable dismissal be issued to the students. Readmission to this university can only be considered will if and only if p
termination is certified by the office of the Registrar
PART II,
PLEASE OBTAIN SIGNATURE IN THE ORDER GIVEN BELOW.

Full name (please print) Signature and Date


1. Department head
2. Library, chief of circulation _______________________________________________
’
3. Library,(only for law dep t)___________________________________________
4. University Book store
5. Dormitory _______________________________________________
6. Office of the student Dean _______________________________________________
7. University police _______________________________________________
8. Finance Administration _______________________________________________
9. PG Program coordinator _______________________________________________
10. REGISTRAR _______________________________________________
Applicable only for POST GRADUATE Students!
NB: THE CLEARANCE IS COMPLETE IF IT HAS STAMP OF THE UNIVERSITY REGISTRAR.

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