REQUEST FOR COURSE DESCRIPTION

Student ID Number: *

SECTION A: PERSONAL DETAILS

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Name *

Postal Address: (This address will be used for notification about this application)

Date of Birth *

Telephone:

Email *

SECTION B: Programme and Course Description details

List programme(s) of study you request for Course Descriptions :

List Special Topics you have completed :

List Special Topics you have completed : (1)

Course Code (1)

Course Title (1)

Lecturer (1)

Semester (1)

Year (1)

List Special Topics you have completed : (2)

Course Code (2)

Course Title (2)

Lecturer (2)

Semester (2)

Year (2)

List Special Topics you have completed : (3)

Course Code (3)

Course Title (3)

Lecturer (3)

Semester (3)

Year (3)

Notes:

1. There is a fee for each copy of your Course Description, please see your local campus for the current fee.
2. The course descriptions will only include the same details listed in the Calendar entry of the year each course was passed.

SECTION C: Mode of Collection

SECTION C: Mode of Collection *

Personal collection from Student Academic Services.
Post as a registered article to:

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Signature *

Date *

SECTION D: Payment Details

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Number of copies required :

Receipt Number

Date of Payment