13 Jackson Kaujeua Street T: +264 61 207 2412
Private Bag 13388 F: +264 61 207 9412
Windhoek E: exams@[Link]
Office of the Registrar NAMIBIA W: [Link]
Examinations and
Assessment Administration
Exit Examination Application
Student Number
Surname : Initials :
Full Names :
Programme of Study :
Cellular Phone Number :
Email Address :
Course Code for which application is made for Exit Examination:
1.
2.
I herewith declare that the above-mentioned information is correct.
Students Signature Date
Recommendation by Faculty Officer :
Students Signature Date
OFFICE USE ONLY
Application Approved Application Rejected
Has student been notified: Yes No
Acting Assistant Registrar Date
Department: Examinations,
Certification and Timetabling