Office of The Controller of Examinations: Student Registration Form
Office of The Controller of Examinations: Student Registration Form
Faculty………………………………………..….Level……………….………………..…….Program…………………………………..…….
Name of the Student
Mr/Ms/Mrs.
(In Block Letters)
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Date of Birth according to the secondary level certificate of equivalent Year Month Date
In AD
In BS
Nationality……………………………………Religion…………………………....……….Ethnicity…………………………………………….
Father's Name
Mother's Name
Bachelor Level
Others
I declare that the particulars are correct. If found incorrect any action taken by the university will be acceptable to me. Attach
verified photo – copies of necessary certificate in support of these particulars.
________________
Signature of Student
Date: ……………….
_____________ _________________
Checked by Name of Institute Office seal Head of Institute
Date:……………….………. ……………………………… ………………………….. Date:.………….…………..