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JKUAT Clearance Form

This document is a student clearance form from Jomo Kenyatta University of Agriculture and Technology. The form has sections for the chairman of the student's department, faculty/school, library, housekeeper, dean of students, sports director, registrar, and student finance office to indicate if the student is cleared or not cleared and sign off. The form is to be filled out in quadruplicate at the end of a course or termination of studies.

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1K views1 page

JKUAT Clearance Form

This document is a student clearance form from Jomo Kenyatta University of Agriculture and Technology. The form has sections for the chairman of the student's department, faculty/school, library, housekeeper, dean of students, sports director, registrar, and student finance office to indicate if the student is cleared or not cleared and sign off. The form is to be filled out in quadruplicate at the end of a course or termination of studies.

Uploaded by

charles
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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STUDENT CLEARANCE FORM F-2-61-9-1

JOMO KENYATTA UNIVERSITY


OF
AGRICULTURE AND TECHNOLOGY

INSTRUCTIONS
Fill in quadruplicate
Students are advised to complete the form either at the end of the course or termination of the course

NAME REG.NO
FACULTY/SCHOOL/INSITUTE DEPT.
YEAR OF STUDY ACADEMIC YEAR

1 CHAIRMAN OF DEPARTMENT CLEARED/NOT CLEARED


Remarks

Charge Shs
Chairman Signature Date:
2 FACULTY /SCHOOL/INSTITUTE CLEARED/NOT CLEARED
Remarks

Charge Shs
Chairman Signature Date:
3 LIBRARY CLEARED/NOT CLEARED
Remarks

Charge Shs
Librarian Signature Date:
4 HOUSE KEEPER CLEARED/NOT CLEARED
Remarks

Charge Shs
House Keeper Signature Date:
5 DEAN OF STUDENTS CLEARED/NOT CLEARED
Remarks

Charge Shs
Dean of Students Signature Date:
6 SPORTS AND GAMES CLEARED/NOT CLEARED
Remarks

Charge Shs
Director of Sports & Games Signature Date:
7 THE REGISTRAR’S OFFICE CLEARED/NOT CLEARED
Remarks

Charge Shs
Registrar Signature Date:
8 STUDENTS FINANCE OFFICE CLEARED/NOT CLEARED
Remarks

Charge Shs
Students’ Finance Office Signature Date:
Copy to: (i) Student (ii) Students Academic Registry (iii) Department (iv) Faculty/school

JKUAT is ISO 9001:2008 AND 14001:2004 Certified


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