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The Co-Operative University of Kenya: Student'S Clearance Form

This document is a student clearance form from the Co-operative University of Kenya. It contains instructions for students to complete upon completion or termination of their studies or change of campus. The form collects a student's details like name, registration number, program of study, and contact information. It then lists 12 departments or sections that the student must clear with before final clearance, including the chairperson, library, catering, finance office, and examinations office. Each section has a remarks section for comments and requires a signature and date stamp.

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Jeremy Kahingo
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162 views

The Co-Operative University of Kenya: Student'S Clearance Form

This document is a student clearance form from the Co-operative University of Kenya. It contains instructions for students to complete upon completion or termination of their studies or change of campus. The form collects a student's details like name, registration number, program of study, and contact information. It then lists 12 departments or sections that the student must clear with before final clearance, including the chairperson, library, catering, finance office, and examinations office. Each section has a remarks section for comments and requires a signature and date stamp.

Uploaded by

Jeremy Kahingo
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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CUK/AA/FORM/01

THE CO-OPERATIVE UNIVERSITY OF KENYA


OFFICE OF THE REGISTRAR (ACADEMIC AFFAIRS)

STUDENT’S CLEARANCE FORM


A. INSTRUCTIONS DATE: ___________________
1. To be completed on completion/termination of studies and change of Campus;
2. Fill the form in triplicate; Student to retain a copy, submit a copy to Examinations Section and one
copy to Admissions Registry;
3. Surrender your student’s Identity card as you clear with Examinations Section.
B. STUDENT’S DETAILS

NAME: _______________________________________________________________ YEAR OF STUDY: ______

REG.NO: _____________________________________________ ID NO: __________________________________

PROGRAMME OF STUDY: ______________________________________________________________________

SCHOOL/DIRECTORATE/CAMPUS: ______________________________________________________________

TEL NO: ______________________________________ EMAIL ADDRESS: _____________________________

C. Clear with the Following Departments/Sections:


1) CHAIRPERSON OF DEPARTMENT

Remarks:

(Name of officer): (Signature) (Date/Stamp)

2) SCHOOL/DIRECTORATE/CAMPUS

Remarks:

(Name of officer): (Signature) (Date/Stamp)

3) LIBRARY

Remarks:

(Name of officer): (Signature) (Date/Stamp)

4) CATERING SECTION

Remarks:

(Name of officer): (Signature) (Date/Stamp)

CUK is ISO 9001: 2015 Certified


Prepared by: Registrar, AA Issue Date: October 2014 Revision: 01 Revision Date: March 2020
CUK/AA/FORM/01
5) HOUSEKEEPING SECTION

Remarks: (Signature) (Date/Stamp)

(Name of officer):

6) UNIVERSITY DISPENSARY

Remarks: (Signature) (Date/Stamp)

(Name of officer):

7) SPORTS AND GAMES

Remarks:

(Name of officer): (Signature) (Date/Stamp)

8) STUDENTS GOVERNING COUNCIL

Remarks:

(Name of officer): (Signature) (Date/Stamp)

9) DEAN OF STUDENTS

Remarks:

(Name of officer): (Signature) (Date/Stamp)

10) REGISTRAR (AA) OFFICE


Remarks:

(Name of officer): (Signature) (Date/Stamp)

11) STUDENTS FINANCE OFFICE

Remarks:

(Name of officer): (Signature) (Date/Stamp)

12) EXAMINATION OFFICE

Remarks:

(Name of officer): (Signature) (Date/Stamp)

CUK is ISO 9001: 2015 Certified


Prepared by: Registrar, AA Issue Date: October 2014 Revision: 01 Revision Date: March 2020

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