Transfer Form
Transfer Form
ST. AUGUSTINE
COMPLETE 4 COPIES
Full Time
Part Time
Evening
I wish to transfer
FROM Faculty of _____________________________________
Distance
TO Faculty of ________________________________
TO _________________________________ Campus
SECTION 2
Mrs.
Ms.
SECTION 3
Date of Birth:
Place of Birth:
Religion:
Marital Status:
Single
Married
Nationality:
SECTION 4
Sex:
Divorced
Widowed
Fathers Nationality:
Please TICK the appropriate box to indicate the programme of study you wish to pursue:
AGRICULTURE
SCIENCE
ENGINEERING
MEDICAL SCIENCES
Agribusiness Management
Chemistry
Chemical
MBBS
Human Ecology
Computer Science
DDS
General
General
DVM
Mathematics
Industrial
Pharmacy*
Physics
Mechanical
Resource Management
Nutrition and Dietetics
Biology
LAW
Geography
Information Technology
Petroleum Geoscience
_______________________________________
_________________________________________
* Applicants must submit a letter of acceptance from the Pharmacy Board in their country of residence.
SECTION 5
Period or periods during which you have been a student at the University of the West Indies.
FROM_____________________________________
TO _____________________________________
FROM_____________________________________
TO _____________________________________
SECTION 6
YES
NO
SECTION 7
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
Signature of Applicant____________________________________________________
____________________________________________________
Date
NB. Applicants for Transfer to
Law must complete forms by JANUARY 31
Medical Sciences must complete forms by JANUARY 31
Other Faculties must complete forms by MARCH 31
RECORD
SECTION A
1.
DATE
2.
EXAMINING BODY
SUBJECT
LEVEL
RESULT
GRADE
OTHER QUALIFICATIONS
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
3.
EMPLOYMENT RECORD
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
O LEVEL ENTRY
A LEVEL ENTRY
OTHER QUALIFICATION
SECTION B
Date of Admission to U.W.I _______________________________ Faculty of _________________________________________
UWI RECORD:
Certified _________________________________________________
Assistant Registrar (Admissions)
Date:______________________________________
_________________________________________
Signature of Dean
_________________________________________
Date
_________________________________________
Signature of Dean
_________________________________________
Date