APPLICATION FOR

DEFERMENT OF STUDY
SEMESTER: _________________________

SESSION: __________________

INSTRUCTIONS
To Candidate Applicant
Please complete Section A and submit this form to the Academic Office.
SECTION A (APPLICANTS GENERAL INFORMATION)
Name:
Matric No:

Programme:

Centre:

Permanent Address:

Current CGPA:

Phone:
Mode of Study:
FullParttime
time

Programme Structure:
Coursework
Coursework & Thesis/
Dissertation
Research

Semester for Deferment:

Reason(s) for deferment (please use additional sheets if necessary):
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Applicants Signature : ____________________________
________________________

Date

SECTION B (APPROVAL BY ADMISSION COMMITTEE)

Approved
Rejecte
d
Update
Status
Date Received

: _________________________

Date Recorded:

_____________
Signature & Stamp
Name

: _________________________

: _________________________