Student Clearance Form

Students’ Category:  G Part-time Date:  Mar 31, 2021 Time:  11:39:54 AM

 Student  Aldharrab, Qosai Khalid  Student  Saudi  Expected Graduation

 201605960  Nationality:  Status:
Name: Abdulaziz ID: Arabia (Inactive)

S.No Department Status Stamp/Date

1  KFUPM LIBRARY  Cleared  

2  BOOK STORE  Cleared  

3  SECURITY DEPARTMENT  N/A  

4  STUDENT HOUSING  N/A  

 Total Fees:  10800

 Paid Fees:  10800

 GRADUATE STUDIES
5  Pending Fees:  0  
 (Building #68, Room #262)
 Other:  Not Cleared

S.NO Department Remarks Stamp/Date

6  ACADEMIC DEPARTMENT  Please visit your Academic department for clearance.  

 LOAN  
7  STUDENT FUND  FINE    

 OTHER  Not Cleared

 COMMUNITY HOURS  
 HOUSING  
8  STUDENT AFFAIRS  
 ACADEMIC  
 OTHER  Not Cleared
 REGISTRAR OFFICE
9  Please visit Registrar Office for clearance.  
 (Building #68, Room #249)

Important Note:
1. If you are a Full-time student, please complete and return this form to Student filing (Building 68, ground floor)
2. If you are a Part-time student, please complete and return this form to Graduate Studies (Building 68, Second floor)

The Student has completed Clearance from the above departments with the following status:

1. Graduated        2. Dismissed        3. Withdrawn