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  • Fiche Fac SJP Ek. Anglaise Version

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    Gaelle Mbang
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    This document is a registration form for the Catholic University of Central Africa. It collects identification information about the student such as name, date of birth, nationality, religion, and contact details. It also requests information about the student's admission such as faculty, level, cycle, and option. The form tracks the student's fees, any applicable scholarships, and validation of payments made to the university bursary. Students must return the completed form to the registrar's secretariat after validation.

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    FICHE FAC SJP EK. ANGLAISE VERSION

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    This document is a registration form for the Catholic University of Central Africa. It collects identification information about the student such as name, date of birth, nationality, religion, and contact details. It also requests information about the student's admission such as faculty, level, cycle, and option. The form tracks the student's fees, any applicable scholarships, and validation of payments made to the university bursary. Students must return the completed form to the registrar's secretariat after validation.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    2 views2 pages

    Fiche Fac SJP Ek. Anglaise Version

    Uploaded by

    Gaelle Mbang
    This document is a registration form for the Catholic University of Central Africa. It collects identification information about the student such as name, date of birth, nationality, religion, and contact details. It also requests information about the student's admission such as faculty, level, cycle, and option. The form tracks the student's fees, any applicable scholarships, and validation of payments made to the university bursary. Students must return the completed form to the registrar's secretariat after validation.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 2

    CATHOLIC UNIVERSITY OF CENTRAL AFRICA

    Catholic Institute of Yaoundé


    BP 11628 Yaoundé, Cameroon-Tel: 22 23 74 00/01, 22 30 54 98/99-Fax: 222 23 74 02, 222 30 50 01
    Courriel: sau@ucua-icy.net, rectorat@ucac-icy.net/site web: www.ucuac-icy.net

    REGISTRATION FORM Student Matricule Number


    20……../20…

    I. IDENTIFICATION OF STUDENT
    Status: Priest Religious Seminarian Lay Mrs Miss Mr
    Name: ____________________________________ Surname: _____________________________________
    Date of birth: _____________/________/_________ Nationality: __________________________________
    Religion: _________________________________Email: _________________________________________
    Diocese or Congregation (For priests and religious):
    _____________________________________________
    Employer: (For workers)
    ___________________________________________________________________
    External: mini-city/street_______________________________ Internal: Room No
    ____________________
    Tel.:________________Student__________________________Parent/Sponsor_______________________
    II. ADMISSION
    Faculty: ________ Level: ____________ Cycle: __________________Option:
    ________________________
    Regular Adjourned Regular with re-sits Adjourned with re-sits
    Repeater
    Repeater with re-sits
    Fee: _______________ Scholarship: Yes No Nature:
    __________________________________
    Last ______________________ class ______________________ attended:
    ___________________________
    _______________________
    Signature of Dean/Director
    III. INDEMNIFICATION
    SCHOLARSHIP Yes No Nature ___________________________________________________
    Date of medical check-up: ______/_____________/20________________________Code _______________
    IV. VALIDATION OF PAYMENTS (Administration Only)
    DESCRIPTION AMOUNT DATE VISA PENALTIES
    Registration (non-refundable) _______________CFA --/--/20-- Registration
    Students’ Associations 5000 --/--/20--
    Medical check-up 4000/3.500 --/--/20-- ____________
    Health Insurance 29.850 --/--/20--
    1st payment ________________ --/--/20-- 1st installment
    2nd payment _________________ --/--/20-- ___________
    3rd payment ________________ --/--/20--
    4th payment ________________ --/--/20-- 2nd installment

    NB: This form must be returned to the Registrar’s secretariat immediately after validation at the bursary.
    Any student who wishes to be reimbursed can only receive partial reimbursement after the Dean’s/Director’s signature.

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