Faculty

PLEASE PRESS FUMY

YOU ARE MAKING
6'
THE UNIVERSITY OF THE WEST INDIES school
FOUR COPIES (7"-'
4 *. ST. AtJC3USTINE ** Academic Year
POSTGRADUATE REGISTRATION FORM
Kindly complete by ticking/writing in the appropriate space
STUDENT ID NUMBER
missE MR El MRSE El REV n ORE

A SURNAME OTHER NAMES

(IN BLOCK CAPITALS)

FORMER SURNAME (if applicable)

TERM ADDRESS TEL. NO-

HOME ADDRESS TEL NO.

NAME AND ADDRESS OF NEXT OF KIN

TEL. NO.
NATIONALITY E-Mail:
ENROLMENT STATUS: 1111 FULL-TIME q PART-TIME q QUALIFYING Are you employed at present? U Yes q No If 'YES' please give name and address of Employer.

Are you a Re-entry Student? El Yes TEL. NO-

q No
Are you an on-Campus Student q Distance Student? q FAX NO-
Previous Campus, Faculty and Year
Have you been granted leave by your Employer? q Yes q No
(Please submit proof of approved lea ve as persons in full-time employment CANNOT be full-time Students)

C AWARD NAME VALUE UWI Permanent Staff (aced) UWI Staff Dependant (acad) D
Loan
UWI Permanent Staff (non-acad) UWI Staff Dependant (non-acad)
Award

SPONSORSHIP: [1] Self El Donor q Government LiSpecial Tuition Name of Staff

*GOVERNMENT AND/OR AGENCY RESPONSIBLE FOR ECONOMIC COST
Department
•A Student not holding a passport issued by Barbados, Jamaica or Trinidad and Tobago is required to show evidence that the economic cost is being met by his/her Government
PROGRAMME q Postgraduate q MA q MEd MSc q MPhil q DM q MD q PhD
Diploma

DEPARTMENT IN WHICH STUDIES ARE BEING PURSUED

TITLE OF PROGRAMME

LIST COURSES WHICH YOU HAVE BEEN PERMITTED TO READ ••

CODE TITLE OF COURSE SEMESTER CODE TITLE OF COURSE SEMESTER

Registration for the above courses is also considered registration for the relevant Universfy examinations. You will NOT be permitted to write examinations in other courses unless a duly authorised
'Change in Registration' form is received by the Registrar by the due date. •• One, Two, Summer or Year Long (Sept.-May)

F SIGNATURES OF REGISTERING STUDENT AND FACULTY ACADEMIC PROGRAMME APPROVED

I hereby certify that all Statements I have made on this form are true and correct.

Student's Signature Date Signature of Supervisor/Head of Department Date

PAYMENT OF FEES FOR BURSARY AND REGISTRY USE ONLY ALL FEES ARE PAYABLE IN ADVANCE
FOR COMPLETION BY BURSARY OFFICIALS

Amount $ Bank Deposit Receipt# Date Name of Award/Loan

Amount $ Bank Deposit Receipt# Date Name of Award/Loan

Signature of Bursar or Nominee Date

FOR COMPLETION BY REGISTRY OFFICIALS

REGISTRATION COMPLETED 8 APPROVED Signature of Campus Registrar or Nominee Date