CREDIT TRANSFER APPLICATION FORM

1. STUDENT INFORMATION

STUDENT NAME STUDENT REG NO

DATE OF BIRTH EMAIL ADDRESS

PLACE OF BIRTH TELEPHONE

PROGRAMME

2. CREDIT TRANSFER INFORMATION

Which courses are you applying for credit?

Course Code Course Title

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 At what Education Institution did you complete these courses?

Name of Institution Board of Examination Year Completed

What are the course codes and titles of the courses you completed?

Course code Course title

NB
APPLICANT MUST ATTACH A TRANSCRIPT SHOWING COURSES SUCCESSFULLY
COMPLETED.

3. CREDIT TRANSFER FEE $-________________________

4. DECLARATION

I am applying for credit transfer for the listed courses of the examination and declare that the
information supplied with the application is correct to the best of my knowledge.

5. Signature____________________ Date__________________________
APPLICANT

6. Recommended/Recommended

______________________________ Date__________________________
DEPARTMENTAL CHAIRPERSON

7. Approved/Not Approved

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______________________________ Date___________________________

DEAN FACULTY OF ………………………………..

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