Cancellation of Registration

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Please note:

Your cancellation of registration will not be recorded by the Faculty Office and you will continue to be liable for
fees until this form has been completed in full and handed in with your student card. The form must be
returned to your Faculty Office when it is fully completed.

Please print in CAPITAL letters, using a ballpoint pen.

Surname NONE Person number 2372545


First Name/s MASAKA NEO
Programme
PgDip specialised Accountancy Year of study 1
Date of cancellation of Registration Year 2024 Month 05 Day 16

Please indicate the reason for cancellation by marking X in the appropriate box:

Wrong choice of course of study CHCE


Ill health HLTH
Financial difficulties FNCE
Taking up overseas scholarship OVSC
Death of student (Deceased) DCSD
Leave of absence for one year LOFA
Registration in abeyance for one year (higher degrees only) ABEY
Emigrating EMIG
Family circumstances FAMP
Accepted place at other University ACCP
Other reasons – please specify OTHR

PLEASE TEAR OFF AND RETURN THIS SLIP TO FINANCIAL AID AND SCHOLARSHIPS OFFICE
Faculty Person number

Surname

First name/s

Programme Year of study

Date of cancellation of Registration Year Month Day

For Faculty ____________________________________

PROOF OF RECEIPT OF CANCELLATION FORM


FACULTY STAMP
Student Name Person Number
Signature
Faculty Officer Name Signature
Departmental Signature (required for each course/courses for which you are registered)

Course code Description Term Departmental Signature

Cancellation of Library Registration


Library books and Library cards have been handed in: _______________________________
(where applicable)
Library signature, date and stamp
Cancellation of student card
Student card handed in and destroyed: _______________________________
Faculty Office signature

Signature of student: _____________________________ Date: ____________________


__________________________________________________________________________________
For Office use only

PROCESSED BY:

FULL NAME: ______________________________________

DESIGNATION: ____________________________________

SIGNATURE: ______________________________________ DATE: ______________________

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