OFFICE OF THE REGISTRAR

COSTAATT, 9-11 MELVILLE LANE, PORT OF SPAIN, TRINIDAD AND TOBAGO ENQUIRIES: Phone (868) 625-5030 ext 5902 e-mail: registrar@costaatt.edu.tt

CONFERMENT OF DEGREE AND GRADUATION APPLICATION FORM
Instructions:

APPLICATION DEADLINE: SEPTEMBER 12, 2012
1. The candidate is required to evaluate his/her record with an advisor to ensure that all academic and college requirements
have been met. 2. After the evaluation the advisor must print and attach the Academic Advisement Guide to this form. The advisor then signs in the space provided at the back 3. The candidate then submits the form, signed by the advisor, to the Head of Department for final approval.

Application Number

4. It is the candidate’s responsibility to submit the completed form, with all the necessary signatures, to the Office of the

Registrar prior to the deadline. NB: Each candidate is required to complete and return this form even if he/she does not intend to participate in the graduation ceremony.

Date Submitted

D D M M Y Y

Y Y

STUDENT INFORMATION - PLEASE PRINT
Student ID Number Last name First name

0 0 0
(Area Code) Home Telephone (Area Code) ce and / or Cellular Telephone E-mail

Mailing Address

Current Programme

Start of programme - State Semester & Academic Year

End of programme - State Semester & Academic Year

Attendance at the Gala Dinner & Awards Ceremony November 15, 2012
Your ticket is free. You are allowed one guest at a cost of $350.00

Participation in the Graduation Ceremony November 17, 2012

19 November 2011

(payment of a graduation fee is no longer required) You are allowed 2 guest tickets

NO. I will not be attending the Gala dinner YES. I will be attending the Gala dinner
With a guest? Y N

NO. I do not intend to participate in the Ceremony YES. I intend to participate in the Ceremony

Signature of Student

Date D D M M Y Y Y Y SAOR-21-160511

.............5 to 3.OFFICIAL USE ONLY 1..9 to 4.DEPARTMENT academic requirements of the programme.2 to 3.. Degree GPA ………………………………………….89 3.0 3..19 Date D D M M Y Y Y Y FINANCIAL HOLDS? Good 2... ________________________ Guest 2..... Y N Details ………………………………………………………......... ACADEMIC CLEARANCE . ACADEMIC HOLDS? Y N Details ….. CEREMONY / GALA INVITATIONS Graduation Invitation numbers: Graduand _______________________ Departmental Stamp goes here Guest 1..………………………………………………… .... . ........... ACADEMIC CLEARANCE . ________________________ Gala Invitation numbers Graduand _______________________ Guest ________________________ Signature Head of Department Date Receipt #.. COLLEGE CLEARANCE Signature of Advisor Associate With Highest Honours With High Honours Honours Good GPA 3.49 3...... _______________________ D D M M Y Y Y Y RECEIPT OF DEGREE/CERTIFICATE Print Name ___________________________ Signature ____________________________ Date D D M M Y Y Y Y Date _______________________________ ...... GRADUATION HONOURS Bachelor’s Summa Cum Laude Magna Cum Laude Cum Laude 3...ADVISOR Name of Advisor in block letters Semester of Completion …………………………………….........