MIDLANDS STATE UNIVERSITY

ADMISSIONS, REGISTRATION AND STUDENT STATISTICS

Resumption of Studies Form
(To be completed in Hexatruple i.e. 6)

Surname …………………………………. First Name(s) ………………………………

Registration No ………………………………Level …...…………Sex…………………

Faculty………………………………………..Department……………………………….

Degree Programme ………………………………………………………….……………

Mode of Entry (Tick Appropriate) Conventional, Parallel, Visiting School or Block

Release.

I hereby request to resume my studies as from…………………………………having

Deferred for the period…………………………….to …….………………… (period).

Applicant’s Signature:…………………………………….…….Date:…..…………..…

Recommended/ Not Recommended

Faculty Administrator’s Comment: Study period lapses……..……………………......

Signature ………………………………………………………… Date: …………….......

Recommended/ Not Recommended

Departmental Chairperson: ………………………………Date: …………………...

Approved/ Not Approved

Executive Dean of Faculty: ……………………………..…..Date: ………………….

Deputy Registrar Academic

Approved/Not Approved ……………………………………Date………………………

Student Accounts
Signature: ………………………………….……….

Admissions and Registration

Date Stamp
Signature: ………………………………………………….

Distribution: i) Registration Office. ii) Department. iii) Student Accounts.

iv) Central Records. v) Information Technology Services. vi) Student.