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DEGEHBUR TVETS COLLEGE

GRADUATION APPLICATION FORM

TO BE FILLED IN TRIPLICATE: - Copy to Dean and other to be retained by the applicant; Original to the
Registrar (Academic and Student Affairs). ATTACH COPY OF National/Student ID CARD
SECTION A

1. NAME (in full)

First Name Middle Name Last Name
2. REG NO. MOBILE NO. (S) EMAIL

ID.NO.

3. PROGRAMME LEVEL/

4. NAMES TO BE PRINTED ON THE CERTIFICATE (As they appear on the NATIONAL ID)

(a) FIRST NAME

(b) MIDDLE NAME (S)

(c) LAST NAME

5. SEMESTER/LEVEL IN WHICH THE PROGRAMME WAS COMPLETED/WILL BE COMPLETED

(Semester/Level) (Academic Year)

SECTION B (For official use only)

1. Dean School of

Verified, confirmed and provisionally recommended

Dean’s Signature School / Stamp

2. REGISTRAR

ACTION: _______________________________

Signature Date
CERTIFIED 2021/2013