Office of the Registrar

Graduation Declaration
SA/REG 130
You must submit this form along with a copy of your CNI (Passport for international students) and your page on “
Livret de famille” in order to graduate at the end of the indicated term.

Student ID 74884

Student Last S a d d i q u i
Name As shown in your “Livret de famille” for Moroccan students or “Passport” for International students. Respect any space in your Last Name.
in Latin
Student Last Name ‫الصديقي‬
in Arabic As shown in your “Livret de famille” for Moroccan students or “Passport” for International students, if any. Respect any space in your Last Name.

Student First H a j a r
Name As shown in your “Livret de famille” for Moroccan students or “Passport” for International students. Respect any space in your First Name.
in Latin
Student First Name ‫هجر‬
in Arabic As shown in your “Livret de famille” for Moroccan students or “Passport” for International students, if any. Respect any space in your First Name.

CNI Y 4 1 3 1 8 9 Phone 0 6 3 6 2 6 6 8 1 6
Number: 9 for International students
Passport number Number: 6

Please check the appropriate box :

Division: Undergraduate Graduate School: SBA SHSS SSE

Please indicate your degree, field and Catalog:

DEGREE : MSHRD

CONCENTRATION / THEMATIC ELECTIVE AREA : N /A

MINOR : N /A
CATALOG : 2020 - 2021

I do, hereby, certify that I intend to complete all degree requirements by the end of the term indicated below:

TERM OF GRADUATION:  FALL  SPRING  SUMMER Year:_2022_____

Student Signature: ___________________________________________________________ Date: _______________

Advisor Approval: Jeong-Ha Yim

Name: __________________________ Signature: _______________ Date: 10/17/2022
_______________

Coordinator Approval: Name: __________________________ Signature: _______________ Date: _______________

Registrar’s Office
Received by the Registrar’s Office on:________________________________ Processed by:________________________.

Documents submission: CIN  “Livret de famille” 