Appendix III

Student’s Academic Records for Scholarship Program.

This form, after completing, must be returned to the SSU (MDIST).

Student’s Name: Passport Number:

University: Bangor University

University of Sunderland

Teesside University

ID Number: Course Name:

Date:

Signature:

For MDIST Exam Unit use ONLY:

Name\Code of the Foundation Year 1 Year 2

(__________AY) (__________AY) (__________AY)
Module

1.
2.
3.
4.
5.
6.
7.
8.
9.
Responsible staff of the MDIST Exam unit: Date :
Signature:
Checked by MDIST SSU manager: Date :
Signature: