KISII UNIVERSITY

OFFICE OF THE ACADEMIC REGISTRAR

STUDENTS’ EXIT CLEARANCE FORM (KSU/RAA/CLR/001)
(This is a clearance form for students who are exiting the University though either; graduation, transfer, termination or expulsion. The form is also
used for processing refund of caution money)

NAME : ABONDO ONYANGO

REG NO : ED11/00308/18 SIGNATURE :................
TOM
SCHOOL : SCHOOL OF EDUCATION AND HUMAN DEPARTMENT : SNE, ECDE &
CAMPUS : MAIN CAMPUS
RESOURCE DEVELOPMENT EDUCATIONAL PSYCHOLOGY
PROGRAMME : BACHELOR OF
SPECIALIZATION : LEVEL OF STUDY :
EDUCATION (ARTS)
Date of Entry : BACHELOR OF
Date of Exit : No.of semesters Covered :
EDUCATION (ARTS)
Reason for exit: finished studying

The purpose of this section is for the departments (where applicable) to;
a) Verify that the student has returned all the university items relevant to that department,
b) Close the student’s records and stop further services to the student, and/or
c) Confirm that the student does not have any pending disciplinary case
No Department Clearing Officer Designation Signature

1 Halls(Hostels) Ms. Teclar Omboga Wed Dec 2022

2 Catering Mr. Meshack Ogari Mekenye Thu Dec 2022

3 Medical Faith Muia Fri Dec 2022

4 Career Services Ms. Rhoda Topister Auni Tue Nov 2022

5 Library Mr. Leonard Orina Wed Feb 2023

6 Security Mr. Kandi Kaliman Sun Nov 2022

7 Games & Sports Mr. David Gikenyi Obungu Thu Dec 2022

8 Counselling Ms.Pauline Gesare Okemwa Wed Dec 2022

9 Dean of Students Enock Bosire Mokua Wed Nov 2022

10 Chair of Department DR. GEORGE AREBA Tue Jan 2023

11 Dean of the School Dr. George Areba Wed Jan 2023

12 E-Learning Ms. Faith Kathambi Dickson Wed Nov 2022

13 Computer Lab Joshua Mwaura Waithira Wed Nov 2022

14 Student Finance Paul Gaitho Thu Feb 2023

15 Academic Affairs Ms. Esther Ngatia Thu Dec 2022

Student Finance
The student has cleared all the outstanding fees and is hereby authorized to collect caution of KES.2,000.00 (in
words) two thousand
Name: Paul Gaitho Signature : Date & Stamp : Thu 02 Feb 2023
Cash Office
The student has returned student ID and collected caution money of KES.2,000.00
Paid by(Name): ............ Signature : ............ Date & Stamp : ............
Received By(Student): ABONDO ONYANGO TOM Signature :............... Date & Stamp : .............
Academic Affairs
For filing (in the student file) and closing the student account on ERP
Effected By:............ Signature : ............ Date & Stamp : ............
NB.
1.This is a system generated report