SPGS Form 015

NNAMDI AZIKIWE UNIVERSITY, AWKA

SCHOOL OF POSTGRADUATE STUDIES
APPLICATION FOR CHANGE OF MODE OF STUDY
(To be completed by student who wishes to change his/her mode of study)

Department Session:
: Reg. No.
Faculty:
(A) STUDENT’S DETAILS:
1. Name:
(Surname) (Other Names)

2. Phone Number: Email:

3. Permanent Address:
4. Degree or Diploma in View:
5. Mode of Study: Full Time: Part Time:
6. Expected Year of Graduation

10. Present Semester: Session

(B) CHANGE OF MODE OF STUDY:

7. Mode of Study on Admission:
8. New Mode of Study:
9. Reason(s) for Change of Mode of Study:

RECOMMENDATIONS YES NO Remarks Sign Date

Supervisor:
Head of Department

CLEARANCE
Finance Officer, SPGS

APPROVAL
Dean, SPGS

FOR OFFICE USE ONLY: SECRETARY SPGS