UoC-ARE-FRM010 Rev 00

RE-SIT/ REPEAT REGISTRATION FORM

(To be completed by students)
INSTRUCTION TO STUDENT:
NAME : 1. Complete the details in the student section;
2. Get a signature from the Course Coordinator;
MATRIC NO. : 3. Make payment for the Re-sit/Repeat at the Finance Counter, Level UG.
4. Payment details, please refer to the Student Financial Handbook.
NRIC/PASSPORT NO. :
5. Re-sit/ Repeat Registration Form must be made 3 copies and
submitted to:-
FACULTY/ CENTRE :
a. Faculty/ Centre
(please ensure that the officer on duty has signed a copy of your form as proof
INTAKE/ SEMESTER : of received).
b. Examination Counter, Level 2
SESSION : (please ensure that the officer on duty has signed a copy of your form as proof
of received).
REGISTRATION FOR : RE-SIT REPEAT

NO COURSE CODE COURSE TITLE CREDIT UNIT PREVIOUS GRADE CHARGES

STUDENT SIGNATURE APPLICATION DATE

FOR OFFICE USE

FINANCE DEPARTMENT

TOTAL AMOUNT :
OFFICER NAME :
BALANCE PAYMENT :
SIGNATURE :
MODE OF PAYMENT : OFFICIAL STAMP :
RECEIPT NO. :
DATE :

EXAMINATION DEPARTMENT FACULTY/ CENTER

OFFICER NAME : OFFICER NAME :

SIGNATURE : SIGNATURE :

OFFICIAL STAMP : OFFICIAL STAMP :

DATE : DATE :