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Graduation Clearance Form 16 A

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9 views3 pages

Graduation Clearance Form 16 A

Uploaded by

magattaalex1
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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KIMC FORM 06 A

GRADUATION CLEARANCE FORM

(Ref: Section 12.0 of the academic Policy)

Name:
…………………………………………………………………………………………………
………. Adm. No. ……………….
Dept:
…………………………………………………………………………………………………
…………………………………………….
Course (PGD/DIP/Cert):
………………………………………………………………….......................................
..............
Mode: Regular Evening

Student’s Signature: …………………………………… Tel. No.


…………………... Date: …………………

PART I: ACADEMICS (To be cleared by the Relevant HOTD)

Head of Training Department: Cleared Not Cleared

Remarks:
…………………………………………………………………………………………………
……………………………………..

Signature: ………………………………………………………... Date & Stamp:


………………………………………..

Graduation Clearance Form


KIMC FORM 06 A

PART I: DEANERY (To be cleared by the Dean of Students)

Head of Training Department: Cleared Not Cleared

Remarks:
…………………………………………………………………………………………………
……………………………………

Signature: ………………………………………………………... Date & Stamp:


………………………………………..

PART II: ACCOUNTS (To be cleared by the Finance Manager)

Outstanding Fees Clearance: Cleared Not


Cleared

Graduation Fee Clearance: Cleared Not


Cleared

Clearance for Other liabilities: Cleared Not Cleared

Remarks (Indicate Balance):


…………………………………………………………………………………………………
……..

Signature: ………………………………………………………. Date &


Stamp………………………………………….

PART III: REGISTRAR, ACADEMIC AFFAIRS (Cleared for Graduation


Booklet)

Cleared for Graduation: Not Cleared for Graduation

Graduation Clearance Form


KIMC FORM 06 A

Signature: ……………………………………………………………. Date &


Stamp: ……………………………

Registrar (Academic Affairs)

Graduation Clearance Form

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