Clearance Form
Clearance Form
CLEARANCE FORM
Address: ___________________________________________________________________________________________
REASON: _________________________________________________________________________________________
I undertake that the information given here is correct and I understand that any wrong/fake/incomplete statement or
information might lead to the cancellation of my result (transcript).
_____________ ____________________
Date Student’s Signature
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It is to certify that according to our record, nothing is outstanding against the above-named student.
Seminar (Dept.) Library: Authorized Person Name: ____________________ Sign & Stamp:
_______________
Head of Labs (If applicable): Authorized Person Name: ____________________ Sign & Stamp:
_______________
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CLEARANCE FROM MAIN ADMINISTRATION (Bait al-Hikmah Building)
Main Library: Authorized Person Name: ____________________ Sign & Stamp:
_______________
Hostel (Boys or Girls): Authorized Person Name: ____________________ Sign & Stamp:
_______________
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