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Clearance

The document is a Student Clearance Form from Maasai Mara University, which must be filled out by students and signed by various departments to confirm clearance. It includes sections for personal information, departmental clearance, and any outstanding charges. Students must submit the completed form along with their Student Identity Card and retain a certified copy for certificate collection.

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12 views2 pages

Clearance

The document is a Student Clearance Form from Maasai Mara University, which must be filled out by students and signed by various departments to confirm clearance. It includes sections for personal information, departmental clearance, and any outstanding charges. Students must submit the completed form along with their Student Identity Card and retain a certified copy for certificate collection.

Uploaded by

adhiamboconnie915
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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MMU/RAA/F17

MAASAI MARA UNIVERSITY


OFFICE OF THE REGISTRAR, ACADEMIC AFFAIRS
_________________________________________________________________________________
STUDENT CLEARANCE FORM
PART A: To be Completed by the Students
Name: Adm. No:
School: Department:

Hostel (Where applicable): Room No:

Home Address: Telephone. No.:

PART B: To completed, signed and stamped by CODs of respective Departments, Deans and Registrar (AA).
Item(s) still in the possession of the student should be indicated together with the cost
1 ACADEMIC DEPARTMENT CLEARED/ NOT CLEARED
Remarks/Item (s): Charge Kshs.
Chairman’s Signature: Date:

2 SCHOOL CLEARED/ NOT CLEARED


Remarks/Item (s): Charge Kshs.
Deans Signature: Date:

3 LIBRARY CLEARED/ NOT CLEARED


Remarks/Item (s): Charge Kshs.
Signature: Date:

4 UNIVERSITY HEALTH CLINIC CLEARED/ NOT CLEARED


Remarks/Item (s):
Signature: Date:

5 GAMES DEPARTMENT CLEARED/ NOT CLEARED


Remarks/Item (s): Charge Kshs.
Games Tutor’s Signature: Date:

6 CATERING DEPARTMENT CLEARED/ NOT CLEARED


Remarks/Item (s): Charge Kshs.
Catering Officer’s Sign: Date:

7 HOSTELS DEPARTMENT CLEARED/ NOT CLEARED


Remarks: Charge Kshs.
Housekeeper’s Signature: Date:
8 PHYSICS LABORATORY CLEARED/ NOT CLEARED
Remarks: Charge Kshs.
Technician In Charge Sign: Date:

9 CHEMISTRY LABORATORY CLEARED/ NOT CLEARED


Remarks: Charge Kshs.
Technician In Charge Sign: Date:

10 BIOLOGY LABORATORY CLEARED/ NOT CLEARED


Remarks: Charge Kshs.
Technician In Charge Sign: Date:

11 COMPUTER LABORATORY CLEARED/ NOT CLEARED


Remarks: Charge Kshs.
Technician In Charge Sign: Date:

12 NURSING LABORATORY CLEARED/ NOT CLEARED


Remarks: Charge Kshs.
Technician In Charge Sign: Date:

13 DEAN OF STUDENTS CLEARED/ NOT CLEARED


Remarks: Charge Kshs.
DEANS’ Signature: Date:

14 OMBUDSMAN OFFICE CLEARED/ NOT CLEARED


Remarks/Item (s): Charge Kshs.
HOD Signature: Date:

15 REGISTRAR, ACADEMIC AFFAIRS CLEARED/ NOT CLEARED


Remarks/Item (s): Charge Kshs.
Registrar’s Signature: Date:

16 FINANCE DEPARTMENT CLEARED/ NOT CLEARED


Total charges for all the departments:
Outstanding fees:
In Charge Student Finance Sign: Date:

Note to students
The duly completed form should be handed over to the Academic Registry together with the Student Identity
Card. The student is expected to retain a copy, certified by the In Charge, Academic Registry, to be
presented when collecting the Degree/Diploma certificates.

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