Administrative Registration/ De-registration Form
Name
*
First Name
Last Name
Student ID Number
*
Programme/Major
*
Email
*
jane.doe@my.uwi.edu
Contact Number
Please enter a valid phone number.
I hereby apply for administrative
*
Registration
De-registration
Insert the courses to be registered/de-registered
*
Course Code
Course Title
1
2
3
4
5
Reason for Request
*
Please upload any supporting documents (Optional)
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Signature
*
Date
*
-
Month
-
Day
Year
Date
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