Get Dsar06 Form

DSAR06 Application form for nal-year students requesting registration for 12 modules Student number Quali cation Indicate the number of modules that you have already passed Indicate the average percentage of all previous modules registered average must be 55 for an extra 2 modules to be considered Additional 2 modules for which you wish to register Module code Semester period Language E or A I declare that all the particulars furnished by me on this form are true and correct. I undertake to comply with all the rules regulations and decisions of the university and any amendments thereto and I have taken note of advice that may be applicable to students in general. I as a student registered with Unisa or an applicant intending to study with Unisa hereby consent that Unisa may collect use distribute process and communicate my personal information for all required academic processes pertaining to my application/registration to study with Unisa which may include but is not limited to internal administrative processing institutional and scholarly research funding submissions processing by the Matriculation Board and Admissions Committees Higher Education South Africa the Department of Higher Education and Training the Council on Higher Education the South African Quali cations Authority other public higher education institutions and Date Y M M D D Signature This form can be faxed to 012 429 4150 or posted to the university at PO Box 392 Unisa 0003 Please note Unisa does not accept any forms submitted via e-mail. FOR OFFICE USE ONLY 1 The student academic record is attached Y/N Yes No 2 The application complies with the conditions prescribed by the Senate decision Y/N Approved Name of Unisa student advisor Unisa Deputy Registrar or delegated authority Not approved. DSAR06 Application form for nal-year students requesting registration for 12 modules Student number Quali cation Indicate the number of modules that you have already passed Indicate the average percentage of all previous modules registered average must be 55 for an extra 2 modules to be considered Additional 2 modules for which you wish to register Module code Semester period Language E or A I declare that all the particulars furnished by me on this form are true and correct. I undertake to comply with all the rules regulations and decisions of the university and any amendments thereto and I have taken note of advice that may be applicable to students in general* I as a student registered with Unisa or an applicant intending to study with Unisa hereby consent that Unisa may collect use distribute process and communicate my personal information for all required academic processes pertaining to my application/registration to study with Unisa which may include but is not limited to internal administrative processing institutional and scholarly research funding submissions processing by the Matriculation Board and Admissions Committees Higher Education South Africa the Department of Higher Education and Training the Council on Higher Education the South African Quali cations Authority other public higher education institutions and Date Y M M D D Signature This form can be faxed to 012 429 4150 or posted to the university at PO Box 392 Unisa 0003 Please note Unisa does not accept any forms submitted via e-mail* FOR OFFICE USE ONLY 1 The student academic record is attached Y/N Yes No 2 The application complies with the conditions prescribed by the Senate decision Y/N Approved Name of Unisa student advisor Unisa Deputy Registrar or delegated authority Not approved..