University Of Cape Town Dp Certificate Form (Page 4 of 4) in pdf

University Of Cape Town Dp Certificate Form Page 4

UNIVERSITY OF CAPE TOWN

OFFICE OF THE DEPUTY REGISTRAR

STUDENT RECORDS SECTION

DP CERTIFICATE FORM

NB: THIS FORM MUST BE COMPLETED FOR EACH EXAMINATION FOR WHICH THE

STUDENT IS REQUESTING A DEFERMENT FOR! (ONLY FOR THE EXAMINATION WHICH THE

STUDENT DID NOT WRITE OR WANT DEFERRED)

To be completed by:

Section A – by the Student

Name of student

……………………………………………………………………………………………………………

Student Number:

……………………………………………………………………………………………………………

Course for DE requested: (Please ensure that you have the correct course code)

……………………………………………………………………………………………………………

Section B – by the Departmental Administrator

The Deferred Examination Committee requires official confirmation of the status of the student’s DP

certificate.

If there is no DP set, do NOT complete this form. Please request the Non DP form to be sent via email

to the Department.

Has the above-mentioned student been awarded a DP certificate?

YES

Departmental Administrator’s signature: …………………………………………….

Please print name: ……………………………………………………………………

Date: …………………………………………………..

OFFICIAL DEPARTMENTAL STAMP:

University Of Cape Town Dp Certificate Form Page 4