University of North Dakota
Registration Action Form
Office of the Registrar
updated 03/06/2013
Name: ___________________________________________________
Student ID: ___________ Birth Date: _________
(Please Print)
Last
First
MI
Term:
Fall _______ Spring _______ Summer ______
Student Signature: ______________________________________ Date: ____________ GRAD/UGRD (
Circle One)
To withdraw from a term at UND, submit the cancellation/withdrawal form at und.edu/academics/registrar/forms.cfm
Action #: __________ Class #: ___________ Subject: __________
Catalog #:_________ Units: ________
(See back)
Course Title: ____________________________________ Grade Option: ________
Signatures (where required) valid for three working days:
Advisor: ___________________________________________________ Date: _____________________
Instructor: __________________________________________________ Date: _____________________
Dean of Course: _____________________________________________ Date: _____________________
Dean of Student’s College: _____________________________________ Date: _____________________
Dept./Office Stamp/Authorization:_______________________________ Date: _____________________
Action #: __________ Class #: ___________ Subject: __________
Catalog #:_________ Units: ________
(See back)
Course Title: ____________________________________ Grade Option: ________
Signatures (where required) valid for three working days:
Advisor: ___________________________________________________ Date: _____________________
Instructor: __________________________________________________ Date: _____________________
Dean of Course: _____________________________________________ Date: _____________________
Dean of Student’s College: _____________________________________ Date: _____________________
Dept./Office Stamp/Authorization:_______________________________ Date: _____________________
University of North Dakota
Registration Action Form
Office of the Registrar
updated 03/06/2013
Name: ___________________________________________________
Student ID: ___________ Birth Date: _________
(Please Print)
Last
First
MI
Term:
Fall _______ Spring _______ Summer ______
Student Signature: ______________________________________ Date: ____________ GRAD/UGRD (
Circle One)
To withdraw from a term at UND, submit the cancellation/withdrawal form at und.edu/academics/registrar/forms.cfm
Action #: __________ Class #: ___________ Subject: __________
Catalog #:_________ Units: ________
(See back)
Course Title: ____________________________________ Grade Option: ________
Signatures (where required) valid for three working days:
Advisor: ___________________________________________________ Date: _____________________
Instructor: __________________________________________________ Date: _____________________
Dean of Course: _____________________________________________ Date: _____________________
Dean of Student’s College: _____________________________________ Date: _____________________
Dept./Office Stamp/Authorization:_______________________________ Date: _____________________
Action #: __________ Class #: ___________ Subject: __________
Catalog #:_________ Units: ________
(See back)
Course Title: ____________________________________ Grade Option: ________
Signatures (where required) valid for three working days:
Advisor: ___________________________________________________ Date: _____________________
Instructor: __________________________________________________ Date: _____________________
Dean of Course: _____________________________________________ Date: _____________________
Dean of Student’s College: _____________________________________ Date: _____________________
Dept./Office Stamp/Authorization:_______________________________ Date: _____________________