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FORM 2

FACULTY OF PHARMACEUTICAL

FACULTY TRANSFER FORM

Name of Student:___________________________________________________
Sex:___________________________________Age:_______________________
Transferring from:___________________________________________________
_________________________________________________________________
Transferring to:_____________________________________________________
_________________________________________________________________
Faculty/department:(Former) ___________________________________________
_________________________________________________________________
Choice of Course:___________________________________________________
Faculty department:_________________________________________________
_________________________________________________________________
Present Level:______________________________________________________
Admission Level:____________________________________________________
Course Studied to Date:______________________________________________
_________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
__________________________________________________________________

Study plan (Regular/Partime):___________________________________________


Any Previous Degree:_________________________________________________
‘O’ Level Courses Passed &Grade: ______________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
Year of First Admission:______________________________________________

Repeated any level? Yes No


Any Previous Transfer? Yes No

Name of Sponsor:__________________________________________________
Address of Sponsor:_________________________________________________
_________________________________________________________________
Reason/s for Transfer:_______________________________________________
_________________________________________________________________
_________________________________________________________________

Student Sign: ______________________ Date:___________________

FOR OFFICAL USE


Application Year:____________________________________________________
Screening Officer:____________________________________________________
Remarks:___________________________________________________________
___________________________________________________________________
___________________________________________________________________

Officer’s sign:______________________ Date:_____________________


IMPORTANT: Attestation letter from a Lawyer, Senior Clergy, or Senior Public Servant is required.

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