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my Registration @ Unisa 2013 - University of South Africa

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DSAR07<br />

Application form for re-admission<br />

Name <strong>of</strong> student<br />

Student number<br />

Qualification completed for<br />

re-admission purposes<br />

NQF level<br />

Date completed<br />

Qualification for which you<br />

wish to register at <strong>Unisa</strong><br />

Qualification code for this programme<br />

– –<br />

NQF credits<br />

Signature<br />

Date<br />

Y Y Y Y M M D D<br />

For <strong>of</strong>fice use only<br />

Date when student was phased out<br />

Student number<br />

Documents submitted in support<br />

<strong>of</strong> application to be readmitted<br />

Processed by<br />

– –<br />

Academic record Certificate completed Pro<strong>of</strong> <strong>of</strong> completion<br />

Date<br />

Comments to be<br />

recorded on<br />

student system<br />

Approved Not approved Date<br />

<strong>Unisa</strong> Deputy Registrar<br />

(or delegated authority)<br />

This form can be faxed to 012 429 4150 or posted to the university at PO Box 392, <strong>Unisa</strong>, 0003<br />

129

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