Student Request Form Student Request Form School Name —Please choose an option—School Of Innovation Technologies And EngineeringSchool Of Business Management And FinanceSchool of Health SciencesSchool Of Sustainable Development And Tourism Student Email Student should use this form to formulate their requests, except for Appeals, Exemptionsand Complaints. Section A: To be filled by Studentand submitted to the School Registry Student Name: Student ID No: Academic Year Semester Cohort Residential Address: Programme Year: Level Request For: (Please tickand provide details below) Testimonial Refund of Fees Interruption/ Resumption/ Withdrawal Copy of Lost Certificate Change to Full Time / Part TimeMode of Study Change of Name/ Contact Details Extension of Dissertation / Project Submission Other (Please specify) Details of Request Date I Agree to all and approve
