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Official Use Only: Head of Department

The document is an application form for post-graduate studies at the University of Pretoria Faculty of Health Sciences. It requests information from applicants such as their name, student number, ID number, contact details, intended pre-graduate and post-graduate courses of study, and signatures from the head of department and dean recommending and approving the application.
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0% found this document useful (0 votes)
55 views3 pages

Official Use Only: Head of Department

The document is an application form for post-graduate studies at the University of Pretoria Faculty of Health Sciences. It requests information from applicants such as their name, student number, ID number, contact details, intended pre-graduate and post-graduate courses of study, and signatures from the head of department and dean recommending and approving the application.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd

UNIVERSITY OF PRETORIA

FACULTY OF HEALTH SCIENCES

APPLICATION FOR SELECTION TO CONTINUE POST GRADUATE STUDIES


AS A REGISTERED STUDENT

Year of intended study


PLEASE HAND IN YOUR APPLICATION AT THE RELEVANT DEPARTMENT

Student number
Surname

Full name

ID number

Permanent
postal address

Code

Telephone

Cell phone

E-mail

Pre-graduate
study course

Post-graduate
study course

Signature
Date

OFFICIAL USE ONLY


Recommended
Date

HEAD OF DEPARTMENT
Approved
Date

DEAN
Conditions:
Curriculum Vitae, Written declaration of intention, Motivation/support from employer
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