THE UNIVERSITY OF THE WEST INDIES
ST. AUGUSTINE
COMPLETE 4 COPIES
APPLICATION FOR TRANSFER
SECTION 1
Please TICK the appropriate boxes
Present Enrolment Status :
Full Time
Part Time
Evening
I wish to transfer
FROM Faculty of _____________________________________
Distance
TO Faculty of ________________________________
FROM ________________________________________ Campus
TO _________________________________ Campus
SECTION 2
STUDENT I.D # ______________________
SURNAME (Block Capitals) _____________________________________________________ Mr.
Mrs.
Ms.
OTHER NAMES (Block Capitals) ______________________________________________________________________________
ADDRESS (While at University) ______________________________________________________________________________
_____________________________________________________________________________________________________
HOME ADDRESS/MAILING ADDRESS _________________________________________________________________________
_____________________________________________________________________________________________________
Telephone No: ______________________ Fax No: __________________________ E mail Address ____________________________
SECTION 3
Date of Birth:
Age last Birthday:
Place of Birth:
Religion:
Marital Status:
Single
Married
Nationality:
SECTION 4
Sex:
Divorced
Widowed
Fathers Nationality:
Please TICK the appropriate box to indicate the programme of study you wish to pursue:
AGRICULTURE
SCIENCE
ENGINEERING
MEDICAL SCIENCES
Agribusiness Management
Chemistry
Chemical
MBBS
Human Ecology
Computer Science
Civil with Environmental
DDS
General
General
Electrical & Computer
DVM
Environmental & Natural
Mathematics
Industrial
Pharmacy*
Physics
Mechanical
Resource Management
Nutrition and Dietetics
Biology
LAW
Mechanical with Bio Systems
Geography
Surveying & Land Info.
Information Technology
Petroleum Geoscience
HUMANITIES: Please indicate degree option
SOCIAL SCIENCES: Please indicate degree option
_______________________________________
_________________________________________
* Applicants must submit a letter of acceptance from the Pharmacy Board in their country of residence.
SECTION 5
Period or periods during which you have been a student at the University of the West Indies.
FROM_____________________________________
TO _____________________________________
FROM_____________________________________
TO _____________________________________
SECTION 6
Do you hold a scholarship or award? (TICK appropriate box)
YES
NO
If the answer is YES, PLEASE NAME THE SCHOLARSHIP/AWARD
____________________________________________________________________________________________________
NB. Scholarship holders must seek the approval of their sponsors to change Faculty/Programme.
SECTION 7
Briefly state reason why you are applying for transfer.
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
Signature of Applicant____________________________________________________
____________________________________________________
Date
NB. Applicants for Transfer to
Law must complete forms by JANUARY 31
Medical Sciences must complete forms by JANUARY 31
Other Faculties must complete forms by MARCH 31
RECORD
SECTION A
1.
SCHOOL RECORD OF EXAMINATIONS PASSED
DATE
2.
EXAMINING BODY
SUBJECT
LEVEL
RESULT
GRADE
OTHER QUALIFICATIONS
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
3.
EMPLOYMENT RECORD
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
FOR OFFICAL USE ONLY
4.
BASIS OF ENTRY TO UNIVERSITY
O LEVEL ENTRY
(i) Satisfied Matriculation requirements via
(a) G.C.E. Examination
(b) Professional Qualification
(c) Other
A LEVEL ENTRY
OTHER QUALIFICATION
(ii) Assessed by Faculty Entrance Committee
SECTION B
Date of Admission to U.W.I _______________________________ Faculty of _________________________________________
UWI RECORD:
See attached Academic Profile
Certified _________________________________________________
Assistant Registrar (Admissions)
Date:______________________________________
FOR OFFICAL USE ONLY
I approve of the applicant ______________________________________________________________________________________
transferring from the Faculty of __________________________________________________________________________________
at ____________________________________________ Campus to Faculty of ___________________________________________
at ____________________________________________ Campus.
_________________________________________
Signature of Dean
_________________________________________
Date
I agree to accept the above applicant to the Faculty of ____________________________________________________________________
at the ___________________________________________________________________ Campus.
_________________________________________
Signature of Dean
_________________________________________
Date
COMMENTS (if any)
THIS FORM MUST BE RETURNED TO THE ASSISTANT REGISTRAR, STUDENT AFFAIRS
(ADMISSIONS) AT THE CAMPUS AT WHICH THE STUDENT IS REGISTERED.
