UNIVERSITY OF ABUJA
CENTRE FOR DISTANCE LEARNING AND CONTINUING EDUCATION
APPLICATION FORM NO………………………………….FACULTY…………………………………….............. (Form 001)
SCREENING CERTIFICATE
(To be completed at the College/Faculty/Department)
This is to certify that…………………………………………………………………………………………………………..……………..…
Who has been admitted to read…………………………………………………………………………. In the Department
of……………………………………………………………..Faculty of…………………………………………………………………………. has
been screened
1. He/She is qualified for the course in to which He/She was admitted and is therefore issued with
this Matriculation number………………………………………………………………………………………………………
2. He/She is not qualified due to the following deficiency …………………………………………………………..
…………………………………………………………………………………………………………………………………..…………….
Accordingly, he/she is recommended for change of course into ………………….………………………..…………..…
__________________________________________
Name of Departmental Coordinator
___________________________________
Signature & Stamp of Screening Officer
_____________________________
Date