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Module Amendment Form Instructions

The document outlines the procedure for amendments to module details, including additions and cancellations, for students at the Faculty of Health Sciences. It includes personal details required from the applicant, such as student number and contact information, as well as a section for module changes. Additionally, it specifies that a medical certificate is needed for medical cancellations and mentions a fee for late registration changes.

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nelizulu383
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6 views1 page

Module Amendment Form Instructions

The document outlines the procedure for amendments to module details, including additions and cancellations, for students at the Faculty of Health Sciences. It includes personal details required from the applicant, such as student number and contact information, as well as a section for module changes. Additionally, it specifies that a medical certificate is needed for medical cancellations and mentions a fee for late registration changes.

Uploaded by

nelizulu383
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

Faculty of Health Sciences Telephone number: 041 504 2956

Faculty Administrator: Marilyn Afrikaner Fax number: 041 504 9324


Room 0120, 1st floor, Building 7 E-mail address: [Link]@[Link]
Summerstrand South Campus

AMENDMENTS TO MODULE DETAILS (ADDITIONS AND CANCELLATIONS)

PERSONAL DETAILS OF APPLICANT


STUDENT NUMBER DEGREE/DIPLOMA

SURNAME FULL NAMES

STUDY ADDRESS TELEPHONE NUMBERS


Home:
Cellphone:

Code: E-mail:
MODULE ADDITIONS MODULE CANCELLATIONS
MODULE BLOCK FULL TIME MODULE CANCELLATION REASON CANCEL
CODE CODE OR CODE (Compulsory) CODE
- Term 1/2/3/4 PART Office use
- Semester 1/2
TIME
- Year

- For all medical cancellations a medical certificate should accompany the form in order to qualify for a refund.
- Please note that a “Change of Registration Detail” fee must be paid if this request is received after the
published closing date for registration changes.

………………………………… .……………………………. ………………….………………..


Student: Signature HOD: Signature Faculty Administrator

Date: Date: Date received/processed:

………………………………… ……………………………. ……………………………………

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