Enrollment Request Form by carthi


									                                            AMERICAN UNIVERSITY OF SHARJAH
                                                              Office of the Registrar

                                                     Enrollment Request Form
   Please complete this form fully (request with incorrect or missing information cannot be Processed).
   Please note that the “SAME DAY” Service may NOT be available at times of registration.
   Enrollments not collected within 90 days will be destroyed!

Full name      _____________________                ___________________              __________________               Gender: M        F
                            First                        Father or Middle                  Family/Surname             (mark appropriate box)

           ______________________                     _____________________              ____________________            (‫اﻹﺳﻢ اﻟﻜﺎﻣﻞ )اﻟﻄﺎﻟﺐ\ اﻟﻄﺎﻟﺒﺔ‬
                      ‫إﺳﻢ اﻟﻌﺎﺋﻠﺔ‬                                  ‫إﺳﻢ اﻷب‬                            ‫اﻹﺳﻢ اﻷول‬
_________________________________                   ____________________________________                   ______________________
        Present College/ School                       Present Major (and Concentration if any)               Class (e.g. Freshman)

 ________________                   _________________________                 Are you currently enrolled?               YES              NO
   Student’s ID           Mobile No. (VERY IMPORTANT)                                                              (mark appropriate box)
   Mark the item requested and specify the number of copies.
                                                                                                                                  Same day Service
                                                                       No. of       No. of        3 Working           24hr
                          Requested Item                                                                                           (Rcvd. before 12
                                                                      copies in    copies in     days Service        Service
                                                                       English      Arabic         (15 AED)         (35 AED)
                                                                                                                                      (75 AED)
1- Enrollment Certificate (for Current Semester)
2- Certificate showing years spent at AUS (Date of first
enrollment+ #of yrs to complete)
3- Certificate of completion of graduation requirements
4- Photocopies of Documents in students’ file                                                    (1 AED/Page)            (5 AED/Page)

                                                                         By hand       Regular Mail   Registered Mail Courier
   Special Instructions:                                                            (5AED/Address) (10AED/Address) (90AED/Address)


Total Amount to Pay:                                                 AED:

                                                                     Date:   _______/________/_______.
Signature of Student:                                                           DD    MM       YYYY

      AUS Official Use Only:

_____________          ______________          _____________________________________                               __________________
Date Received               Date Sent          Student’s Name                                                     Student’s I.D. at AUS

                                                                                                    Note: The Address across will be
           Address:                                                                             displayed in a window envelope for
                                                                                                purposes of mailing your Letters.
                                                                                                Please ensure that the address is correct
                                                                                                and legible. (For courier service please
                                                                                                include the Tel.# of the recipient/s)

     This Part to be filled by student and to be given to the Cashier’s Office:
Please Charge: Name:------------------------------------- ID -------------------------- Amount AED -------------------------

Being: As on Enrollment Request Form Item(S) # -------------------------------------- Stamped on date:             / /     .

Student Approval: Name: ------------------------- Signature -------------------------------------- Date -----------------------

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