Kathmandu University For School of Science or School of Engineering Undergraduate Program Semester Rejoin or Repeat Request Form I would like to request for granting mepermission to repeat/rejoin from next academic semester. Student Name: Registration Number: Repetition Required Year and Semester: Enrolled Program/Specialization: Reason forRejoining or Repeating: Declarations of Student Academic Performance Record CGPA of Completed Semester(s): Any remaining courses in previous semester to be cleared: Semester GPA Makeup if Remaining Remaining Dues in Fee Payment at Present: ( ) YES ( ) NO Guardian’sCommitment for Counselling and Guidance for Academic Performance: ( ) YES ( ) NO Guardian’s Name, Signature and Date Recommendation to Permit Rejoining/Repeating from 2 faculties who have taught the student: Faculty’s Name Signature and Date (1) Faculty’s Name Signature and Date (2) Student Code of Conduction Violation and Disciplinary Action Record: ( ) YES ( ) NO The information provided hereby is true and I agree to abide by the decision of the concerned School and Department.I hereby confirm that I will be fully committed towards my studies and do my best to obtain best possible result and education in my further studies in the program, if permitted to rejoin or repeat. Student’s Signature and Date Decision of the HoD/Coordinator and School AND Remarks if Any Rejoin/Repeat Permitted: ( ) YES ( ) NO Head of Department Dean
Kathmandu University For School of Science or School of Engineering Undergraduate Program Semester Rejoin or Repeat Request Form I would like to request for granting mepermission to repeat/rejoin from next academic semester. Student Name: Registration Number: Repetition Required Year and Semester: Enrolled Program/Specialization: Reason forRejoining or Repeating: Declarations of Student Academic Performance Record CGPA of Completed Semester(s): Any remaining courses in previous semester to be cleared: Semester GPA Makeup if Remaining Remaining Dues in Fee Payment at Present: ( ) YES ( ) NO Guardian’sCommitment for Counselling and Guidance for Academic Performance: ( ) YES ( ) NO Guardian’s Name, Signature and Date Recommendation to Permit Rejoining/Repeating from 2 faculties who have taught the student: Faculty’s Name Signature and Date (1) Faculty’s Name Signature and Date (2) Student Code of Conduction Violation and Disciplinary Action Record: ( ) YES ( ) NO The information provided hereby is true and I agree to abide by the decision of the concerned School and Department.I hereby confirm that I will be fully committed towards my studies and do my best to obtain best possible result and education in my further studies in the program, if permitted to rejoin or repeat. Student’s Signature and Date Decision of the HoD/Coordinator and School AND Remarks if Any Rejoin/Repeat Permitted: ( ) YES ( ) NO Head of Department Dean