Gulu University (GU) Clearance Forms 17th Graduation Graduate and Under-Graduate
STUDENT’S PARTICULARS
(a) Surname Name: ……………………………..Other Names……………………………………
(b)Registration No.: ……………………………. Student Number: ………………………………..
(c) Sex: …………………………………………. Date of Birth (DD/MM/YY): …………………
(d) Prog. Name: ………………………………… Prog. Code (e.g., MED, MBA): ……………….
(e) Faculty/Institute (e.g., FBDS, IPSS): …………Campus: ………………………………………
(f) Tel. Numbers.: ……………………………… Email: …………………………………………
(g) Date of Completion (Month, Year): …………………………
CLEARANCE
SN CLEARING OFFICE NAME & SIGNATURE OF CLEARING OFFICIAL COMMENTS, STAMP AND DATE
(a) Head of Academic Department
(b) Faculty Dean/ Institute Director
(c) Dean of Students
(d) University Librarian
(e) Gulu University Police Station
(f) University Bursar
Notes:
- Attach a recent passport-sized colour photograph (where both ears are visible and taken from the shoulders up)
with a plain white background. - Attach payment receipts for graduation, transcript, certificate, convocation, and National Council for Higher
Education fees. - Submit the completed form, after all offices have cleared you, to the Transcript Office, Department of Academic
Registrar.
Student’s Signature ——————————— Date ——————–
For More Enquiries
P.O. Box 166 Tel: +256-471-432921
Gulu – Uganda Email: ar@gu.ac.ug
URL: www.gu.ac.ug
Clearance forms for transcripts, graduation and certificates for the 17th Graduation both Under-graduates and Graduate programs
Clearance Form for Transcripts Graduation and Certificates – Graduate Students 1Clearance Form for Transcripts Graduation and Certificates – Undergraduates