This registration is for persons NOT ALREADY registered with or intending to register with the University of the West Indies.
University of the West Indies Mona Campus Undergraduate Registration Form Registration for more than one programme is not permissible Complete All Sections, where necessary, tick the appropriate item
B. PERSONAL INFORMATION NAME ________________________________________________________________________ (surname) (first name) (other names) TERM ADDRESS ____________________________________ TEL._____________Email_____________ HOME ADDRESS ____________________________________ TEL._____________Email_____________ AT WHICH UNIVERSITY ARE YOU CURRENTLY ENROLLED? _____________________________________ NAME OF FACULTY ________________________________________
C. PROGRAMME AND ENROLLMENT STATUS (IN EACH LINE TICK ONE BOX ONLY) 1. B.ED LL.B. M.B.,B.S B.A. B.SC. CERTIFICATE DIPLOMA NOT APPLICABLE [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] 2. MAJOR [ ] OPTION [ ] SPECIAL [ ] SPECIFY: ____________________________________________ NOTE. This registration is for ON-LINE courses only
D. TICK THE COURSES FOR WHICH YOU ARE REGISTERING: 19____ 19____ SEMESTER I SEMESTER II GT22C [ ] GT22C [ ] GT22D [ ] GT22D [ ] 19_____ SUMMER SCHOOL GT22C [ ] GT22D [ ]
STUDENT SIGNATURE ___________________________________________ DATE ___________________ E. FOR OFFICIAL USE ONLY REGISTARTION FORM CHECKED FOR FORWARDING ___________________________________________ _______________ RESIDENT TUTOR/UNIVERSITY REPRESENTATIVE DATE REGISTRATION APPROVED ______________________/___/_____ ________________________________/__/___ DEAN/NOMINEE DATE ASSISTANT REGISTRAR ADMISSIONS) DATE
*Please visit the calender page for registration dates*