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Application-Form-for-Sibling's-Tuition-Waiver.pdf

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Leading University

Application Form for Sibling’s Tuition Waiver

Applicant’s Information: Sibling’s Information:

Name:……… Name:………...

Student ID #... Student ID #...

Program:………... Program:………...

Present Waiver Status:…………. Percent Present Waiver Status:…………. Percent

Father’s Name:………. Father’s Name:……….

(as per SSC/equivalent certificate) (as per SSC/equivalent certificate)

Father’s NID #... Father’s NID #...

Mother’s Name:……… Mother’s Name:………

(as per SSC/equivalent certificate) (as per SSC/equivalent certificate)

Mother’s NID #... Mother’s NID #...

Signature of the Applicant Signature of the Applicant

Date: Date:

Cell# Cell#

Documents submitted [put tick (

) mark please]:

Photocopy of Applicant's SSC Certificate Photocopy of Father’s NID card Photocopy of Applicant’s LU ID card Photocopy of Mother’s NID card Photocopy of Sibling’s SSC Certificate Photocopy of the affidavit, if applicable Photocopy of Sibling’s LU ID card

For Office Use Only

Verification Process Approval Process

Documents found correct/not correct

Admission Office:

Recommended/Not Recommended to get ...tuition Waiver from

Spring Summer Fall Year 20...

Deputy Registrar:

Posted into Ledger on………

Posted by………...

In charge (F &A)

Note: Sibling waiver depends on the continuation of studies of both the siblings at LU at a time. At any point of time if one sibling has completed the study or dropped out then this waiver will be automatically stopped.

ROF-52

Referensi

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If more than one position you will need a new form for each of the positions] Signature of applicant: Date: __ __/ __ __/ __ __ Verification: I confirm that the activities listed

SPONSORING EMBASSY/ORGANIZATION Signature of Applicant EMBASSY/ORGANIZATION SEAL Date mm-dd-yyyy TYPED NAME OF PERSON PREPARING FORM *Public reporting burden for this collection

This form should be submitted to the Controller’s Office with sufficient documents within 10 days from the last date of the

--- ---/---/--- Signature of Applicant Date Important Notice Please attach to this Application Form: your completed Consent And Authority To Undertake Background Enquiries form

Name and ID of Candidate Faculty / Institute Title of Thesis Signature of Applicant Date: Supported by the student’s Supervisors or Supervisory Committee: Supervisor

……… …………..……… Date dd/mm/yyyy Name of applicant as indicated in the passport ……… ……… Applicant’s signature Applicant’s passport number ITEMS SELF IF NO, PLEASE STATE IF YOU