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staff tuition /fee waiver

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BRAC UNIVERSITY

APPLICATION FOR FACULTY/ STAFF TUITION /FEE WAIVER

Waiver # .. .. .. ..

I am requesting waiver of tuition /fee for Graduate student Others

2. Full name of applicant: Pin:

3. Department:

4. Faculty Staff Others

5. Institution / Departments offering the course you wish to take tuition/ fee free:

6. Spring Summer Fall

7. Title of course: Course number: Credit hours:

8. Class days: Class Time:

APPLICANT: I HEREBY CERTIFY THAT I HAVE COMPLETED THIS APPLICATION FULLY AND ACCURATELY TO THE BEST OF MY KNOWLEDGE.

SIGNATURE: DATE:

FOR THE EMPLOYING INSTITUTION: This is to certify that the above-named applicant has met all requirements to enroll in this course using tuition waiver and will not interfere in his / her obligations as a permanent and full time employee.

Human resources Date

Division Head / Supervisor Date Appropriate Head / Director/ Dean Date Pro-Vice Chancellor / VC Date

FOR THE ENROLLING INSTITUTION: The above-named applicant has been found academically eligible to enroll in the course identified above using tuition waiver.

Registrar Date

Deadline for Spring / Summer / Fall:

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