Name:

Email address:

Mara Ref no:

Institution:

Course:

Progress report from:

year/session

Please list subjects and grades of the current academic year :

Example : Analogue Electronics (Pass) 90% - A

                 Human Anatomy (Fail) 33% - F

                 Economics (Refer) 67% - B

Please list below the subjects to be taken in the forthcoming academic year. Indicate if these subjects are core/elective/optional :

Example : Analogue Electronics (Core)

                 Human Anatomy (Optional)

                 Economics (Elective)

I hereby certify that the results declared by the above named is true and correct. A hardcopy of this form is send by mail.

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