Course Enrollment and Exam Registration Form

COURSE ENROLLMENT AND EXAM REGISTRATION FORM

Use this form to enroll in courses for the upcoming academic term and to register for scheduled examinations. Complete all applicable sections in full. Submission of this form certifies that the information provided is true and accurate and that the registrant accepts the academic and financial obligations set forth below.

Student Information

Student is under 18 years of age: If checked, a parent or guardian must complete the Parent/Guardian Information section below and sign where indicated.

Parent / Guardian Information (if applicable)

Course Selection

List each course to be enrolled. If additional lines are required, attach a separate sheet with the same headings and submit with this form.

Exam Registration

Select the examination(s) for which you are registering:
Midterm Final Resit / Make-up Certification / External Exam

I request testing accommodations due to a documented disability or medical condition. I understand that approval requires submission of supporting documentation and prior authorization.

Fees, Billing & Payment

Payment option:
Full payment at registration Installment plan (subject to approval)

Preferred payment method:
Credit / Debit Card Check Bank Transfer

I have applied for financial aid / scholarship for this term.

Academic Policies & Acknowledgments

By checking the boxes below and signing this form, the registrant acknowledges receipt of and agreement to the following institutional policies. These policies govern attendance, grading, withdrawal, examination conduct, academic integrity, and release of records for registration or examination purposes.

I acknowledge the attendance policy and understand that excessive absence may result in grade penalty or dismissal from the course.

I understand the grading scale and evaluation procedures for the course(s) selected.

I acknowledge the withdrawal and refund policy, including deadlines and possible financial obligations after certain dates; registration and exam fees may be non-refundable.

I agree to comply with examination rules and procedures, including identification, prohibited materials, and any authorized monitoring or recording during examinations.

I have read and accept the academic honesty policy and understand that violations may result in disciplinary action.

I authorize the institution to release necessary academic records and registration information to designated examination bodies and to administrative staff for the purposes of enrollment and examination administration.

Emergency & Medical Information

Authorization, Certification & Important Notices

I certify that the information provided on this form is complete and accurate to the best of my knowledge. I understand that falsification of information may result in denial of enrollment or disciplinary action. I accept responsibility for tuition, fees, and any applicable fines or charges associated with enrollment and examination, regardless of subsequent financial aid decisions unless otherwise provided in writing by the institution.

I acknowledge that examination administration may include identity verification, security protocols, and proctoring measures. I agree to comply with all examination rules and to submit any required documentation for accommodation requests in advance. Failure to comply may result in denial of examination seating or invalidation of examination results.

I authorize the release of my academic and registration records to authorized institutional officials and to external examination or certification bodies as necessary to process my enrollment and examination registration. I consent to the use of my contact information for official communications regarding schedules, billing, and emergency notifications.

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