BINDURA UNIVERSITY OF SCIENCE EDUCATION
REGISTRY DEPARTMENT
APPLICATION FOR DEFERMENT OF STUDIES

1. SECTION A-APPLICANT PERSONAL DETAILS
1.1 FULL NAME OF APPLICANT: ………………………………………………………REGISTRATION No.………………………………GENDER.........
     			(in block capitals, surname first)			
1.2   FACULTY:…………………………………………………………………..

1.3   DEPARTMENT:………………………………………….PROGRAMME………………………………ACADEMIC YEAR………………………………..

1.4   DEFERMENT PERIOD: FROM …………………………………………………..TO …………………………………………………………………………...  
1.5   REASON(S) FOR DEFERMENT
……………………………………………………………………………………………………………………………………………………………………………………..
……………………………………………………………………………………………………………………………………………………………………………………..
……………………………………………………………………………………………………………………………………………………………………………………..
1.6 EXPECTED DATE OF RESUMPTION OF STUDIES: MONTH:…………………………………………..YEAR: 20………………………………….
DEFERMENT FEES BANKING DETAILS.
BANK: ZB
BRANCH: BINDURA UNIVERSITY OF SCIENCE EDUCATION
BRANCH: BINDURA
ACCOUNT NAME: 4536743766080

DEFERMENT FEES PAID: attach proof of payment 	PAYMENT DATE:.................................................................. 

1.7 APPLICANT’S SIGNATURE……………………………………………….	DATE SUBMITTED………………………………………………………
FOR STUDENT RECORDS & REGISTRATION OFFICE USE ONLY
PROCESSED BY: NAME……………………………………………	ACTION DATE……………………………………………………………………
		          SIGNATURE…………………………………….
DISTRIBUTION LIST
DEPARTMENT COPY		
BURSAR COPY		
DEAN OF STUDENTS COPY