fbf4aa4b-re-admission-application-form

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UNITED STATES INTERNATIONAL UNIVERSITY - AFRICA

● P. O. Box 14634 – 00800, Nairobi, Kenya ● Tel: +254.730.116.000 ● Email: admit@usiu.ac.ke

APPLICATION FOR RE-ADMISSION


This application is to be used when applying for re-admission to the same degree program in which you were enrolled when
you last attended the University. You must complete this form if you have been absent from the university and return it to
the office of Admissions together with KShs.3,000 or USD $50 application fees.

If you wish to apply for a new degree program, you must complete an Application for Admission available from the Office of
Admissions. If you have attended any school(s) since you last attended USIU-Africa, an official transcript from each school
must be submitted before you can be re-admitted.

____________________ _______________________ ___________________ ______________


Student ID Number Last Name First Name Middle
Name
Email: ____________________________________________ Phone: ______________________________

P. O. Box ________________________ Town/City: ___________________ Country: ______________________


Name
___________________________________ __________________ ______________
Major/Degree when you last attended USIU-Africa Semester & Year Semester & Year to be
last attended re-admitted?

_____________________________________________________________________________________
Reason for your absence from USIU-Africa?

List all schools, dates of attendance and credits/units earned since leaving USIU-Africa:
Institution Name City & Country Dates of Attendance Credit Earned

Next of Kin or Guardian (Contacts in case of Emergency):


Names: ____________________________________________ Telephone/Cellphone: _____________________________
Address: _________________________ City/Country: _______________________ Email: __________________________
Relationship
_____________________
to Applicant Student _______________
Signature Date ______________
_
For Official Use

Dean’s ________________________ ______________ _________________________________________


Office Name Signature Comment

Re-Application deadline: Will be the last day of registration (per semester) as indicated on the Academic Calendar. Kindly refer.

International Students, please note:


You must submit a current (less than 6 months old) financial guarantee letter and/or Police Clearance Certificate. Applicants
with an outstanding account with the University cannot be re-admitted until the balance has been cleared with the Business
Office.

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