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Unformatted text preview: 854 (1/02) Wayne State University STUDENT RECORDS (Please read instructions) Student Name (Last First) I.D. Number Date Undergraduate Graduate TO THE EXAMINER: Do not administer the examination(s) unless stamp appears in box at right. FEES ASSESED _______ Hrs. @ $10.00 Per Credit Hr. = $__________________ Course(s) andNumber(s) Credit hours Grade CERTIFICATION OF RESULTS OF EXAMINATION Signature of Examiner Date PETITION FOR CREDIT BY EXAMINATION THE EXAMINER RETAINS THE THIRD COPY (1) Advisor's Approval (2) Department Chairperson's Approval (3) Dean or Representative's Approval for College in which course is taught College in which student is registered HAS PERMISSION TO TAKE SPECIAL EXAMINATIONS COVERING: CREDIT Course(s) and Number(s) Credit Hours CASHIER'S STAMP...
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- Spring '10