Dubai Graduation Application Form (Undergraduate Students Only)

CONGREGATION FOR THE CONFERMENT OF
DEGREES AND OTHER AWARDS
International Graduation Ceremonies 2013
Dubai 20 November 2013 (11am)
Undergraduate Students Only
Personal Details
Full Name:
Student ID Number:
Title of Award:
Email Address:
Contact Number:
Contact Address:
Graduation Intention (Please tick the appropriate option below)
I intend to graduate in person to receive my award on 20 November 2013 at 11am in Dubai
(Graduation Fee: AED 600)
I intend to graduate in absentia on 20 November 2013 (Graduation Fee: AED 300)
Guest Ticket Fee: AED 200 each
Please indicate the total number of guest tickets required (AED 200 each)
Gown/Hood Hire Fee: AED 300
Please note that you are required to wear a gown and hood at the ceremony. On return of the gown and
hood, you will receive a refund of 100 AED in cash.
Graduation Fee and Declaration
I hereby make application to graduate and enclose the graduation fee of AED 600 / AED 300 (delete as
applicable), plus fees due for guests and gown hire. I understand that my name will be published in the
list of graduates.
Signature:
Date:
OFF-DU-131
Office Use only: please do not mark below
AR
Programme
List No:
Banner
Updated:
Grad Fee
05 6640 4240 C10
Grad Fee AED
Date:
Gown/Hood Hire Fee
05 6650 4240 C10
Gown/Hood Fee AED
Date:
Guest Fee
05 6640 4515 C10
Guest Fee AED
Date:
This form should be returned to Academic and Student Support Office, Heriot-Watt University, Dubai
International Academic City, PO Box 294345, Dubai, UAE by FRIDAY 11 OCTOBER 2013.

CONGREGATION FOR THE CONFERMENT OF
DEGREES AND OTHER AWARDS
International Graduation Ceremonies 2013
Dubai 20 November 2013 (11am)
Undergraduate Students Only
METHOD OF PAYMENT
(Please note that the graduation fee is mandatory whether or not you attend the ceremony).
The following methods of payment can be used:
- Cash (Dirhams will be the only currency accepted)
- Cheque (made payable to Heriot-Watt University)
- Bank Transfer (as follows)
Bank Details : HSBC Bank Middle East, PO Box 66, Dubai , UAE
Account Name: Heriot-Watt University
SWIFT Code: BBMEAEAD
Account No(AED): 030035307200 IBAN : AE250200000030035307200
Account No (USD): 030035307211 IBAN : AE190200000030035307211
Cash and cheque payments to be submitted to the Finance Office, Heriot-Watt University Dubai
Campus by no later than 11 October 2013. Contact details as follows:
Tel: 00971 (0) 4 435 8671
Email: Dubai-Finance@hw.ac.uk
ITEM
COST
Graduation fee to attend the ceremony AED 600
Graduation fee for ‘in absentia’ awards AED 300
Hire of gown and hood for the occasion
(100 AED will be refunded in cash following return of gown and hood)
Number of guests @ AED 200 each
Total Cost:
AED 300
AED …………
AED …………
This form should be returned to Academic and Student Support Office, Heriot-Watt University, Dubai
International Academic City, PO Box 294345, Dubai, UAE by FRIDAY 11 OCTOBER 2013.