Application for Change of Curriculum: Third Term
ACA12
1. Personal information
Student number
PeopleSoft ID
Last name
First name
Cell phone number
Telephone number
Email address
2.
University and academic information Attach a current unofficial transcript (printed in the previous 24 hours) to this form
Are you receiving Financial Aid?
YES
NO
Do you require vacation accommodation?
Tick one (Note: you will need to fill out a Financial Aid form)
YES
NO
NO
Tick one
Tick one (Note: you will need to fill out a Vac. Accom. form)
Faculty
Degree for which you are registered
Do you expect to graduate this year?
3.
YES
Third Term course enrolment/withdrawal
I wish to
enroll
withdraw
Course code
from a Third Term course (tick one)
Class number
Course name
Reason for request
4.
Student declaration
 I AM REQUIRED TO ATTEND ALL LECTURES AND WORK SESSIONS FOR THE THIRD TERM COURSE FOR WHICH I HAVE
REGISTERED. FAILURE TO DO SO COULD RESULT IN NOT BEING AWARDED A DP CERTIFICATE FOR THE COURSE.
 THIS REGISTRATION WILL AFFECT MY FEE ACCOUNT. IF THIS ACCOUNT IS NOT SETTLED I WILL NOT BE ALLOWED TO
GRADUATE OR REGISTER FOR THE FOLLOWING ACADEMIC YEAR.
 IF I WITHDRAW FROM THIS COURSE AFTER THE CUT-OFF DATE WITHOUT INFORMING THE THIRD TERM OFFICE I WILL BE LIABLE
FOR THE FULL COST AND MY RESULTS WILL BE RECORDED AS ‘AB’ OR ‘DPR’.
 I HAVE CHECKED THAT THIS COURSE WILL COUNT TOWARDS MY DEGREE/PROGRAMME.
 I MUST CHECK AND REPORT ANY DISCREPANCIES TO THE THIRD TERM OFFICE WITHIN 24 HOURS.
 I UNDERSTAND THAT THE EFFECTIVE DATE OF THIS REQUEST IS THE DATE SUBMITTED TO THE THIRD TERM OFFICE
 ALL MY FEES HAVE BEEN CLEARED.
Student signature:___________________________________________ Date:__________________
5.
Curriculum/Programme Advisor
Approved/Not approved (circle one) Signature:__________________________
Name:__________________________________ Date:__________________
I confirm that approved changes comply with the curriculum and degree rules.
For office use only
Received
Processed
Name
Sign
Date
Please return this form to the Third Term office: Room 3.23, Level 3, Wilfred Jules Kramer Law Building
Help in completing the Application for Change of Curriculum: Third Term form
Step 1: Print the form and attach your unofficial transcript.
The unofficial transcript contains your registration information as it is currently held on the UCT Student System. Any
queries about this information should be directed to your Faculty office. You can print your unofficial transcript from
PeopleSoft Self-service.
Step 2: Fill in your personal and academic information in sections 1 & 2 (Remember to keep your personal data,
including addresses and telephone numbers, up to date via self service).
Step 3: Fill in the proposed changes in Section 3.
Seek advice from your Programme Convenor / Curriculum Adviser if necessary, and note the following:

Use the correct codes for course and class numbers (e.g. MAM1000W, not Mathematics 1).

There are deadline dates to enrol or withdraw. Late changes, if permitted, are subject to a penalty. See the Third
Term Rules & the General University Rules documents.

Credits can be obtained from the Faculty Handbooks.
Step 4: Obtain the required approval for all changes.

Your curriculum adviser (general degree students) or Programme convenor (students in named programmes) will
approve changes within the Faculty. DO NOT approach Heads of Departments for approval.
It is your responsibility to establish the consequences of the changes you wish to make. These could include fee changes, timetable
changes, changes in eligibility for readmission or graduation, changes in funding eligibility, or changes to your overall duration of study.
Step 5: Sign the form yourself and get your Programme Convener/Curriculum Adviser's signature.
Step 6: Take the completed form to the Third Term office for processing by the advertised deadline.
For further information, visit the Third Term webpage: http://www.uct.ac.za/students/undergraduates/third_term/