??? University

STUDENT-REPORTED RECORD OF STUDY (SRRS)

 

Please note: The ??? University does not maintain student course records. This document is not valid without the original certification of the ??? University,

based on presentation by student of original course certificates (Scheine) and Matriculation Book (Studienbuch). Certified copies of orginal documents provided upon request.

 

Name of Student:

 

Subject/s: Major :

 

Minors:Subject/s

1)

 

2)

 

Date of Birth: ______________________

 

Place of Birth:

 

Title of Intermediate Examination:  Vordiplom, Zwischenprüfung, etc.   

 

Mailing Address: 

 

Date Awarded / Expected: 

 

(With foreign study): 

 

 

Title of Final Degree:

 

 Home Address:                                   Enrolled since       

 

 

Date Awarded / Expected:             

 

(With foreign study): 

 

 

E-mail:

 

Enrolled since

 

 

Semester

(1)

Title of Course

Type of Course

Professor

Hrs/Wk

Grade or points

Basis for Grade

WS 93/94

X

Advanced Calculus

Seminar

Dr. Schaeffer

2

P

Written Examination

SS 94

 

History Of Natural Sciences

Lecture

Prof. Dr. Habrich

1

NG

 

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(1) Course required for degree marked with X

For presentation to (Institution): Stanford Business School

Student Signature

Date:

Record of Study agrees with Course Certificates (Scheine) and Matriculation Book: (Studienbuch)

p.p.                                                                                       Date: