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Pup Ace Form

This document is an application form for students at the Polytechnic University of the Philippines to request a change in their enrollment, such as adding or withdrawing from subjects. It requires students to provide their name, student number, course/year/section, and academic year. They must also specify the reason for the requested change and check the appropriate box to indicate if they want to add, change, or withdraw from specific subjects. Relevant details about the subjects are also required. The form needs approval from the Dean/Chairperson and acknowledgment from the Office of the University Registrar.

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Julie Ann Efa
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257 views1 page

Pup Ace Form

This document is an application form for students at the Polytechnic University of the Philippines to request a change in their enrollment, such as adding or withdrawing from subjects. It requires students to provide their name, student number, course/year/section, and academic year. They must also specify the reason for the requested change and check the appropriate box to indicate if they want to add, change, or withdraw from specific subjects. Relevant details about the subjects are also required. The form needs approval from the Dean/Chairperson and acknowledgment from the Office of the University Registrar.

Uploaded by

Julie Ann Efa
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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PUP-AFAS-5-UNRO-010

Rev. 1
June 19, 2019
REPUBLIC OF THE PHILIPPINES CONTROL NO.:

POLYTECHNIC UNIVERSITY OF THE PHILIPPINES APPLICATION FOR CHANGE OF ENROLLMENT


OFFICE OF THE UNIVERSITY REGISTRAR  ADDING OF SUBJECT
STA. MESA, MANILA  CHANGE OF SUBJECT
 WITHDRAWAL

COLLEGE/INSTITUTE :
STUDENT NUMBER : APPLICATION DATE:
NAME OF STUDENT :
COURSE/YR/SECTION : ACADEMIC YEAR: 20 - 20 First Semester
Second Semester
Summer
REASON/S FOR CHANGE OF ENROLLMENT

PLEASE CHECK THE APPROPRIATE BOX.

SUBJECT/S TO BE ADDED
TAGGED BY:
CODE SUBJECT TITLE DAY TIME ROOM UNITS FACULTY SIGNATURE
(Chairperson)

SUBJECT/S OR SCHEDULE TO BE CHANGED


FROM:
TAGGED BY:
CODE SUBJECT TITLE DAY TIME ROOM UNITS FACULTY SIGNATURE
(Chairperson)

TO:
TAGGED BY:
CODE SUBJECT TITLE DAY TIME ROOM UNITS FACULTY SIGNATURE
(Chairperson)

SUBJECT/S TO BE WITHDRAWN
TAGGED BY:
CODE SUBJECT TITLE DAY TIME ROOM UNITS FACULTY SIGNATURE
(Chairperson)

This form will only be processed if filled-up properly and completely during the adjustment period.

Number of units and hours (originally enrolled) I hereby apply for a change in my enrollment as stated
based on Registration Certificate : in this form, subject to existing rules and regulations
Number of units and hours added : of the University.
TOTAL number of units enrolled :

APPROVED BY :
DEAN/CHAIRPERSON SIGNATURE OVER PRINTED NAME OF STUDENT

DATE :

ACKNOWLEDGED BY THE OFFICE OF THE UNIVERSITY REGISTRAR


Name : Official Receipt No.: (R.A. 10931)
Signature: Amount Paid :
Date : Date :

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