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PUP Enrollment Change Application Form

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This document is an application form for a student to request a change in their course enrollment at the Polytechnic University of the Philippines. The student can apply to change or drop courses for the current semester. They must provide the course codes and titles for any courses they want to change from or to. The total number of enrolled units both originally and with any changes must be listed. The application requires approval signatures from the program chair and acknowledgment from the student.

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  • Application for Change of Enrollment

Republic of the Philippines OUSR_FORM No. 2, Rvsd.

Jun2017
POLYTECHNIC UNIVERSITY OF THE PHILIPPINES
OFFICE OF THE VICE PRESIDENT FOR ACADEMIC AFFAIRS
OPEN UNIVERSITY SYSTEM
APPLICATION FOR CHANGE OF ENROLLMENT(ACE)

I hereby apply for a change in my enrollment this:


 First Semester, School Year ________ - _________
 Second Semester, School Year ________ - _________
 Summer, School Year ________ - _________
for the following reasons:_________________________________________________________________________________
Please check the appropriate box.
 A. Course/s /Schedule to be CHANGED
FROM:
YEAR AND CODE COURSE TITLE UNIT FACULTY SIGNATURE
SECTION RELEASED

TO:
YEAR AND CODE COURSE TITLE UNIT FACULTY SIGNATURE
SECTION ACCEPTED

 B. Course/s /Schedule to be DROPPED


YEAR AND CODE COURSE TITLE UNIT FACULTY SIGNATURE
SECTION RELEASED

 C. Course/s /Schedule to be ADDED


YEAR AND CODE COURSE TITLE UNIT FACULTY SIGNATURE
SECTION ACCEPTED

No. of units originally enrolled in based on registration certificate :


No. of units added :
Total No. of units enrolled :
APPROVED BY:

Program Chair/Executive Director Date

ACKNOWLEDGED BY: SIGNATURE OVER PRINTED NAME

Student No.:
Signature over printed name Date Program:
4th Flr. NALLRC Bldg. PUP A. Mabini Campus, Anonas Street, Sta. Mesa, Manila; Phone: (Direct Line) 3351726; (Trunk Line) 335-1777/87 local 325;
website: [Link] email: ousregistrar@[Link]

“THE COUNTRY’S 1st POLYTECHNICU”

Republic of the Philippines POLYTECHNIC UNIVERSITY OF THE PHILIPPI

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