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PUP ACE Form

This document is an application form for students at the Polytechnic University of the Philippines to request changes in their enrollment, including adding, changing, or withdrawing subjects. It requires details such as student information, course specifics, and signatures from faculty and the registrar. The form must be completed during the adjustment period and follows university rules and regulations.

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A. MINERVA
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Download as PDF, TXT or read online on Scribd
15 views

PUP ACE Form

This document is an application form for students at the Polytechnic University of the Philippines to request changes in their enrollment, including adding, changing, or withdrawing subjects. It requires details such as student information, course specifics, and signatures from faculty and the registrar. The form must be completed during the adjustment period and follows university rules and regulations.

Uploaded by

A. MINERVA
Copyright
© © All Rights Reserved
Available Formats
Download as 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 c ADDING OF SUBJECT
STA. MESA, MANILA c CHANGE OF SUBJECT
c
✔ WITHDRAWAL

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

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SUBJECT/S TO BE WITHDRAWN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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