ah yet orld) [CONTROL NO. REPUBLIC OF THE PHILIPPINES. POLYTECHNIC UNIVERSITY OF THE PHILIPPINES APPLICATION FOR CHANGE OF ENROLLMENT ‘OFFICE OF THE UNIVERSITY REGISTRAR ACE FORM STA. MESA, MANILA ADDING OF SUBJECT INSTRUCTIONS: READ AND FOLLOW THE STEPS CAREFULY ‘Step. Fitout al bank spaces proved inthis form with appropriate information; Wie N/A not appeal Step 2. Write the dotals of subject to add inthe ADD section Step. Place your signatre above your printed name (cated at the loweright portion ofthis form) Step 4 Every iledup row must be signed bythe Catperson ‘Step 5 This orm must be signed with ste bythe Dean /Chalerson Proceed to your Department for TAGGING ofthe necessary changes, (After taggin open Your SS Accounts check he necessary changes ‘were done and correct Step. Goto the Accounting Student Serdces (South Wing, Ground Foor forthe assessment and aging of necessary fe/s Sep 8. Pay the assesed fee a he SIS Window nthe ashler’Ofce(South Wig, Ground oor) ‘Step 8, Photocopy this form andl recsp and submit the Orginal Copy to the Registrar's Ofc, on (photocopy tothe Daren and [ALWAYS Keep personal copy a) PLEASE WRITE LEGIBLY eouseemnsmuTE:| GLEE OT ENGINEERING ‘stupeNT wunnben, | 2012 ~ 9205) — mand — farmucarion are: | mmvediv 6/23/17 taueprsruoem:| cHelsn An prevIN mM. EW TERAN | summer “coursermsecnon:| SEE S-| exec Yea 20_17_-20_¢__ | Aft Smee second Semester fessowe|TARING MY BACK UBIECT Th GRADUATE ON hive Saencor : ‘suri cove bescnrrion ears’ | pay | Time | room | uns | ovis | oro sano eae | “Mima ‘oy | Mane [geen | Fenty wenn wyoeanvcl see 44] p | acormtnal GR | 2 | Mf | & | | L |__| L Tis arm wi oy be processed ldap propery and completely arn the odusinent peed umber ants and hours (orginal enrled) eas ermeceon con ‘hereby poy fora change in my enrolment os stated nhs form, sbjet to = ef. eam ato be ey umber of. ted Pura Total number ofuntf and hours cooled: 2a [4 hike s1arenoveo By wield ven YN a esTee sal ——SGHATURE OVER PRINTED NAME OF STUDENT TANT PERN A PUPACEFORNE ANN 2OTEIO