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Change of Schedule/Subject: Polytechnic University of The Philippines

This document provides instructions for students to apply for a change in enrollment at the Polytechnic University of the Philippines. It outlines a 6 step process: 1) Fill out student details and course/subject changes, 2) Get signature approval from academic head for each changed row, 3) Get tagged for changes by department, 4) Check student information system for updates, 5) Get assessed for fees and tagged by accounting, 6) Submit form and pay fees. The form collects student name, number, course, and reasons for change as well as approval signatures.

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DianneBarcelona
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514 views1 page

Change of Schedule/Subject: Polytechnic University of The Philippines

This document provides instructions for students to apply for a change in enrollment at the Polytechnic University of the Philippines. It outlines a 6 step process: 1) Fill out student details and course/subject changes, 2) Get signature approval from academic head for each changed row, 3) Get tagged for changes by department, 4) Check student information system for updates, 5) Get assessed for fees and tagged by accounting, 6) Submit form and pay fees. The form collects student name, number, course, and reasons for change as well as approval signatures.

Uploaded by

DianneBarcelona
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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PUP-AFAS-5-UNRO-009

CONTROL NO.:
REPUBLIC OF THE PHILIPPINES
POLYTECHNIC UNIVERSITY OF THE PHILIPPINES APPLICATION FOR CHANGE OF ENROLLMENT
OFFICE OF THE BRANCH/CAMPUS REGISTRAR ACE FORM
CHANGE OF SCHEDULE/SUBJECT
INSTRUCTIONS: READ AND FOLLOW THE STEPS CAREFULLY
Step 1. Fill-out all blank spaces provided in this form with appropriate information; Write N/A if not applicable
Step 2. Write the details of subject to change in the FROM and TO section
Step 3. Place your signature above your printed name (located at the lower-right portion of this form)
Step 4. Every filled-up row must be signed by the Academic Head
Step 5. This form must be signed with date by the Academic Head
Step 6. Proceed to your Department for TAGGING of the necessary changes. (After tagging, open your SIS Account to check if the necessary changes
were done and correct)
Step 7. Go to the Branch/Campus Accounting Student Services for the assessment and tagging of necessary fee/s
Step 8. For students not covered by R.A. 10931: Pay the assessed fee at the Branch/Campus Cashier’s Office
Step 9. Photocopy this form and official receipt (for students not covered by R.A. 10931), and submit the Original Copy to the Branch/Campus Registrar’s
Office, one (1) photocopy to the Academic Head, and ALWAYS keep a personal copy
[1] PLEASE WRITE LEGIBLY

BRANCH/CAMPUS:

STUDENT NUMBER: APPLICATION DATE: mm/dd/yyyy

NAME OF STUDENT:

 First Semester  Second Semester


COURSE/YR/SECTION: ACADEMIC YEAR: 20_____ - 20 _____
 Summer

REASON/S:

[2] [4] [6]


FROM: RELEASED BY:
ACAD. HEAD TAGGED BY:
COURSE, SIGNATURE SIGNATURE
CODE DESCRIPTION YEAR & DAY TIME ROOM UNITS OVER PRINTED OVER PRINTED
SECTION NAME AND NAME AND
DATE DATE

1.

2.

3.

[4] [6]
TO: ACCEPTED BY:
ACAD. HEAD TAGGED BY:
COURSE, SIGNATURE SIGNATURE
CODE DESCRIPTION YEAR & DAY TIME ROOM UNITS OVER PRINTED OVER PRINTED
SECTION NAME AND NAME AND
DATE DATE

1.

2.

3.

This form will only be processed if filled-up properly and completely during the adjustment period.
Number of units and hours (originally enrolled)
based on Registration Certificate : I hereby apply for a change in my enrollment as stated in this form, subject to
the existing rules and regulations of the University.
Number of units and hours added :
Total number of units and hours enrolled :

[5] APPROVED BY: [3]


ACADEMIC HEAD SIGNATURE OVER PRINTED NAME OF STUDENT

DATE:

ACKNOWLEDGED BY THE OFFICE OF THE BRANCH/CAMPUS REGISTRAR


Name : Official Receipt Number:
Signature : Amount Paid:
Date : Date:
PUPACEFORM-C-BC-201810

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