DE LA SALLE LIPA

OFFICE OF THE REGISTRAR

This portion will be accomplished

ONLY BY STUDENTS WITH FAILURES

PRE-ENROLLMENT FORM

(to be filled-up after the Issuance of Grades)

This portion will be accomplished

by ALL STUDENTS
(to be used for the pre-enrollment or encoding of subjects in eWIz)
Name: _________________________________ Student No. _________
Course: _____________________
Course Code
(Priority Enrollment)

Year Level: _________________

Pre-Requisite of
the subject

Grade of Prerequisite Subject

Units

Total Units of Failures

Units of repeated subjects with grades of 2.5 or higher

A-B

Accumulated Number of Failures

DETERMINATION OF ACCUMULATED UNITS OF FAILURES

1. Accumulated number of failures is the summation of all units of your
failures minus the units of repeated subject/s if grade/s in the repeated
subject is 2.50 or higher.
2. If your grade in the repeated subject is lower than 2.50, the units of the
failed subject/s will not be deducted from your accumulated units of
failures.

I am aware that if I had exceeded the maximum allowable accumulated units

of failures, I will be automatically dismissed from this institution and that the
OCR has the right to refuse or cancel my enrollment this semester as stated in
my Student Handbook.
______________________________________________________________
The student is not yet dismissed and I am favorably endorsing him/her to enroll
the following subjects:

Maximum Allowed Units

Maximum Allowed Units (_____) please refer to your curriculum. Graduating

students are ONLY allowed to carry an overload of 6 units for the 1st and 2nd
semesters only as per CHED Memorandum
Courses enrolled & passed without the necessary prerequisite/s will not be
given credit.
Policy on dismissal: You are already dismissed if you have 21 or more units of
Accumulated number of failures if you are enrolled in four year degree
program; 26 or more units of failures if you are enrolled in five year degree
program.

_____________________

____________________

__________________

Signature of Student

Signature of
Academic Adviser

OCR Staff

_________________________

________________________

_________________________

________________________

_________________________

________________________

_________________________

________________________

_________________________

________________________

__________________________
Students Signature Over Printed Name
Date: ___________

________________________________
Academic Advisers Signature Over Printed Name
R ev is ed as of J une
2013