CONTROL NO.

:
REPUBLIC OF THE PHILIPPINES

PO LYTECHNIC UNIVERSITY OF THE PHI LIPPINES

OFFICE OF THE CAMPUS REGISTRAR

BRANCH CAMPUS

APPLICATION FOR CHANGE OF ENROLLMENT (ACE)

FORM
ADDING OF SUBJECT
INSTRUCTIONS:

1.
2.

Fill-out all blank spaces provided in this fo rm with appropriate information; write N/A if not app licable.

3.

Proceed to your Branch/Campus Academi c Head for APPROVAL and TAGGING of the necessary changes. (After
tagging, open your SIS Account to check if the necessary changes were done and correct.)
Go to the Accounting Student Services (of your Branch/Campus) for the assessment and taggin g of necessary fee/s.

4.
5.
6.

Write the details of subject to add in the A DD section and have it signed by the Faculty handlin g. (In case the professor
has not yet attended the class, the Branch/Campus Academic Head may sign in lieu of the professor in order to avoid
delay in processing of adjustment.)

Pay the assessed fee at the SIS Window in the Branch/Campus Cashiers Office.
Photocopy this form and official receipt an d submit copy to Branch/Campus Registrars Office (Original Copy),
Directors Office (photocopy),and kee p a personal copy
,hereby apply for a change in my enrollm First Semester
ent this
Second Semester
Summer

I,
(STUDENT NAME)

Academic Year:
20___ - 20 ___

period for the following reasons:

ADD
FACULTY

C OURSE,
CODE

DESCRIPTI
ON

YEAR &

DAY

TIME

ROO M

S ECTION

UNIT
S

SIGNATURE
OVER
PRINTED NAME
AND
DATE

TAGGED BY
SIGNATURE
OVER PRINT
ED
NAME AND
DATE

1.
2.
3.
4.
5.
6.

Number of units and hours (originally

enrolle d)
based on Registration Certifica te
Number of units and hours added
Total number of units and hours
enrolled

:
:
:

SIGNATURE OVER PRINTED NAME OF STUDENT

Student Num ber:
Course:
Year and Sec tion:

APPROVED BY:
ACADEMIC HEAD
DATE:
ACKNOWLEDGED BY: OFFICE OF THE
BRANCH/CAMPUS REGISTRAR
Name

Official Receipt Num

ber:

Signature

Amount Paid:

Date

Date: