Centro Escolar University

SCHOOL OF ACCOUNTANCY AND MANAGEMENT

Mendiola, Manila

Request Form for Summer Enrollment

Printed Name of Student :

Contact Numbers :

E-mail address :

To enroll the following subjects:

Regular Subjects during Summer Back Subjects

Total Number of Units: ___________

Approved by:

SIGNATURE OVER PRINTED NAME

Position

Important Reminder:

1. The student must submit the accomplished request form and pay the amount of Php 200.00 at the
SAM office on or before April 5, 2019 (Friday).
2. All students with academic deficiencies are required to bring their parent or guardian to the SAM
office before they can be given a schedule of enrollment.
3. Status of accomplished request forms and schedule of enrollment will be sent through email.
4. For inquiries or clarifications, you may call Ms. Santos at the SAM office at 735-9443 from
Monday to Friday, 9-11 am.