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Student’s Copy OFFICE OF THE REGISTRAR

ADDING/WITHDRAW FORM

Date: _______________

The Registrar

Sir:
Listed below is/are my subject(s) to add, change of time and withdraw due to (a) conflict of time (b)
overload (c) under load.

SUBJECT (S) ADD:


Instructor
Sched_Code Course_Code COURSE DESCRIPTION Day Time Units
Signature

SUBJECT (S) WITHDRAW


Instructor
Sched_Code Course_Code COURSE DESCRIPTION Day Time Units
Signature

____________________________ _______________________________
Department Head/Dean Student Signature over printed Name
ID Number: ____________________________
Program & Year Level:
___________________
Contact #: ____________________________

OFFICE OF THE REGISTRAR


Registrar’s Copy
ADDING/WITHDRAW FORM

Date: _______________

The Registrar

Sir:
Listed below is/are my subject(s) to add, change of time and withdraw due to (a) conflict of time (b)
overload (c) under load.

SUBJECT (S) ADD:


Instructor
Sched_Code Course_Code COURSE DESCRIPTION Day Time Units
Signature

SUBJECT (S) WITHDRAW


Instructor
Sched_Code Course_Code COURSE DESCRIPTION Day Time Units
Signature

____________________________ _______________________________
Department Head/Dean Student Signature over printed Name
ID Number: ____________________________
Program & Year Level:
___________________
Contact #: _____________________________

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