FORM 8 REG-RO-MAR2017

University of San Carlos

ENDORSEMENT FORM

____________
Date

Pls. check: _____ Overload (____ units) ______ Simultaneous Enrollment

_____ Credit a course ______ Enroll a course in lieu of another
_____ Cross-enrollment ______ Enroll a course from other curriculum

Term: _____1st semester, Academic Year ________________

_____2nd semester, Academic Year ________________
_____ Summer, Year ________________

Print Name of Student: _______________________________

Academic Program/Year Level/ID No: _______________________________

Endorsement: (to be filled-out by the Department Chair or Servicing Department Chair where applicable)

Respectfully forwarded to the VPAA for approval the request of the above-named student to
_____________________________________________________________________________________
_____________________________________________________________________________________
for reason stated on his/her letter.

_______________________ ______________________
Servicing Department Chair Department Chair

_______________________ ______________________
Dean Registrar

Approved: FR. ALEKSANDER GAUT, SVD, PhD

Vice President for Academic Affairs

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Attachments: ____ Letter of Student ____ Deficiency Form (photocopy)
____ copy of final grades with GWAG ____ current Study Load

Note: 1 copy for the student 1 copy for the Registrar’s Office