Foundation Status Change Request Form

Student Information:
CAE Number:
Student Name:
Current Level: L1A ☐ L1B ☐ L2 ☐ L3 ☐ L4 ☐ L5A ☐ L5B ☐
Semester Cycle:

Student Signature: Date:

Current Status:
Current Shift: Morning ☐ Evening ☐
Current Class: A☐ B☐ C☐ D☐ E☐ F☐ G☐ H☐
Current Mode: Full Time ☐ Part Time ☐
Current Location: Dammam ☐ Jeddah ☐ Riyadh ☐ Online ☐

Requested Status:
Requested Shift: Morning ☐ Evening ☐
Requested Class: A☐ B☐ C☐ D☐ E☐ F☐ G☐ H☐
Requested Mode: Full Time ☐ Part Time ☐
Current Location: Dammam ☐ Jeddah ☐ Riyadh ☐ Online ☐
I have some problems in apartment and I will go to my
Reason for Change: family in another city.

Approval Status:
FOR OFFICAL USE ONLY
Requested Classroom
Ratio Details
Approve ☐ Reject ☐

Name:
Foundations
Operations
Manager Signature:

Date:

Update Class Registers (.xls, ETA, MS Teams) ☐

Process Inform Student via the ticketing system ☐
Inform Examiner to download assessment scores ☐

FM-PH1-13
Revision: 07