DE LA SALLE LIPA

OFFICE OF THE REGISTRAR

J.P. Laurel National Highway, Lipa City 4217, Batangas, Philippines
Tel. Nos. (043) 756-5555 local 222 / 981-1781
Fax: (63-43) 981-1781. Official Web Site: http://www.dlsl.edu.ph

SHIFTING FORM

Date: April 4, 2022 AY : 2021-2022 Semester : 2nd semester Student

Number: 2021295411

Morales, Aeron John B. BS Accountancy Bs Financial Management

FULL NAME OF STUDENT CURRENT PROGRAM NEW PROGRAM

REASONS FOR SHIFTING :

Almost 90% of my Grades in the last Semester were down to failing marks.

AERON JOHN B. MORALES ARIEL B. MORALES

STUDENT’S SIGNATURE Over Printed Name PARENT’S SIGNATURE Over Printed Name
NOTE: STUDENT SHOULD APPLY FOR
THE CHANGING OF ID CARD AFTER
THE APPROVAL OF THIS REQUEST
 VERIFIED

_______________________________________
_______________________________________
GRADES VERIFICATION IN-CHARGE Total Units of Accumulated Failures

ENDORSED

_______________________________________
_______________________________________
ACADEMIC ADVISER (PREVIOUS PROGRAM) ACADEMIC ADVISER (NEW PROGRAM)

APPROVED

_______________________________________
REGISTRAR

SHIFTED

_______________________________________ ________________
______________________
ENROLLMENT AND EVALUATION IN- Course Shifted Year Level
CHARGE Updated

Notes:
1. Approved letter of request for shifting addressed to the Dean of the accepting college duly noted by the respective Dean
should be attached in this form.
• Requesting students must meet the requirements set by the department before they will be allowed to shift to the
new program.
• Certification of grades should be attached to this application for evaluation of the Department Chairperson of the
new program.
2. Release of forms will start during the release of final grades for the semester. Failure to return this form to the College
Registrar’s Office without any prior notice a week after issuance would result to disapproval of the request.
3. LAMP Scholars should secure approval from the LAMP Manager.

REVISED – April 2016