Change in Program Consent

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Republic of the Philippines

City of Olongapo
GORDON COLLEGE
Olongapo City Sports Complex, Donor St., East Tapinac, Olongapo City
Tel. Nos.: (047) 602-7175/ www.gordoncollege.edu.ph

APPLICATION FOR CHANGE IN PROGRAM CONSENT

I,_________________________________________, with student number _____________________


FULLY UNDERSTAND that the RE-ADMISSION to my current program (_________________) WILL
DEPEND ON THE AVAILABLE SLOTS AND THERE WILL BE NO ASSURANCE that I will be re-admitted to
the said program whatever the result of my application for change in program will be.

Signed this _______ of __________________, 20____.

________________________________ ________________________________
Student’s Signature above printed name Parent/Guardian’s Signature
above printed name

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