RTU-ACAD-UGS-F004 Control No.

_____________
RIZAL TECHNOLOGICAL UNIVERSITY
Cities of Mandaluyong and Pasig
CAS CBET CED ✔CEIT GS IPE

School Year: 2022-2023 Date

Semester: 2nd Year Level 1st year

Name of Student: NANALE B.

JORELLE ASHLEY
Family Name Given Name M.I
No. of Units Enrolled: 24 No. of Units Failed/Dropped: 0
WAIVER OF CONDITIONS FOR ACADEMIC WARNING
I would like to request for readmission in the College under the following conditions:
1. I will enroll the failed/dropped subject/s during the school year.
2. I will enroll a maximum load to be decided by the Dean and/or the Department Head.
3. I will follow the academic policies on overload, pre-requisites, co-requisites and sequence of subjects according to the curriculum
program where I am enrolled.
4. I will follow the pertinent rules, orders, regulations and memoranda being enforced by the University.
5. Absence of improvements during the academic warning period would automatically put me to Academic Probation status.

____________________
Student’s Signature
Witness:
__Amelita Nanale_____
Signature over Printed
Name
of Parent or Guardian

Recommending Approval: Action Taken:

/ / Approved
ENGR. PAUL M. REYNALES / / Disapproved
Department Head
Recommendation:_______________________________________________ DR. CORLETO R. BRAVO

Dean
Rizal Technological
University Revised 0 Effectivity April 2016
RTU-ACAD-UGS F004 Control No._____________

RIZAL TECHNOLOGICAL UNIVERSITY

Cities of Mandaluyong and Pasig
CAS CBET CED ✔CEIT GS IPE

School Year: 2022-2023 Date

Semester: 2nd semester Year Level 1st year

NANALE B.
Name of Student: JORELLE ASHLEY
Family Name Given Name M.I
No. of Units Enrolled: 24 No. of Units Failed/Dropped: 0
WAIVER OF CONDITIONS FOR ACADEMIC WARNING
I would like to request for readmission in the College under the following conditions:
1. I will enroll the failed/dropped subject/s during the school year.
2. I will enroll a maximum load to be decided by the Dean and/or the Department Head.
3. I will follow the academic policies on overload, pre-requisites, co-requisites and sequence of subjects according to the curriculum
program where I am enrolled.
4. I will follow the pertinent rules, orders, regulations and memoranda being enforced by the University.
5. Absence of improvements during the academic warning period would automatically put me to Academic Probation status.

____________________
Student’s Signature
Witness:
___Amelita Nanale____________________
Signature over Printed Name
of Parent or Guardian

Recommending Approval: Action Taken:

/ / Approved

__ENGR. PAUL M. REYNALES_____________________ / / Disapproved

Department Head
Recommendation:_______________________________________________
_ DR. CORLETO R. BRAVO
Dean

Rizal Technological University

Revised 0 Effectivity April 2016