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UPLB-OCS Form No. 105
COLLEGE OF AGRICUTUREUNIVERSITY OF THE PHILIPPINESApplication for Revision in the Approved Plan of Course Work 
1
Department/Institute(NOTE: Application for revision should be made before the course to be deleted, addedor replaced is registered, and that the change is not due to a failing).
Please check the appropriatebox(es):
Change in Major Field/ Specialization
Change in Major Option (thesis, practicum, allcourse, etc.)
Change in Major Course or Subject
**
Change in Elective
**
Change in Major Adviser
Change in GEName:
Click here to enter text.
Degree/Course:BS
Click here to entertext.
Student No:
Click here to enter text.
MajorField:
Click here to enter text.
ApprovedProposed ChangeMajor Field/ Option/ Major Course/Elective/ AdviserMajor Field/ Option/ Major Course/Elective/ Adviser
1.
Click here to enter text.
1.
Click here to enter text.
2.
Click here to enter text.
2.
Click here to enter text.
3.
Click here to enter text.
3.
Click here to enter text.
4.
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4.
Click here to enter text.
 Justification:1.
Click here to enter text.
2.
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3.
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4.
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(use extra sheet if necessary)
Click here toenter a date.
StuDate
1
∗
Attach photocopy of approved plan of course work
**
** Indicate semester and year to be taken
**
of 00

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