CONTROL NO.: REPUBLIC OF THE PHILIPPINES POLYTECHNIC UNIVERSITY OF THE PHILIPPINES OFFICE OF THE UNIVERSITY REGISTRAR STA. MESA, MANILA ‘COLLEGE APPLICATION FOR CHANGE OF ENROLLMENT (ACE) FORM. (FORM TO BE USED FOR A SEMESTER ONLY) iFirst Semester Academic Year: 4 , hereby apply fora change in my enrolment this| Foret geen eae (STUDENT NAME) Osummer 29-20 period fr the following reasons: PLEASE CHECK THE APPROPRIATE BOX: (1 A. suBiect(s) / SCHEDULE(S) TO BE CHANGED FROM: FACULTY SIGNATURE/ cove DESCRIPTION. section | pay Time oom | nts | FA oynecenn To: FACULTY SIGNATURE/ cove DESCRIPTION section | pay Time ROOM UNITS A toneeenrea C8. suBJECT(s) TO BE DROPPED / WITHDRAWN FACULTY SIGNATURE/ cove DESCRIPTION. secnon | pay time oom | unirs | FACUTY SONATURE/ C1 . sussect(s) To BE ADDED FACULTY SIGNATURE/ cove DESCRIPTION section | pay Time ROOM UNITS (A tomeeenres Number of units ond hours (orginally enrolled) based on Registration Certificate SIGNATURE OVER PRINTED NAME OF STUDENT ‘Number of units ond hours acsed Student Number: Total number of units and hours enrolled: course Year and Section ‘APPROVED BY: DEAN / CHAIRPERSON parE: [ACKNOWLEDGED BY: OFFICE OF THE UNIVERSITY REGISTRAR. Name Official Receipt Number: Signature [Amount Paid ate ate: