Republic of the Philippines

SOUTHERN LEYTE STATE UNIVERSITY

San Roque, Sogod, Southern Leyte
website: http://www.slsuonline.edu.ph
email: slsumaincampus@gmail.com
telefax: 053 577-8299

WAIVER TO ENROLL SUBJECTS WITH

[ ] CURRENTLY ENROLLED PRE-REQUISITE SUBJECT/S
[x] NO GRADE IN PRE-REQUISITE SUBJECT/S

Date: August 20, 2021

I TERENCE MORE CINCO, JR., a Bachelor of Science in Civil Engineering major in NONE student
of this University, hereby declare that I am going to enroll the [] requested subject [x]
offered subject / s ____________________________ for this 1st semester, AY 2021 - 2022.

If in case I cannot obtain a passing grade of the pre-requisite subject/s enrolled, my

enrollment of the higher subject/s will become null and void. Thus, I do not hold any faculty
and officials of the University for any unfavorable circumstances I may experience related to
this concern.

Pre-Requisite Subject/s with No Grade Pre-Requisite Subject/s Enrolled Subject/s with Pre-Requisite (Enrolled)

ES 216 Statics of Rigid Bodies

ES 227 Dynamics Of Rigid Bodies
ES 228 Mechanics Of Deformable
Bodies
CE 224 Construction Material and
Testing
CE 224L Construction Material and Testing

Parent(s) / Guardian Consent

Signature over Printed Name Signature of Student

Academic Adviser’s Consent

ENGR. RAYMART BULAGSAC

Academic Adviser / Date

Approved:

ENGR. RAYMART BULAGSAC

Dean/ Department Head / Date

Noted:

RUTH F. MEDILO, MPA

University Registrar / Date