Document Code: FM-URO-015

SAINT LOUIS UNIVERSITY Revision No.: 00

Effectivity Date: February 1, 2021
Page 1 of 2

FORM FOR PARTIAL WITHDRAWAL / DROPPING / CHANGING / ADDING OF SUBJECTS / SHIFTING

COURSE DURING THE ADDING / CHANGING / WITHDRAWAL / DROPPING PERIOD
Date: 08-13-21
ID No.: 2167335 Sem.: 1ST Academic Year: 2021
Name: BOGENGGENG ADAM SALINGBAY
Family Name First Name Middle Name

Course and Year: BSCE-5

Please be informed that this student is allowed to perform the following modifications to his/her enrolment.
Change Course: from: to:
Cancel, Withdraw or Drop the following subjects:
Code Course No. Units Code Course No. Units

Change or Replace subjects / class code:

From (Former Subjects):
Code Course No. Units Code Course No. Units

To (New Subjects):
Code *** Course No. Units Code *** Course No. Units
(To be filled up (To be filled up
by encoder) by encoder)

Add the following subjects):

Code *** Course No. Units Code *** Course No. Units
(To be filled up (To be filled up
by encoder) by encoder)

3337 CE 522 3

Note: *** Class codes for subjects to be changed to or added will depend on the availability of class cards as determined
at the Computerized Enrolment Room
Maximum Allowed Units for this Student:
Student’s Signature
Approved: Encoded:

Dean’s Signature Authorized Signature Date

Note: This form has to be accomplished in two (2) copies.

(Please see policies at the back