School of Mechanical and Industrial Engineering I the undersigned, do hereby acknowledge that I was advised well and understand

that decision are made after careful discussion with my advisor.

Industrial Engineering Program
ACADEMIC ADVISING FORM
_____________
Name: __________________________
Academic Year: ____Sem_______ Student ID.: _________
School of Mechanical and Industrial Engineering
Industrial Engineering Program
Date:
ACADEMIC ADVISING FORM
Date:
Phone No: _________________ _______________
Name: ___________________________ Phone No: _________________

Request/suggest/inform for: (tick one or more) Academic Year: _________Sem_______ Student ID.: _________
 Revision of load  Add/drop of course Request/suggest/inform for:

 Readmission  Change of specialization  taking prerequisite / ___ revision of load ___ Add/drop of course

___ shifting/ transferring ___ choice/ change of specialization

advance course  Withdrawal  Graduation audits 
____taking prerequisite and advance course ___Withdrawal _____________
others_______________________

Reason/Details ___graduation audits others________________________

………………………………………………………………………………… Reason/Details
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Recommendation: ---------------------------------------------------------------------------------
____________________________________________________________________ Recommendation:
____________________________________________________________________
____________________________________________________________________
_________________________________________________________________
____________________________________________________________________
______________________________________________________________________________________________________________ ____________________________________________________________________
____________________
_______________________ _______________________
_______________________ _______________________
Adviser’s Name & Signature Student Signature
Adviser’s Name & Signature Student Signature
I the undersigned, do hereby acknowledge that I was advised well and understand
that decision are made after careful discussion with my advisor.