Effectivity: November 9, 2016

LICEO DE CAGAYAN UNIVERSITY

Rodolfo N. Pelaez Blvd., Kasuwagan Road,
Cagayan de Oro City
Academic Year 2021-2022

___√__ 1st Semester _____ 2nd Semester _____ Summer

IMPORTANT: Please fill out this form in three (3) copies.

NAME: MARIANNE JADE M. SALCEDO Course & Year: 1ST YR BS Med Tech

ID #: 20210647416 Units Currently Enrolled: 27.0

CONTACT #. 09057206975 Units Prescribed in the Curriculum: 27.0

EMAIL ADD: JAMIEMILENE@GMAIL.COM Total Number of Units, if Approved: 27.0

Status: Regular Irrregular

Please check ONLY one.

Adding of Subjects Dropping of Subjects √
Subject/s Justification Program Coordinator’s Remark Registrar’s Remarks
1. BSML-1101
Principles of Medical Laboratory
Science Practice 1 ( Intro to Med, Financial Stability
Lab Science, Lab safety, and Waste
management)
2. BSML-1103
Health Information System for Financial Stability
Med Lab Science
3. BSML-1104
Human Anatomy and Physiology Financial Stability
with Pathophysiology
4. G-10-CH
Financial Stability
Inorganic and Organic chemistry
5. G-NSTP-1 (CWTS)
Financial Stability
Foundation of Service
6. G-PE-1
Financial Stability
Movement Competency Training
7. G-RIZAL
Financial Stability
The life and works of Rizal
8. U-SO-OR
Financial Stability
Social Orientation

Changing of Subjects
Subjects Justification Program Coordinator’s Remark Registrar’s Remarks
From To
 1.
2.
3.

Please PRINT Complete name with signature and date.

MARIANNE JADE M. SALCEDO EMMANUEL N. SALCEDO

Complete Name for Parent/Guardian and Signature / Date

Complete Name of Student and Signature / Date
(Only for Dropping of Subjects)
APPROVAL
Important: Items 1, 2, and 3 must be signed by the officials of the college to which the student belongs.
Item 4 must be signed by the official of the college that offers the subject.

1. Program Evaluator / (Date) 4. Chair / Coordinator (Date)

2. Chair / Coordinator / (Date) 5. Cashier / (Date)

3. Dean / (Date) 6. University Registrar / (Date)

REMINDER: Please provide the student and his/her chair/coordinator with a copy of this form.