1/F Administration Building

Visca, Baybay City, Leyte, 6521-A PHILIPPINES

Telefax: +63 53 563 7067 or 565 0600; Local 1010
Email: registrar@vsu.edu.ph
Website: www.vsu.edu.ph

REQUEST FOR OVERLOAD

_______________________
Date
The Dean
College of ____________________
Visayas State University
Visca, Baybay City, Leyte

Sir/Madam:
The undersigned would like to request to carry an overload of ______units during the ______
semester/Summer_________, School Year 20___ - 20____ because of the following reasons:
Listed below are the subjects I intend to enroll including overload subjects:
Course No. Descriptive Title Schedule Units
Time Day Room

Attached herewith are copies of my checklist with grades, trial program or schedule of all the
subject I intend to carry including the overload.
I hope for your favorable action on this request.

Very truly yours,

_____________________________
Name & Signature of Student

Degree: ____________________

Major: _____________________
Recommending Approval:

_________________________________ __________________________________
Name & Signature of Academic Adviser Name & Signature of Department Head

APPROVED:

______________________________
Name & Signature of College Dean
Date:

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Vision: A globally competitive university for science, technology, and environmental conservation.
FM-REG-09
Mission: Development of a highly competitive human resource, cutting-edge scientific knowledge v1 06-30-2020
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No._______________