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SIKAP PT: FORM F

STATUS OF STUDY AND STUDY PLAN


Application for the Part-Time Study under the SIKAP Grant

NAME

DHEI

DEGREE PROGRAM

TERM OF INTAKE (TERM, AY YYYY-YYYYY) TOTAL NUMBER OF UNITS REQUIRED


TO COMPLETE THE DEGREE PROGRAM

DURATION OF (Expected Number of Years and Months


EXPECTED TERM AND ACADEMIC YEAR
STUDY to complete the Degree Program) OF COMPLETION

CURRICULUM CHECKLIST: (List of Requirements Needed1)


<<COURSES>> UNITS
<<COURSES>> UNITS

Core Course: Philo 200 3 Elective: RegStudies 205 3

<<COURSES>> UNITS
<<COURSES>> UNITS

TO BE ACCOMPLISHED BY THE AUTHORIZED DHEI PERSONNEL

This is to certify that MR/MS _______________________ is admitted in the degree program __________________________
starting (Term/AY) ___________ S/He must maintain a grade of _________ or higher of the total number of enrolled academic units
per academic year. S/He is expected to complete the degree program on or before (Term/AY) ___________ as referenced in the
attached Approved Study Plan.

____________________________________________________
SIGNATURE ABOVE PRINTED NAME
<<Dean / Program Chairperson / Department Chairperson >>

1 Core Courses, Cognates, Area of Specialization, Elective, Thesis/Dissertation, Compre Exam, etc.
SIKAP PT: FORM F

NOTE: Input the Course Title, and Units of the Graduate Degree Program to be taken until AY 2021-2022. ON-GOING STUDENTS are required to input the incurred grades and attach a
certification of grades (issued by the HEI, or printed from the official student portal of the HEI ) from the start of the degree until AY 2021 - 2022.

ACADEMIC YEAR ________ - _________

FIRST SEMESTER/TERM SECOND SEMESTER/TERM SUMMER /SHORT TERM / THIRD TERM

COURSE COURSE TITLE UNITS GRADES COURSE COURSE TITLE UNITS GRADES COURSE COURSE TITLE UNITS GRADES
CODE CODE CODE

ACADEMIC YEAR ________ - _________

FIRST SEMESTER/TERM SECOND SEMESTER/TERM SUMMER /SHORT TERM / THIRD TERM

COURSE COURSE TITLE UNITS GRADES COURSE COURSE TITLE UNITS GRADES COURSE COURSE TITLE UNITS GRADES
CODE CODE CODE

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