Document Code: FM-URO-015

Revision No.: 00

SAINT LOUIS UNIVERSITY Effectivity Date:

Page
February 1, 2021
1 of 2

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

COURSE DURING THE ADDING / CHANGING / WITHDRAWAL / DROPPING PERIOD
Date: ___________________
ID No.:______________________ Sem.: _________ Academic Year: _________________
Name: _________________________________________________________________________________
Family Name First Name Middle Name

Course and Year: _______________________________________________________________________

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)

___________ ________________ ___________ ___________ ________________ ___________

___________ ________________ ___________ ___________ ________________ ___________
___________ ________________ ___________ ___________ ________________ ___________
___________ ________________ ___________ ___________ ________________ ___________
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)
 Document Code: FM-URO-015
Revision No.: 00
Effectivity Date: February 1, 2021
Page 2 of 2

Policies for Partial Withdrawal / Dropping / Changing / Adding of Subjects / Shifting Course
Changing may be allowed only once:
Before action shall be taken on the student’s request for changing/dropping or adding of subject(s) or change
of course, the student:
a) Shall attach to this form his/her official class schedule
b) Shall manifest an assurance that he/she has fully understood and has complied with the existing policies
on prerequisites and term load limitations. Any misinterpretation or misstatement committed by the
student shall constitute a sufficient ground for disciplinary action to be taken against him/her.
Only the College Dean or his duly designated representative may approve the request for changing/adding,
dropping of subject(s) or change of schedule or course.
When approved, present this form to the Computerized Enrolment Room or the University Registrar’s Office for
the entry and printing of the Final Student Schedule.
Note:
 Class codes for subjects to be added or changed to will be determined at the Computerized Enrolment
Room depending on the availability of class codes.
 Withdrawal, Adding, Changing or Shifting Course is considered official upon signing of the personnel
from the Computerized Enrolment Room/ University Registrar’s Office.