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Form 5 Republic of the Philippines

President Ramon Magsaysay State University Student’s Copy


(Formerly Ramon Magsaysay Technological University)
Iba, Zambales
DROPPING / CHANGING FORM
Student’s Name: Lorena T. Visaya Student Number: 2 3 - 1 - 1 - 0 0 5 8
No. of Units Currently Enrolled: 9 Course / Major: MSA-CS 1 Yr. & Section: 2nd Sem / Tri / Term, SY: 2023-2024

 Write below the subject/s to be  DROPPED /  CHANGED (use additional forms if necessary)
SUBJECT/S UNITS DAYS TIME ROOM NO. INSTRUCTOR’S NAME
Environmental Physiology 3 Sat 8-11am

1. Write below the NEWLY ASSIGNED SUBJECT/S (use additional forms if necessary)
SUBJECT/S UNITS DAYS TIME ROOM NO. INSTRUCTOR’S NAME
Advanced Animal Nutrition 3 Satss

Reason/s for  DROPPING /  CHANGING the subject/s:


Limited number of enrolle. To avoid high displacement fee.

Student’s Signature: Date: CONFORME:


APPROVED:
Date:
(Dean’s / GS Director’s Signature over printed name) Registrar Date
Code: PRMSU-ASA-OURSF 5
Revision No.: 06
Effectivity Date: February 15, 2023

Republic of the Philippines


Form 5 President Ramon Magsaysay State University College’s / GS Secretariat’s Copy
(Formerly Ramon Magsaysay Technological University)
Iba, Zambales
DROPPING / CHANGING FORM
Student’s Name: Lorena T. Visaya Student Number: 2 3 - 1 - 1 - 0 0 5 8
No. of Units Currently Enrolled: 9 Course / Major: MSA - CS 1 Yr. & Section: 2nd Sem / Tri / Term, SY: 2023-2024

1. Write below the subject/s to be  DROPPED /  CHANGED (use additional forms if necessary)
SUBJECT/S UNITS DAYS TIME ROOM NO. INSTRUCTOR’S NAME
Environmental Physiology 3 Sat 8-11am

2. Write below the NEWLY ASSIGNED SUBJECT/S (use additional forms if necessary)
SUBJECT/S UNITS DAYS TIME ROOM NO. INSTRUCTOR’S NAME
Advanced Animal Nutrition 3 Sat 8_11am

Reason/s for  DROPPING /  CHANGING the subject/s:

Student’s Signature: Date: CONFORME:


APPROVED:
Date:
(Dean’s / GS Director’s Signature over printed name) Registrar Date
Code: PRMSU-ASA-OURSF 5
Revision No.: 06
Effectivity Date: February 15, 2023

Republic of the Philippines


Form 5 President Ramon Magsaysay State University Registrar’s Copy
(Formerly Ramon Magsaysay Technological University)
Iba, Zambales
DROPPING / CHANGING FORM
Student’s Name: Student Number:
No. of Units Currently Enrolled: Course / Major: Yr. & Section: Sem / Tri / Term, SY:

1. Write below the subject/s to be  DROPPED /  CHANGED (use additional forms if necessary)
SUBJECT/S UNITS DAYS TIME ROOM NO. INSTRUCTOR’S NAME

2. Write below the NEWLY ASSIGNED SUBJECT/S (use additional forms if necessary)
SUBJECT/S UNITS DAYS TIME ROOM NO. INSTRUCTOR’S NAME

Reason/s for  DROPPING /  CHANGING the subject/s:

Student’s Signature: Date: CONFORME:

APPROVED:
Registrar Date
Date:
(Dean’s / GS Director’s Signature over printed name)

Code: PRMSU-ASA-OURSF 5
Revision No.: 06
Effectivity Date: February 15, 2023

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