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Office of The Registrar: FM-MSU-IIT-RGTR-008 Iligan Institute of Technology Mindanao State University

This document is an academic load revision permit from MINDANAO STATE UNIVERSITY - ILIGAN INSTITUTE OF TECHNOLOGY. It allows a student to withdraw from or add subjects, and revise their total academic load for a semester or term. The form contains sections for the student's details, current courses, requested changes to add or drop subjects, required approvals, and the revised total academic load after changes. It is used to officially process any adjustments to a student's class schedule or credit hours for a school period.

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Orlando Naparan
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417 views1 page

Office of The Registrar: FM-MSU-IIT-RGTR-008 Iligan Institute of Technology Mindanao State University

This document is an academic load revision permit from MINDANAO STATE UNIVERSITY - ILIGAN INSTITUTE OF TECHNOLOGY. It allows a student to withdraw from or add subjects, and revise their total academic load for a semester or term. The form contains sections for the student's details, current courses, requested changes to add or drop subjects, required approvals, and the revised total academic load after changes. It is used to officially process any adjustments to a student's class schedule or credit hours for a school period.

Uploaded by

Orlando Naparan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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MINDANAO STATE UNIVERSITY Document Code No.

ILIGAN INSTITUTE OF TECHNOLOGY FM-MSU-IIT-RGTR-008


Revision No. Effective Date Page No.
OFFICE OF THE REGISTRAR 00 02.20.2020 1 of 1

ACADEMIC LOAD REVISION PERMIT


PART
1 □1 ST
Semester □2 ND
Semester □ Summer Term School Year _____________
PART FULL NAME (Family, Given, Middle) I.D. No. Date
2
PART COLLEGE/SCHOOL DEPARTMENT COURSE & YEAR
3
PART WITHDRAW from the following subject/s:
4 COURSE NO. & CONTROLLER PROFESSOR
SEC.
COURSE TI TLE UNITS (Signature over Printed Name) (Signature over Printed Name)

Note: WITHDRAW FROM ALL SUBJECTS. [Attach letter stating reason/s and file leave of absence (Form 11) if planning to
Enroll in the Institute within one (1) year].
PART ADD the following subject/s:
5 CONTROLLER
No. COURSE NO. & SEC. COURSE TITLE UNITS
(Signature over Printed Name)
1
2
3
4
APPROVAL of Instructor/s for closed subject/s:

_____________________ ______________________ ______________________ _______________________


Signature over Printed Name Signature over Printed Name Signature over Printed Name Signature over Printed Name
Subject 1 Subject 2 Subject 3 Subject 4

PART TOTAL LOAD before Revision TOTAL LOAD after Revision


6
_________ units; ______ hours/week _________ units; ______ hours/week
PART REASON/S for Load Revision
7
□ Conflict of Schedule □ Subject/s Dissolved Other reason/s: ____________________________________
____________________________________
Student’s Signature over Printed Name
PART APPROVAL:
8
Adviser Michael Lloyd A. Bation, CPA Date: ______________ Assessment Php ____________
Signature over Printed Name

Chairperson Jessa Mae S. Banse, CPA Date: ______________ O.R. No. ____________________
Signature over Printed Name

Dean Maria Rizalia Y. Teves, Ph.D. Date: ______________


Signature over Printed Name

Registrar Jocelyn P. Vilela, Ph.D. Date: ______________


Signature over Printed Name
Accomplish in 3 copies – for the Registrar, the Department and the Student.

A. Bonifacio Avenue, Tibanga, 9200 Iligan City Telephone Nos: (063)221-4050 to 55 Local 4165, Tele/fax(063) 223-
Website: http://www.msuiit.edu.ph 3794, e-mail:[email protected]

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