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Application For Privilege To Study at Reduced Fees

This document is an application form for employees of the University of the Philippines Mindanao to apply for reduced tuition fees. The form collects information such as the applicant's name, department, courses enrolled in, academic load, and requires signatures for approval.

Uploaded by

Elizha Beth Gamot-Silangan
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27 views1 page

Application For Privilege To Study at Reduced Fees

This document is an application form for employees of the University of the Philippines Mindanao to apply for reduced tuition fees. The form collects information such as the applicant's name, department, courses enrolled in, academic load, and requires signatures for approval.

Uploaded by

Elizha Beth Gamot-Silangan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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HRDO FORM O-1

Revised 1/5/95
UNIVERSITY OF THE PHILIPPINES MINDANAO
HUMAN RESOURCE DEVELOPMENT OFFICE

APPLICATION FOR PRIVILEGE TO STUDY AT REDUCED FEES


Name : _____________________________ Designation : _______________________
Department : _____________________________ College/Unit : _______________________
(Home Unit)
________ Semester/Summer/Trimester
AY 20______

COURSES DAYS TIME UNITS


_____________________ ________________ ________________ ________________
_____________________ ________________ ________________ ________________
_____________________ ________________ ________________ ________________

Total Units Enrolled in ___________________

____________________________
Signature
--------------------------------------------------------------------------------------------------------------------------------------------------------------
ACADEMIC LOAD OF APPLICANT (If applicable only) CLEARED:
(To be filled out by Department Chairman)

Actual teaching load units : ______________ [ ] Tenured


Unit credits for non-teaching activity [ ] Non-Tenured ___________________
a) Research ______________ [ ] On study leave _________________
b) Administrative Work ______________ [ ] On Vacation leave with pay _______
c) Study ______________
Total Units : ______________ For enrollment in not more than ____
Inclusive dates of current Units with only ______ units at reduced fees
Appointment: _____________________

RECOMMENDED BY:

________________________ ____________
Chairman Date
__________________________
________________________ ____________ HRDO
Dean/Director/Head Date
------------------------------------------------------------------------------------------------------------------------------------------------------------------
RECOMMENDING APPROVAL/APPROVED: APPROVED:
[For Faculty/REPS] [For Administrative] [For more than 18 units academic load]

________________________ ______________________ PROF. SYLVIA B. CONCEPCION


OVCAA OVCA Chancellor

NOTE:
1. Accomplish in 2 copies
2. Attach copy of grades issued by Registrar's Office for the last semester enrolled in and copy of appointment, if not tenured.
3. If REPS or Administrative personnel enrolling during office hours, please attach approved revised work schedule.
4. Violation of the rules on privilege to study at reduced fees shall be sufficient ground for disciplinary action under Civil Service rules and
regulations as rules in discipline approved by the Board of Regents.
5. The Total number of approved units for enrollment shall in no case constitute basis for claiming overload honorarium.

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