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Form 8, Academic Load Revision Permit

The document is a Form 8: Academic Load Revision Permit from MSU-Iligan Institute of Technology, used for students to request changes to their academic load. It includes sections for withdrawing and adding subjects, obtaining necessary approvals, and providing reasons for the revision. The form must be completed in triplicate for the Registrar, the Department, and the Student.

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AUDREY MARIE
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20 views1 page

Form 8, Academic Load Revision Permit

The document is a Form 8: Academic Load Revision Permit from MSU-Iligan Institute of Technology, used for students to request changes to their academic load. It includes sections for withdrawing and adding subjects, obtaining necessary approvals, and providing reasons for the revision. The form must be completed in triplicate for the Registrar, the Department, and the Student.

Uploaded by

AUDREY MARIE
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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Form 8: Academic Load Revision Permit

(Updated October 2015)


MSU- ILIGAN INSTITUTE OF TECHNOLOGY ACADEMIC LOAD
OFFICE OF THE REGISTRAR REVISION PERMIT
A. Bonifacio Avenue, Tibanga 9200 Iligan City Website:http://www.msuiit.edu.ph
Telefax: (063) 223-3794 e-mail : [email protected]
Telephone: (063)221-4050 to 55 Local 4165

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)

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 ____________________________ Date: ______________ Assessment Php ____________
Signature over Printed Name

Chairperson ________________________ Date: ______________ O.R. No. ____________________


Signature over Printed Name

Dean ______________________________ Date: ______________


Signature over Printed Name

Registrar JERSON N. OREJUDOS, Ph.D. Date: ______________


Accomplish in 3 copies – for the Registrar, the Department and the Student

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