Republic of the Philippines
Pamantasan ng Lungsod ng Maynila
(University of the City of Manila)
General Luna Street corner Muralla Street
Intramuros, Manila
PRELIMINARY REGISTRATION FORM
for Change or Cancellation of Registration
(Add/Drop Form)
Nursing
College of_______________________________
1st semester/term, SY 20 ___
21 - 20___
_______
22
STUDENT NUMBER:
NAME
:
(PRINT)
2 0 2 0
ALMERO
September 12, 2021
DATE OF APPLICATION: ___________________________
0 1 0 4 9
COURSE :
YR LEVEL :
ABCEDE
SOPHIA JESSICA
SURNAME
FIRST NAME
Bachelor of Science in Nursing
BLOCK : 4
2
MIDDLE NAME
MAJOR
:
DETAILS OF CHANGE/CANCELLATION OF REGISTRATION:
Adding/Dropping or Changing of Subject because:
the class schedule was changed by the college.
I want to change my schedule.
the following subject(s) is not included in my EAF.
Extra P.E Subject
Others: _____________________________
_____________________________
_____________________________
I was not advised properly by the college adviser.
SUBJECTS TO BE CHANGED OR DROPPED:
Subject Code
1
PED 0074
Section
11
Title
Volleyball
Units
2
Day(s)
Time
Room
1
S 9:00 A - 11:00
A
Field
Day(s)
Time
Room
Faculty
2
3
4
5
TOTAL NUMBER OF UNITS:
2
SUBJECTS TO BE CHANGED INTO OR ADDED:
Subject Code
Section
Title
Units
Faculty
1
2
23
4
5
TOTAL NUMBER OF UNITS:
TOTAL NUMBER OF UNITS ENROLLED
AFTER ADDING/DROPPING/CHANGING
SUBJECTS:
NOTE:
1. Please attach with this form the 1st EAF containing your
initial assessment.
2. All changes must be authorized by the Faculty Adviser/
Department Chairperson/Dean. Any unauthorized change
made will subject the student to disciplinary action.
27
APPROVED:
College Dean's Signature
Date