CHANGE OF GRADE FORM
STUDENT ID:
TO: Registrar’s Office
FROM:
First Name
Middle Name
Family Name
In the Course
Subject
Taken in the
Course No.
Semester/Session
Academic Year
Course Title
From
To
Old Grade
New Grade
Reason for Change:
Approved by:
/
DATE:
INSTRUCTOR:
Day
/
DATE:
CHAIR:
Day
Month
Day
Processed by:
Academic Standing:
Day
COPIES TO: White copy to: Registrar’s Office - Yellow copy to: School Dean’s office.
Year
/
Month
/
DATE:
Year
/
/
DATE:
DEAN:
/
Month
Year
/
Month
Year