MANILA, PHILIPPINES
Student Name:
Last Name
Student No.:
Candidate on:
Quarter,
COURSES
First Name
Program/Year:
Middle Name
Contact Number(s)
Programmed Study Load:
UNITS
Total:
Quarter,
COURSES
Quarter,
UNITS
COURSES
Total:
UNITS
Total:
Total Units Remaining:
(if with waiver)
PREREQUISITE COURSE(S)
GRADE & STATUS
ADVANCED COURSE(S)
PREREQUISITE AND ADVANCED COURSES TAKEN SIMULTANEOUSLY
I wish to take the above listed prerequisite and advanced courses simultaneously.
I fully understand that should I fail the prerequisite course listed above, I will not receive any credit for the
corresponding advance course in conformity with the MAPÚA RULES AND REGULATIONS.
REQUEST FOR STUDY OVERLOAD
I attest to the fact that I have no more than thirty four (34) units left for me to qualify for graduation.
However, in the event that records of the Registrar’s Office indicate otherwise, I hereby authorize and do
hereby agree that the Registrar’s Office Program Section Chief shall drop course(s) from my student load for
this quarterm to comply with the Institute’s policy on the maximum number of units a student is allowed to
take in a particular quarterm.
Signature of Student Over Printed Name
Verified by:
Program Section Chief
Recommending Approval:
DEAN
Approved:
Registrar
RO-019-02