Permit to Cross Enroll Form

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Republic of the Philippines
Bicol University
Legazpi City
Tel No: 480 – 0700
e-mail add: bu_uro@yahoo.com
ISO 9001:2008
Certificate no.
TUV100 05 1782
OFFICE OF THE UNIVERSITY REGISTRAR
(Permit to Cross – Enroll)
__________________
The Registrar
_______________________
_______________________
Sir/Madam:
Permission is hereby granted by this office to _______________________ of
Bicol University ______________________________, _______________, to cross –
enroll in your institution this First/Second Semester 20__ – 20__, Summer __________
in the following subject (s):
Subject(s)
Description
1. _________________ ____________________________________
2. _________________ ____________________________________
3. _________________ ____________________________________
Units
______
______
______
Total.....______
It is requested that a certification of his/ her final rating be issued and forwarded
to the College Registrar, Bicol University ______________________, not later than two
(2 ) weeks after the close of the semester / term.
Very truly yours,
___________________
University Registrar
(To be prepared in 3 copies)
BICOL UNIVERSITY
Legazpi City
PERMIT TO CROSS-ENROLL
________________
(Dean)________________________
(College)______________________
(College Address)_______________
Sir/Madam:
I would like to request permission to cross-enroll in the subject(s) listed below at
________________________________________ this First/Second Semester, 20__-20__,
Summer __________.
Subject(s)
Description
Units
Time
Days
1. __________ ________________________
______ ____________ ________
2. __________ ________________________
______ ____________ ________
3. __________ ________________________
______ ____________ ________
Total.....______
My reasons(s) is/are:
________________________________________________________________________
________________________________________________________________________
The subject(s) mentioned above are in addition to the subject(s) I am presently
enrolled in this college, which are the following:
Subject(s)
1. __________
2. __________
3. __________
4. __________
5. __________
6. __________
7. __________
8. __________
9. __________
10. _________
Description
________________________
________________________
________________________
________________________
________________________
________________________
________________________
________________________
________________________
________________________
Units
______
______
______
______
______
______
______
______
______
______
Time
____________
____________
____________
____________
____________
____________
____________
____________
____________
____________
Days
________
________
________
________
________
________
________
________
________
________
I promise to submit the grade(s) for my cross-enrolled subject(s) not later than
two (2) weeks after the close of the term.
It is hoped that this request merits your favorable action.
Thank you.
Very truly yours,
_____________________________
Printed Name and Signature of Student
_____________________________
Course & Curr. Year/Major
Recommending Approval:
__________________________
____________________
Department Chairman
Registrar
APPROVED:
BU-F-UREG-45
Effectivity Date: Mar. 9, 2011
_______________________
Dean
Revision: 1
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