UE Form S-No. 2.

34
(DRRM-Revised March 2009)

UNIVERSITY OF THE EAST

College of Engineering
Manila

SIMULTANEOUS ENROLMENT IN PRE-REQUISITE SUBJECT/S AND ADVANCED

SUBJECTS (WAIVING FORM)

I, ___________________________________ enrolled in ___________ program

with Student Number ____________________ respectfully request your approval to
allow the undersigned to enroll the following advanced subject/s with the pre-requisite
subject/s due to the following reason/s stated below:

SUBJECT/S TO BE TAKEN PRE-REQUISITE SUBJECT/S

___________________________ _________________________ Grade _____
___________________________ _________________________ Grade _____
___________________________ _________________________ Grade _____

Reason/s
( ) I obtained a failing grade (5.0) in the pre-requisite, namely __________________
( ) I am a transferee. The pre-requisite subject/s have been credited by the
Academic Evaluator per attached initial evaluation form.
( ) The pre-requisite subject has already been taken, but I got an LFR mark.
( ) Other: (Please specify) _____________________________________________
________________________________________________________________

I hereby certify that I have finished all the pre-requisite subject/s listed above and
that if there is misrepresentation based on the Official Transcript of Records, the
amount paid for this tuition and other fees will not be refunded, and no unit for the
subjects I enrolled in and passed will be credited, without prejudice to the filing of
corresponding administrative charges againts me.

I am aware that if I fail in the pre-requisite subject, no units shall be credited to

the advanced subject taken, regardless of my performance.

Thank you.

_____________________
Signature of the Student

Attach: Form IX and Evaluation Result

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( ) APPROVED ( ) DISAPPROVED ( ) APPROVED ( ) DISAPPROVED

Reason/s: _________________________ Reason/s: _______________________

__________________________________ ________________________________

___________________________ ________________________________
DEAN FLORANTE A. MAGNAYE University Registrar