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05-2016)
Date/Time of download:
27-Jun-2019 18:18 PM
LOYOLA SCHOOLS
Serial No.: 0089974
FORM FOR CHANGE OF DEGREE PROGRAM OR
APPLICATION FOR MINOR/SPECIALIZATION
Date: ________________________
School Year: 2019-2020 Semester: Intersession
Only one request (Request A or B) per form. Obtain the required signatures in proper sequence. Accomplished
forms (i.e. with all approvals) must be submitted to the Registrar within the prescribed deadlines.
ID No: 192409 Name: HE, ADEL JOHN PINEDA
Year: X Degree: BS ME
( ) Request A. CHANGE OF DEGREE PROGRAM (Indicate complete title of degree). I wish to change
degree program from BACHELOR OF SCIENCE IN MANAGEMENT ENGINEERING to
________________________________________________________
STATE YOUR REASONS FOR THE ABOVE REQUEST(S) (Form will be returned to student if this space is left blank.)
___________________________________
Signature of Student
OTHER APPROVALS:
1. Office of Admission & Aid / Associate Dean for Graduate Program (For scholars only)
__________________________________ Date _________________
2. Associate Dean for Academic Affairs/ Associate Dean for Graduate Programs
__________________________________ Date _________________
3. Registrar
__________________________________ Date _________________
NOTE: If the student wishes to retain a copy, photocopy the completely signed form before submitting the same to the Office of the Registrar.