AR:00-00-FO-109

Colegio de San Juan de Letran Calamba

Calamba City, Laguna, Philippines 4027 www.letran-calamba.edu.com +63(049)-5455453

REQUEST TO ENROLL IN PETITIONED CLASS

By signing on this form, I request that I be allowed to enroll in the petitioned class/es stated below. In this regard, I bind myself to:
1. state clearly and truthfully my purpose (simultaneous enrollment, back course or retake) in petitioning the course:
2. present my request together with my Academic Evaluation to the Program Chair/Co-Chair for evaluation as to its validity
and necessity; and
3. pay the assessment cost similar to those who petitioned the course in case the minimum class size of 20 is not reached;
and
4. authorize the Accounting Department to include in my account the assessment cost even if I did not enroll the petitioned
course.

I further state that I am aware of the policy on taking the pre-requisite and co-requisite course prior to the enrollment of higher
course.
Students Name and signature: Parents/ Guardians Consent
By affixing my signature, I consent to my childs/ wards
Student Number: Program/ Year Level: Date of Request: enrollment to the course/s stated hereunder.

Period: AY ________ 1st Sem. 2nd Semester Summer (Signature over printed name)

Attachments: Parents/ Guardians ID Academic Evaluation Others_________________________

Course Course Description Section Time/ Preferred Time Room Purpose Pre-requisite Taken
Code

Validated by: Date For use only when student would like to join the petitioned class but was not included in the list (APC).
Approved by: Date Encoded by: Date

Program Chair Academic Head Administrative Assistant

References: AR:00-00-PW-87; AR:00-00-QP-46

AR:00-00-FO-109
Colegio de San Juan de Letran Calamba
Calamba City, Laguna, Philippines 4027 www.letran-calamba.edu.com +63(049)-5455453

REQUEST TO ENROLL IN PETITIONED CLASS

By signing on this form, I request that I be allowed to enroll in the petitioned class/es stated below. In this regard, I bind myself to:
1. state clearly and truthfully my purpose (simultaneous enrollment, back course or retake) in petitioning the course:
2. present my request together with my Academic Evaluation to the Program Chair/Co-Chair for evaluation as to its validity
and necessity; and
3. pay the assessment cost similar to those who petitioned the course in case the minimum class size of 20 is not reached;
and
4. authorize the Accounting Department to include in my account the assessment cost even if I did not enroll the petitioned
course.

I further state that I am aware of the policy on taking the pre-requisite and co-requisite course prior to the enrollment of higher
course.
Students Name and signature: Parents/ Guardians Consent
By affixing my signature, I consent to my childs/ wards
Student Number: Program/ Year Level: Date of Request: enrollment to the course/s stated hereunder.

Period: AY ________ 1st Sem. 2nd Semester Summer (Signature over printed name)

Attachments: Parents/ Guardians ID Academic Evaluation Others_________________________

Course Course Description Section Time/ Preferred Time Room Purpose Pre-requisite Taken
Code

Validated by: Date For use only when student would like to join the petitioned class but was not included in the list (APC).
Approved by: Date Encoded by: Date

Program Chair Academic Head Administrative Assistant

References: AR:00-00-PW-87; AR:00-00-QP-46