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Shifting Form

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0% found this document useful (0 votes)
10 views1 page

Shifting Form

Uploaded by

nglagnason27
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CITY GOVERNMENT OF SAN PABLO

PAMANTASAN NG LUNGSOD NG SAN PABLO


CHED Recognized Local College
TESDA Recognized Programs
ALCU Commission on Accreditation – Level 1 Re-Accredited
Member, Association of Local Colleges and Universities
Patriotism • Leadership • Service • Professionalism
Member, Local Colleges and Universities Athletic Association, Inc.

APPLICATION FORM FOR SHIFTER


ST ND
(1 /2 / MID YEAR ) SEMESTER / ACADEMIC YEAR _______________

Dean : _______________________________________ Date: ______________


Department : _________________________________
Dalubhasaan ng Lunsod ng San Pablo

Dear Sir/Madam:

I, Mr./Ms. ________________________________________________ hereby apply to shift in

your Department, preferably in the Program of ______________________________________________.

My reason to shift _______________________________________________________________


____________________________________________________________________________________.

Parent’s Consent:

_________________________________ ___________________________________
(Signature over Printed Name) (Applicant’s Signature over Printed Name)

Evaluated by: Recommended by:

__________________ _____________ VRENALI R. TOLENTINO, LPT _____________


Guidance Counselor Date Registrar II Date

For Release: For Acceptance:

Approved Approved
Disapproved Disapproved

____________________ ___________ ____________________ ____________


Dean (Current Program) Date Dean (New Program) Date

Encoded: MIS (Management Information System)


Date

Address: Brgy. San Jose, City of San Pablo, Laguna Cel. no. (0929) 356 7646 E – mail (Administrative Office), dlspofficial97@gmail.com (Registrar’s Office) dlsp_reg@yahoo.com

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