This portion will be accomplished

by ALL STUDENTS (to be used for the pre-enrollment or encoding of subjects in eWIz)

Name: _________________________________ Student No. _________

Course: _____________________ Year Level: _________________

Course Code

(Priority Enrollment)

Pre-Requisite of the subject

Grade of Pre-requisite Subject

Units

Maximum Allowed Units

Maximum Allowed Units (_____) please refer to your curriculum. Graduating

students are ONLY allowed to carry an overload of 6 units for the 1st and 2

nd

semesters only as per CHED Memorandum Courses enrolled & passed without the necessary prerequisite/s will not be

given credit. Policy on dismissal: You are already dismissed if you have 21 or more units of

Accumulated number of failures if you are enrolled in four year degree program; 26 or more units of failures if you are enrolled in five year degree program.

_____________________

____________________

__________________

Signature of Student Signature of Academic Adviser

OCR Staff

This portion will be accomplished ONLY BY STUDENTS WITH FAILURES

(to be filled-up after the Issuance of Grades)

A Total Units of Failures

B Units of repeated subjects with grades of 2.5 or higher

A-B Accumulated Number of Failures

DETERMINATION OF ACCUMULATED UNITS OF FAILURES 1. Accumulated number of failures is the summation of all units of your

failures minus the units of repeated subject/s if grade/s in the repeated subject is 2.50 or higher.

2. If your grade in the repeated subject is lower than 2.50, the units of the failed subject/s will not be deducted from your accumulated units of failures.

I am aware that if I had exceeded the maximum allowable accumulated units of failures, I will be automatically dismissed from this institution and that the

OCR has the right to refuse or cancel my enrollment this semester as stated in

my Student Handbook. ______________________________________________________________ The student is not yet dismissed and I am favorably endorsing him/her to enroll the following subjects: _________________________ ________________________ _________________________ ________________________ _________________________ ________________________ _________________________ ________________________ _________________________ ________________________ __________________________ ________________________________ Students Signature Over Printed Name Academic Advisers Signature Over Printed Name Date: ___________

DE LA SA L LE LI PA O F F I CE O F T HE R E G IS T R A R

PRE-ENROLLMENT FORM

Rev ised as of June 2013