Republic of the Philippines

WESTERN MINDANAO STATE UNIVERSITY

OFFICE OF THE UNIVERSITY REGISTRAR 1904
Zamboanga City

Zamboanga City
Normal Road, Baliwasan, Zamboanga City 7000 http://www.wmsu.edu.ph
Philippines email registrar@wmsu.edu.ph
Tel No. (062) 991-1771 Fax No. 993-0695

APPLICATION FOR ENROLLMENT WITHDRAWAL

Date
Name:
(Surname) (First Name) (Middle Name)
Course: School Year:

This is to notify Western Mindanao State University that I am dropping my studies effective this

1st Semester 2nd Semester Summer, subject to the rules and regulations of
the University.
REASONS :

Students Signature
APPROVED : NOTED:
College Dean Dean of Student
Affairs
CLEARANCE FROM:
Accountant Librarian
VALIDATED:
PILAR S. ENCARNADO, MPA
University Registrar

Republic of the Philippines

WESTERN MINDANAO STATE UNIVERSITY
OFFICE OF THE UNIVERSITY REGISTRAR 1904
Zamboanga City

Zamboanga City
Normal Road, Baliwasan, Zamboanga City 7000 http://www.wmsu.edu.ph
Philippines email registrar@wmsu.edu.ph
Tel No. (062) 991-1771 Fax No. 993-0695

APPLICATION FOR ENROLLMENT WITHDRAWAL

Date
Name:
(Surname) (First Name) (Middle Name)
Course: School Year:

This is to notify Western Mindanao State University that I am dropping my studies effective this

1st Semester 2nd Semester Summer, subject to the rules and regulations of
the University.
REASONS :

Students Signature
APPROVED : NOTED:
College Dean Dean of Student
Affairs
CLEARANCE FROM:
Accountant Librarian
VALIDATED:
PILAR S. ENCARNADO, MPA
University Registrar