FATHER SATURNINO URIOS UNIVERSITY

Butuan City

SHIFTING FORM
_______________________
DATE
Sir/Madam:

I would like to request permission to shift from __________________to __________________.

Attached are the following credentials for your endorsement

1. Checklist of subjects taken with corresponding grades prepared by the Records-in-
Charge
2. Entrance Examination Result (if necessary)

Reason(s) for shifting ________________________________________________________________

___________________________________________________________________________________

____________________________________
Student Number/ Name/ Course & Year
Endorsed by:

_______________________ __________________________
Guidance Counselor Previous Dean

_______________________ __________________________
New Dean Registrar

Cc: Guidance Office, Registrar, New Dean

FATHER SATURNINO URIOS UNIVERSITY

Butuan City

SHIFTING FORM
_______________________
DATE
Sir/Madam:

I would like to request permission to shift from __________________to __________________.

Attached are the following credentials for your endorsement

1. Checklist of subjects taken with corresponding grades prepared by the
Records-in-Charge
2. Entrance Examination Result (if necessary)

Reason(s) for shifting ________________________________________________________________

___________________________________________________________________________________

____________________________________
Student Number/ Name/ Course & Year
Endorsed by:

______________________ __________________________
Guidance Counselor Previous Dean

_______________________ __________________________
New Dean Registrar
Cc: Guidance Office, Registrar, New Dean