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admissions@dlsu.edu.ph | www.dlsu.edu.ph/admissions
AGREEMENT FORM FOR COMPLETION OF REQUIREMENTS
Please print all entries
Form No. UG-29
Academic Plan
(Degree Code)
I, together with my Parent On-Record, understand and agree that given the present
circumstances:
1.
I am conditionally admitted because I have not submitted the required HARD
COPY of the admission credentials.
2.
I agree that I will only be officially enrolled once I submit the HARD COPY of
ALL the required credentials to the Office of Admissions and Scholarships.
3.
I certify that I am a Grade 12 graduate and I have no pending clearance or
financial obligation from the following school: .
4.
I understand and agree that my enrollment will be automatically cancelled and
all the units I have taken will not be credited if I fail to submit HARD COPY of
all my complete admission credentials until the end of Term 1, AY 2022-2023.
With all the foregoing, I shall hold free from any liability, whether civil, criminal or
administrative the De La Salle University, in my acceptance and enrollment, and the
enforcement of any law or rule and the obligations provided in this document.
Student Parent On-Record
Signature over Printed Name Signature over Printed Name
Date Date
**Note: This form must be accomplished in duplicate.
