2401 Taft Avenue, Manila 0922, Philippines
Tel No. (632) 8523-4333
Fax No. (632) 8523-4152
registrar@dlsu.edu.ph
ALLRIGHTSRESERVED. Partsofthismaterialmaybereproducedprovided(1)thematerialisnotaltered;(2)theuseisnoncommercial;(3)DeLaSalleUniversityis
acknowledgedassource;and(4)DLSUisnotifiedthroughacademic.services@dlsu.edu.ph.
www.dlsu.edu.ph/offices/registrar
PERMIT TO CROSS ENROLL
(Form No. EN-09-202006)
Section A: Host School Information
Name of Registrar
School
Address
E-mail
Section B: Student Information
Name of Student
ID Number Degree Code
Section C: Course Information
Courses to be enrolled in Host Institution Equivalent DLSU Course Code Units
Section D: Recommending Approval
Department Chair (not needed for NSTP)
Associate Dean / Dean of Student Affairs
(for NSTP)
SIGNATURE OVER PRINTED NAME / DATE SIGNATURE OVER PRINTED NAME / DATE
Section D.2 Clearance from International Center (Only for Application for Cross Enrollment Abroad)
Type of Outbound Mobility:
Duration of Program:
Vice President for External Relations and Internationalization
SIGNATURE OVER PRINTED NAME / DATE
Section E: DLSU Approval
Associate Registrar
SIGNATURE OVER PRINTED NAME / DATE
Instructions to Student
1. After the completion of the course(s), the student must secure a
Certification/Transcript of Records from Host Institution containing the
final grades in a sealed envelope with the signature of the Registrar on
the envelope flap addressed to:
CROSS ENROLLMENT
Office of the University Registrar
De La Salle University-Manila
2. To make the crediting of the approved cross-enrolled courses, the
document above must be submitted to the Enrollment Services Hub of
De La Salle University-Manila (2
nd
Floor Henry Sy, Sr. Hall) not later
than Week 2 of the following term.
NOT VALID WITHOUT DLSU SEAL
On Scholarshi
p
Self-Pa
y
in
g
Short/Summer Po
g
ram
1 Semeste
r
1 Academic Yea
r
da
y
s
.
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