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Graduate Studies Admission Department Recommendation Form (Derf)

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Reference No.

_________________________
Office of Admissions
ID No. _______________________________
and Scholarships

GRADUATE STUDIES ADMISSION


DEPARTMENT RECOMMENDATION FORM (DeRF)
DATE: ________________________________________

TO: OFFICE OF ADMISSIONS AND SCHOLARSHIPS (OAS)

FROM: ________________________________________ _____________________________________________


Chair/Graduate Program Coordinator Department Name
(Sign over Printed Name)

________________________________________ ______________________________________________
Name of Applicant (Last Name, First Name, M.I.) Graduate Program Code (where applicant was accepted.)

Please be informed that the applicant is:

Please be informed that the applicant is:

Accepted ____________ Not Accepted ______________


(Signature) (Signature)

Exempted from ENG501M/ENGF01M

NOT Exempted from ENG501M/ENGF01M

FOR THE CHAIR/PROGRAM COORDINATOR – Kindly indicate the COURSE CODE of the course requirements. Please mark N/A on
lines left blank. Errors must be countersigned using your full name.

1. The following NON-ACADEMIC (e.g., Orientation) and BRIDGING ACADEMIC/COURSES (includes ENG501m/ENGF01M) are required
in order to proceed to the program proper. For students, see course description at http://www.dlsu.edu.ph/academics/graduate-
studies/programs.asp

1.1. _________________________________________ 1.4. ________________________________________

1.2. _________________________________________ 1.5. ________________________________________

1.3. _________________________________________ 1.6. ________________________________________

2. On the first term of enrollment, the student is advised to enroll in any of the following courses:

2.1. _________________________________________ 2.5. ________________________________________

2.2. _________________________________________ 2.6. ________________________________________

2.3. _________________________________________ 2.7. ________________________________________

2.4. _________________________________________ 2.8. ________________________________________

CHAIR/PROGRAM COORDINATOR’s REMARKS (IF ANY):

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

NOTE TO DEPARTMENT:

1. Please make sure that any change (ie., course addition and/or deletion) to the list of courses above must be countersigned by the
Chair or the Program Coordinator using his/her full name.

2. Please submit to OAS in three (3) copies.

NOTE TO STUDENT:

1. You may see the course description at http://www.dlsu.edu.ph/academics/graduate-studies/programs.asp

2. In case of changes, please present the revised copy of the DeRF to OAS during the Special Adjustment Period.

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