Republic of the Philippines

BATANGAS STATE UNIVERSITY

Batangas City

OFFICE OF THE UNIVERSITY REGISTRAR

Tel No. 3002202 local 126

EVALUATION FORM FOR TRANSFEREES

College: _____________________________________

Name of Student: ________________________________

Program to be taken: _____________________________
Previous Program:________________________________
Name of School of Origin: __________________________
Type of College/University: __________SUCs ___________Private

Courses taken from School of Origin (SO) No. of Units

credited in BatStateU Grades
SO BatStateU

Total no. of courses credited: _________________

Evaluated by : _____________________________
(signature of evaluator over printed name)

Noted: _______________________ Verified: ___________________________

Dean (signature of verifier over printed name)

Approved:

University Registrar
 Republic of the Philippines
BATANGAS STATE UNIVERSITY
Batangas City

OFFICE OF THE UNIVERSITY REGISTRAR

Tel No. 3002202 local 126

EVALUATION FORM FOR SHIFTERS

College: _____________________________________

Name of Student: _________________________

Program to be Taken: ________________ Previous Program:________________

Credited Courses Course Code No. of Units Remarks

(Course title) PP NP PP NP

*legend: PP – previous program

NP – new program

Total no. of courses credited (new course): _____________

Evaluated by : _____________________________
(signature of evaluator over printed name)

Noted: _______________________ Verified: ___________________________

Dean (signature of verifier over printed name)

Approved:

University Registrar