<p> Revised as of 8/25/0303 UNIVERSITY OF THE PHILIPPINES MANILA The Health Sciences Center</p><p>APPLICATION FOR PRIVILEGE TO STUDY AT REDUCED FEES</p><p>NAME DESIGNATION DEPARTMENT COLLEGE/UNIT Semester/Summer/Trimester Academic Year</p><p>COURSES DAYS TIME UNIT</p><p>APPROVED TOTAL NO. OF UNITS TO BE ENROLLED IN</p><p>Date Signature</p><p>(For Faculty)  RECOMMENDED  NOT RECOMMENDED APPROVED ACADEMIC LOAD OF APPLICANT</p><p>Actual teaching load units Chairman Units credits for non-teaching Date Activity (Research/Extension)  RECOMMENDED Study Load  NOT RECOMMENDED</p><p>TOTAL UNITS Dean/Director/Head of Office</p><p>Appointment Status Approved for enrollment not more than units at reduced fees.  Tenured/Permanent  Non-tenured/Temporary No student shall be allowed to enroll beyond total number of units (Inclusive dates of current appointment) approved herein.</p><p> On study leave (inclusive dates)</p><p>Director, HRDO Date VCAA Date</p><p>Attachments: 1. Copy of approved request to study as per BOR approved minutes of September 25, 2003. 2. Program of study 3. Copy of grades issued by the Registrar’s Office for the last semester enrolled in (if for renewal)</p><p>Reminders: The total number of approved units for enrollment shall in no case constitute basis for claiming overload honorarium. As a general rule, faculty members with Study Load Credits (SLC) should not be assigned any overload teaching.</p>