Student Retention Survey (A.Y. 2022-2023, 2nd semester)
Dear MU Students,

This form is intended only for UPH- Dr. Jose G.Tamayo Medical University. Reproduction of any kind is not allowed without the consent of the Student Welfare office. For any questions on or inquiries please send an email to guidance.djgtmu@uphsl.edu.ph. Rest assured that all information will be treated with the utmost confidentiality.

Thank you very much.
Email *
Date: *
Full Name (Last Name, First Name, M.I) *
Program *
Required
Year Level *
Required
Will you enroll on next semester? *
If you pick NO then check at least 3 reasons why you will not enroll next semester.
Other reason:
Submit
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