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Reference No.:BatStateU-FO-COL-11 Effectivity Date: January 3, 2017 Revision No.

: 00

MAKE-UP/ADVANCED CLASS REQUEST FORM


Course Title: LIFE AND WORKS OF RIZAL
No. of Hours to
Original Schedule Room No. of Hours Proposed Schedule Room
Section Make-
(Day/Time) Assignment Missed (Day/Time) Assignment
up/Advance
BSIT October 14, 2018
W-6:00PM-7:00PM
ELX/ELC 3 3 SUNDAY 2:00PM- ELX/ELC
TH- 5:00PM-7:00PM 1101 5:00PM

Reason(s):
DUE TO ACADEMIC ACTIVITIES (INTRAMURALS)

Requested by: Noted: Approved by:

MR. ROBERT R. SAMONTE MR. BENJIE R. SAMONTE Assoc. Prof. LORISSA JOANA E. BUENAS
LECTURER I Dept. Chair, BSIT Associate Dean, CECS
ATTENDANCE OF STUDENTS
Name Signature Name Signature

Signature – Teacher Class Officer Dean

Tracking No.:_______________
Reference No.:BatStateU-FO-COL-11 Effectivity Date: January 3, 2017 Revision No.: 00

MAKE-UP/ADVANCED CLASS REQUEST FORM


Course Title: LIFE AND WORKS OF RIZAL
No. of Hours to
Original Schedule Room No. of Hours Proposed Schedule Room
Section Make-
(Day/Time) Assignment Missed (Day/Time) Assignment
up/Advance
BSIT October 13, 2018
M-5:00PM-7:00PM
ELX/ELC 3 3 SATURDAY ELX/ELC
T- 4:30PM-5:30PM 1102 10:00AM-1:00PM

Reason(s):
DUE TO ACADEMIC ACTIVITIES (INTRAMURALS)

Requested by: Noted: Approved by:

MR. ROBERT R. SAMONTE MR. BENJIE R. SAMONTE Assoc. Prof. LORISSA JOANA E. BUENAS
LECTURER I Dept. Chair, BSIT Associate Dean, CECS
ATTENDANCE OF STUDENTS
Name Signature Name Signature

Signature – Teacher Class Officer Dean

Tracking No.:_______________
Reference No.:BatStateU-FO-COL-11 Effectivity Date: January 3, 2017 Revision No.: 00

MAKE-UP/ADVANCED CLASS REQUEST FORM


Course Title: LIFE AND WORKS OF RIZAL
No. of Hours to
Original Schedule Room No. of Hours Proposed Schedule Room
Section Make-
(Day/Time) Assignment Missed (Day/Time) Assignment
up/Advance
BSIT October 13, 2018
T- 5:30PM-7:00PM
ELX/ELC 3 3 SATURDAY ELX/ELC
W-4:30PM-6:00PM 1103 7:00AM-10:00AM

Reason(s):
DUE TO ACADEMIC ACTIVITIES (INTRAMURALS)

Requested by: Noted: Approved by:

MR. ROBERT R. SAMONTE MR. BENJIE R. SAMONTE Assoc. Prof. LORISSA JOANA E. BUENAS
LECTURER I Dept. Chair, BSIT Associate Dean, CECS
ATTENDANCE OF STUDENTS
Name Signature Name Signature

Signature – Teacher Class Officer Dean

Tracking No.:_______________
Tracking No.:_______________

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