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DHVTSU-FORM-CEA-005

JAN. 18, 2016, REV 0

Republic of the Philippines


DON HONORIO VENTURA TECHNOLOGICAL STATE UNIVERSITY
Bacolor, Pampanga

COLLEGE OF ENGINEERING AND ARCHITECTURE


Department of ____________________________

Date: ____________________

TO WHOM IT MAY CONCERN:

__________________________
Chairperson _____ Department

Sir/Madam:

Greetings!

This letter is to formally inform you that I was not able to attend my class in _______________________
(Subject)
for the reason that ____________________________________________________________________.
(Reason)
In line with this, I would like to request for a Remedial Class which will be held at the
____________________ on ________________________ with the following
(Room) (Date)

Time Schedule:
____________________ ______________________ ____________________
____________________ ______________________ ____________________

May this merit your favorable approval.

Respectfully yours,

________________________________
Instructor-in-Charge

Noted:

_______________________________
Chairperson ____ Department

Approved by:

REDEN M. HERNANDEZ, RCE


Vice President for Academic Affairs
Dean, College of Engineering and Architecture

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