URDUJAH ALVARADO, PHD, CESO II

UNIVERSITY PRESIDENT
CAGAYAN STATE UNIVERSITY
ANDREWS CAMPUS, CARITAN, TUGUEGARAO CITY

MA’AM:

I/We respectfully petition for the offering of the subject BUILDING DESIGN II,

_2_units (_1_unit Lec, _1_unit Lab), this first second semester summer in order

for me/us to cope with our deficiency in our curriculum. I/We am/are willing to pay the required tuition fee for me/us to enroll the said subject.

Thank you very much for your favorable action on this petition.

ENGR. RALPH ESTILLER

Signature Over Name of Subject Teacher Very truly yours,
 Degree: Bachelor of Science in Civil Engineering

REYGIE T. CEBU & EMMANUEL B. GAVINO

Student-Petitioner/s
(attached separate sheet if 2 or more student-petitioners)
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I hereby recommend the herein request of _________ student-petitioner/s to offer the above-
stated subject for him/her/them to complete the academic requirements as prescribed by the
curriculum of the degree they are enrolled in.
_________________
COLLEGE DEAN
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Upon referring with us the request of the student-petitioner/s to

offer the subject and by affixing our signatures, we agree with all
the terms and conditions in the offering the said subject.

ROSEMARIE B. GAVINO & NORMALYN T. CEBU

Signature over Printed Name Guardian/Parent
(attached separate sheet if 2 or more signatories)

LORD DIVINE CABOCAN

Signature over Printed Name of CSG President

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After thorough evaluation on the financial capability of the student/s to pay the required
tuition fee to offer the requested subject in consultation with the parents of the student-
petitioner/s and the Governor of CSU Carig Campus Student Government and upon the
recommendation of the College Dean, I respectfully endorse the request of the student/s for the
offering of the above-named subject for your approval.

ENGR. ARTHUR G. IBAÑEZ, Ph.D.

Campus Executive Officer

COMPUTATION
FACULTY RATE:
Number of Units
Total Tuition Fee
NO. OF STUDENTS

FEE/STUDENT:
COMPUTED BY:
DATE: