6/13/2021

Instructions: Write all the entries legibly using print font and avoid any erasures. Use a check mark(✓) in filling up the boxers.
Only one course with an incurred INC can be filled up in the
form.
Refer to the back portion for the procedures/steps in Grade Completion for an incurred INC.

STUDENT'S PERSONAL AND ACADEMIC INFORMATION

Name: AMEN PRINCESS ANGEL ZAMBRANO Student ID No. 181-02133

Surname 1stName 1st Name Ext. MI

Program: BACHELOR OF SCIENCE IN CHEMISTRY Year Level: 1

DETAILS ON THE COURSE WITH AN INCURRED INC
Course Code Descriptive Title Unit(s) Sem./Term Enrolled Academic Year
EEP 1 ENGLISH ENHANCEMENT PROGRAM 1 2 1st 2019-2020
DETAILS ON THE COMPLETION GRADE
Dean's Signature NOTED BY THE REGISTRAR:
Instructor's Signature
Grade Over Printed Name
Over Printed Name (College Offering the Course MERLIZA F. LIBAO, Ph.D.
Recorded by:
GOMER JAY S. LEGASPI RUTH E. SANCHEZ, MA  
3.00
Date: JUNE 14, 2021 Date: JUNE 14, 2021 Date:
F-TDS-009 Student's Copy
Rev. 0 09/01/2015

Instructions: Write all the entries legibly using print font and avoid any erasures. Use a check mark(✓) in filling up the boxers.
Only one course with an incurred INC can be filled up in the
form.
Refer to the back portion for the procedures/steps in Grade Completion for an incurred INC.

STUDENT'S PERSONAL AND ACADEMIC INFORMATION

Name: AMEN PRINCESS ANGEL ZAMBRANO Student ID No. 181-02133

Surname 1stName 1st Name Ext. MI

Program: BACHELOR OF SCIENCE IN CHEMISTRY Year Level: 1

DETAILS ON THE COURSE WITH AN INCURRED INC
Course Code Descriptive Title Unit(s) Sem./Term Enrolled Academic Year
EEP 1 ENGLISH ENHANCEMENT PROGRAM 1 2 1st 2019-2020
DETAILS ON THE COMPLETION GRADE
Dean's Signature NOTED BY THE REGISTRAR:
Instructor's Signature
Grade Over Printed Name
Over Printed Name (College Offering the Course MERLIZA F. LIBAO, Ph.D.
Recorded by:
3.00 GOMER JAY S. LEGASPI RUTH E. SANCHEZ, MA  
Date: JUNE 14, 2021 Date: JUNE 14, 2021 Date:
F-TDS-009 Department's Copy
Rev. 0 09/01/2015

Instructions: Write all the entries legibly using print font and avoid any erasures. Use a check mark(✓) in filling up the boxers.
Only one course with an incurred INC can be filled up in the
form.
Refer to the back portion for the procedures/steps in Grade Completion for an incurred INC.

STUDENT'S PERSONAL AND ACADEMIC INFORMATION

Name: AMEN PRINCESS ANGEL ZAMBRANO Student ID No. 181-02133

Surname 1stName 1st Name Ext. MI

Program: BACHELOR OF SCIENCE IN CHEMISTRY Year Level: 1

DETAILS ON THE COURSE WITH AN INCURRED INC
Course Code Descriptive Title Unit(s) Sem./Term Enrolled Academic Year
EEP 1 ENGLISH ENHANCEMENT PROGRAM 1 2 1st 2019-2020
DETAILS ON THE COMPLETION GRADE
Dean's Signature NOTED BY THE REGISTRAR:
Instructor's Signature
Grade Over Printed Name
Over Printed Name (College Offering the Course MERLIZA F. LIBAO, Ph.D.
Recorded by:
GOMER JAY S. LEGASPI RUTH E. SANCHEZ, MA  
3.00
Date: JUNE 14, 2021 Date: JUNE 14, 2021 Date:
F-TDS-009 Registrar's Copy
Rev. 0 09/01/2015

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