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UPLB Form No.

25 (Revised May 2000) DEAN'S COPY

U.P Los Banos

COLLEGE OF FORESTRY AND NATURAL RESOURCES

PERMIT FOR REMOVAL OF GRADE OF "4" AND "INC"

[  ]Regular      [✔]Special      [  ]During Finals

Mr./Ms. APITA, REIZHA INOJAS SN 201867453 Degree CertFor is hereby permitted to take [  ] examination in _________ / [✔]
completion in HK 11 for removal of his/her grade of [  ] '4'/ [✔] 'INC' incurred during the[  ] 1st sem [✔] 2nd sem [  ] Midyear 2018-
2019.

The [  ] examination/ [✔] completion will be on _________. In the case of 'INC', please indicate nature of completion: [  ]
examination [  ] other _________.

Reminders:   No examination/completion will be given without this permit duly approved.
If removal is given beyond the specified
date, it will be invalidated.
THE INSTRUCTOR CONCERNED MUST SUBMIT THE STUDENTS GRADE
FIVE (5) WORKING
DAYS AFTER THE REMOVAL DATE

Instructor's Consent:
APPROVED (For the Dean):

_______________________       ____________
ROSALIE C. MENDOZA

Printed Name & Signature                    Date College Secretary

For the Special Removal: Fee P 0.00 OR no.: 0 Date: _________

UPLB Form No. 25 (Revised May 2000) STUDENT'S COPY

U.P Los Banos

COLLEGE OF FORESTRY AND NATURAL RESOURCES

PERMIT FOR REMOVAL OF GRADE OF "4" AND "INC"

[  ]Regular      [✔]Special      [  ]During Finals

Mr./Ms. APITA, REIZHA INOJAS SN 201867453 Degree CertFor is hereby permitted to take [  ] examination in _________ / [✔]
completion in HK 11 for removal of his/her grade of [  ] '4'/ [✔] 'INC' incurred during the[  ] 1st sem [✔] 2nd sem [  ] Midyear 2018-
2019.

The [  ] examination/ [✔] completion will be on _________. In the case of 'INC', please indicate nature of completion: [  ]
examination [  ] other _________.

Reminders:   No examination/completion will be given without this permit duly approved.
If removal is given beyond the specified
date, it will be invalidated.
THE INSTRUCTOR CONCERNED MUST SUBMIT THE STUDENTS GRADE
FIVE (5) WORKING
DAYS AFTER THE REMOVAL DATE

Instructor's Consent:
APPROVED (For the Dean):

_______________________       ____________
ROSALIE C. MENDOZA

Printed Name & Signature                    Date College Secretary

For the Special Removal: Fee P 0.00 OR no.: 0 Date: _________

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