IRR 3 Villanueva Ericka Q 5.67

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This should be submitted to the Dean’s office no more than 3 days after completed consultation session.

OUR LADY OF FATIMA


UNIVERSITY
Valenzuela│Quezon City│Antipolo│Pampanga│Cabanatuan

ADM-031-12-000
FACULTY
CONSULTA
TION
FORM

Date : 09/15/22
Student :Villanueva, Ericka Jane V
Studentnumber: 19-2484-649 Instructor : Ma’am Aida Bautista
Consultation Time│Day: 09/15/22
Course : BSN
Subject│Section│Year : 3YA-Irr3

Purpose: Please check


Missed Periodic exam/s Absences Research related
Missed Quizzes Practicum/internship Grade

inquiry/verification Others: Please specify:

Requested outcome (specify the solution/action you want taken):

I would like to take up my missed quizzes in 317. Quiz 5, 6 & 7

09/15/22
Student signature Date

Tobefilled-upbytheconcernedfaculty

Actiontaken

Facultynameandsignature Date

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