QUIRINO STATE UNIVERSITY QUIRINO STATE UNIVERSITY

Diffun, Quirino Diffun, Quirino

TRANSMITTAL FORM TRANSMITTAL FORM

CTRL No: __________________ CTRL No: ________________

College: _______________ College: _______________
Program: ______________ Program: ______________

To: _________________________________ Date: ______________ To: _________________________________ Date: ______________

Designation: ________________________ Designation: ________________________

From: ____________________________________________________ From: ____________________________________________________

Designation: ________________ Designation: ________________

Type of Document: Type of Document:

( ) Class schedule ( ) Class schedule
( ) Syllabus ( ) Syllabus
( ) Syllabus Evaluation ( ) Syllabus Evaluation
( ) Module ( ) Module
( ) Module Evaluation ( ) Module Evaluation
( ) Gradesheet ( ) Gradesheet
( ) TOS w/exam Manuscript ( ) TOS w/exam Manuscript
( ) Faculty Evaluation ( ) Faculty Evaluation
( ) Individual Faculty Workload ( ) Individual Faculty Workload
( ) College Program ( ) College Program
( ) Class Schedule ( ) Class Schedule

Action/s to be taken: Action/s to be taken:

( ) For your information ( ) For your information
( ) For your appropriate action ( ) For your appropriate action
( ) For your review/comments ( ) For your review/comments
( ) For your revision ( ) For your revision
( ) For your approval ( ) For your approval
( ) For your notation ( ) For your notation
( ) For your signature ( ) For your signature
( ) For file/reference ( ) For file/reference
( ) For your recommendation ( ) For your recommendation
( ) Please draft reply ( ) Please draft reply
( ) Please monitor/follow-up ( ) Please monitor/follow-up
( ) Please attend ( ) Please attend
( ) Please return/forward to ( ) Please return/forward to
__________________________ __________________________
QSU-INS-F004 QSU-INS-F004
Rev. 00 (Aug. 01, 2022) Rev. 00 (Aug. 01, 2022)

RECEIVING SLIP (FILE) RECEIVING SLIP (FILE)

CTRL No: __________________________ CTRL No.: __________________________

To: ______________________________________________________________ To: _______________________________________________________________

Received by: Received by:

____________________________________________ ____________________________________________
Signature over printed name/Date Signature over printed name/Date

QSU-INS-F004 QSU-INS-F004
Rev. 00 (Aug. 01, 2022) Rev. 00 (Aug. 01, 2022)