Annex A

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Republic of the Philippines

President Ramon Magsaysay State University


Zambales
Telefax : 047-8111683/email address: prmsu.edu.ph

Annex A

AGREEMENT BETWEEN FACULTY AND STUDENT

I, __________________________________________________________ with Home Address ______________________________________________________


officially enrolled student this ___________ A.Y. ________________ at President Ramon Magsaysay State University, agreed and sworn to adhere the academic
policies stipulated in the course syllabus and diligently comply with all the requirements of this course.

________________________________________
(Student Signature over Printed Name/Date)

Witness:

______________________________________________________
(Parent’s/Guardian Signature Over Printed Name)

_______RONNEL C. MESIA________________________________
(Faculty Signature over Printed Name/Date)

Note : Please return this accomplished form to the concerned faculty.

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