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Reference No.: BatStateU-FO-COL-01 Effectivity Date: May 18, 2022 Revision No.

: 02

REQUEST FOR TUTORIAL CLASS


Semester: 1st 2nd Midterm Academic Year:
Course/s being Requested for Tutorial:
Course Code Course Title No. of Students
BA 513 Entrepreneurship and Global Enterprise 2

Reason for the Graduating Student Transferee/Shifter Irregular Student (with back subject)
Request: Others, specify:
Requested by:

Banjo A. Reyes
Signature over Printed Name of Student/s
Date:
Conforme:

__________________________________________
Signature over Printed Name of Faculty Member/s
Date:
Reviewed by: Recommending Approval:

Dr. Bendalyn M. Landicho Dr. Lucille D. Evangelista


Dean/ Head, Academic Affairs1 Vice Chancellor for Academic Affairs
Date: Date:
Approved by: Remarks:

Dr. Expedito V. Acorda


Chancellor
Date:
Required Attachment: Parents’/ Guardians’ Consent; Current Teaching Load of Faculty Member who will handle the tutorial class

Note:
1
The Dean/Head, Academic Affairs shall review the requests (with the initial of Department/Program Chairperson)

Tracking Number: _______________

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