JMJ Marist Brothers

Notre Dame of Marbel University

COLLEGE OF ENGINEERING AND TECHNOLOGY
… an institution that cares
for
GROUP REQUEST SUBJECT FORM the environment and

January , 2024

Dr. Joan P. Palma

Academic Vice-President

Thru: ENGR. VICTORINO R. TOBIAS JR., MEP-ECE

College Dean

Dear Sir/Madam:

Greetings!
I'm Ralph Bryan C. Rizano , a third-year student studying BSARCH 3 . Approximately twenty-five (25) subjects
remain for me to complete my degree, and I anticipate graduating in 2026.

In this regard, I would like to request from your good office to allow me to take the following subject(s) for
the 2nd SEMESTER, SY 2023-2024.
Requested Signature of the Program
Units Teacher Day Time Room
Subject(s) Head
BEC 131 3

Total Units

If your office will grant this request, then I will be finishing my degree in due time. Thank you very much
for your kindness.

Very truly yours,

________________
Student’s Signature
--------------------------------------------------------------------------------------------------------------------------------------------
Computation of Fee (to be filled up by the student account in-charge)
_______________________
_______________________
_______________________ ______________________
Student Account In-Charge
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I allow our/my child to request the above-listed subject(s). We/I are/am willing to pay the charged amount
appertaining to the said requested subject(s).

______REMELITO B. RIZANO____ _____BERMELY C. RIZANO_________

Father’s printed name and signature Mother’s printed name and signature

Noted by: Approved by:

ENGR. VICTORINO R. TOBIAS JR., MEP-ECE JOAN P. PALMA, PhD

College Dean Academic Vice President
Note: This request form is to be accomplished in three (3) copies: Registrar’s Copy, Program Coordinator’s Copy, and Student’s Copy
ACA-FO-020