CRF-S & CRF-T Guideline

January 18, 2021

New Era University
INTEGRATED SCHOOL

STUDENT’S COMPLETION REQUEST FORM (CRF-S)

January 20, 2021

Date

MS./MR./PROF./DR. _Hera Mae M. Asoque

Dear Madam/Sir:

I, (name of student)__Dimayuga, Lanz Mervin C.__, of Grade _8_ Section

___Corinthians___ , am requesting a chance to comply with the requirement/s that I
have not submitted/taken yet in your subject __Computer__. The deficient grade that I
was able to achieve was ___83___ but I would like to improve it.

Deficiency Actual/Prescribed
(Specific Requirement Due Date of Reason for the Delay or Teacher’s
and Grade Component) Compliance/Submission Non-Compliance Remark

Quiz No.2 No due date shown There was no wifi Service provider
maintenance in our area.
Module 4: Activity No. No due date shown There was no wifi Service provider
7-Horizontal Rule maintenance in our area.

Respectfully yours, Attested by:

_____________________________ ______ Lester D. Dimayuga_______

Student’s Signature Parent’s Signature over Printed Name

CRF-S RRMO-IS SHS

January 2021
Approved by:
__________________________
Date Approved _____________