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Utorial Class Fillable Form For Graduating Students Only 2
Utorial Class Fillable Form For Graduating Students Only 2
Utorial Class Fillable Form For Graduating Students Only 2
REQUEST OF STUDENT
I am graduating this semester/term but was not able to take the following course/s because of the reason/s indicated
below:
Course
Course Title Reason/s
Code
I fully understand and agree that displacement /tutorial fee shall be collected over and above the cost per unit of the
course/s requested.
APPROVAL
This is to recommend that this request for special/tutorial class/es be approved with the schedule of classes below as
accepted by the Faculty:
This further certifies that the student is graduating this term, that the course/s is/are not being offered during this
semester/term, and cross-enrollment is not possible.
Signature over Printed Name of the Program Signature over Printed Name of the Dean
Head/Evaluator
Date/Time: Date/Time:
Approved by:
Campus Registrar
Date/Time:
IMPORTANT: This form is not a registration form. Accomplish in three (3) copies. If this application is approved, it is the
student's responsibility to ensure that this form is returned to the Campus Registrar's Office and he/she completes the
necessary changing of enrollment. No application for tutorial class shall be processed after two (2) days from the start of the
term.