Universidad De Dagupan

(formerly Colegio De Dagupan)

School of Health Sciences - Nursing Department
Arellano St., Dagupan City

LETTER OF EXPLANATION

________________
Date

MAY JACKLYN R. SAMSON, RN, LPT, MEd., MAN(c)

Dean, School of Health Sciences
Universidad De Dagupan

Thru: _______________________
Clinical/Classroom Instructor

________________ _____________________________________
Subject Code/Area Subject Name/Hospital or Community Agency

Dear Ma’am/Sir:

Good day, I, NAME OF THE STUDENT (Surname, Given name, M.I.) would like to
express my sincerest apologies for writing this letter (state the reason).

I’ll be more aware and to know by heart the policies and regulations set by the College of
Nursing embarked in the university student manual.

Thank you for your kind consideration.

Respectfully Yours,

________________________
Signature over Printed Name

Clinical/Classroom Instructor’s Recommendation:

Noted by:

BRYLLE ADAM S. ESTRADA, RN, MAN

Program Coordinator
Universidad De Dagupan, School of Health Sciences