PUP Completion Form R-1 (Prof - Pebre)

Download as xlsx, pdf, or txt
Download as xlsx, pdf, or txt
You are on page 1of 2

PUP-COFO-5-UNRO-031

Rev. 1
June 19, 2019

CONTROL NO.: ______________________


REPUBLIC OF THE PHILIPPINES APPLICATION FOR
POLYTECHNIC UNIVERSITY OF THE PHILIPPINES LATE REPORTING OF GRADE
OFFICE OF THE UNIVERSITY REGISTRAR (Please attach certified photocopy of class record and Official Receipt)
STUDENT RECORDS SERVICES COMPLETION OF "INCOMPLETE GRADES"
STA. MESA, MANILA (Please attach photocopy of Official Receipt)
CORRECTION OF ENTRY
(Please attach certified photocopy of class record & Affidavit of Change of Grade)
Others

DATE: September 14,2020

The Dean
College of: College of Communication

I hereby request that

Student Number: __ 2017-00342-MN-0 Marcelo Emie Marielle Suarez


(Example: 2010-000001-MN-0) (Last Name) (First Name) (Middle Name)

Course: Bacheor of Arts in Journalism Year & Section: ______ 4th year - 1
Subject Cod COMM 2093 Subject Title: ____ Communication Research Methods
School Y 2018-2019 Term: First Semester
School Session: Day Second Semester
Night Summer Campus: __ Main Campus

which was reported as:


_________________Incomplete
_________________________________________________________________________________________________
due to the following reason/s:
___________________________ Incorrect Entry of Grades
_________________________________________________________________________________________________
be credited as one:
who has "NO GRADE" in the Grade Sheets to a final grade of ______________________ ______________ units.
who has completed all the requirements with a final grade of ______________________ ______________ units.

GRADE: First Grading : _______________ Second Grading: ____________ Final Grade : _______________
whose name in the Grade Sheet be corrected
From: ____ Marcelo Emie Marielle Suarez
(Last Name) (First Name) (Middle Name)

To: _ Pebre Cherry C.


(Last Name) (First Name) (Middle Name)

Others, specify:
___________________________________________________________________________________________
___________________________________________________________________________________________

Thank you.
__________ Cherry C. Pebre
PROFESSOR/INSTRUCTOR
(Signature over Printed Name)

APPROVED BY DEAN/CHAIRPERSON

Name: ___________ Hemmady Mora Signature: __________________________ Date: _____________


Received by Office of the Student Records, University Registrar

Name: _____________________________________________ Signature: __________________________ Date: _____________


PUP-COFO-5-UNRO-031
Rev. 1
June 19, 2019

(Please attach certified photocopy of class record and Official Receipt)

(Please attach certified photocopy of class record & Affidavit of Change of Grade)

You might also like