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____________ ___________ DAAG ____________ ___________

__________ ___________ CINF _____________ __________


____________ ___________ DAP

____________ ___________

/ /
Make-up classes / Class Cancellations / Classroom Reservations Form
/______________________________________________________________________
School/Dept

Applicant

Contact Tel. No

Fax

Email Add___________________________________________________________________________________
Make-up Classes - Reason____________________________________________________________________
Date
// yy/mm/dd

No

(~)
Time (From ~ To)

Make-up Date
1.
/

Make-up Date
/

Make-up Date
3.
/

2.
/

Subject Name & Course Code

No. of
Participants

Requested
Room1

Confirmed

Subject

Code

Subject

Code

Subject

Code

Cancel Classes - Reason__________________________________________________________________


Date
// yy/mm/dd

No

(~)
Time (From ~ To)

Cancellation Date
1.
/

Cancellation Date

Cancellation Date
3.
/

2.
/

Subject Name & Course Code

Arranged
Room

Confirmed

Subject

Code

Subject

Code

Subject

Code

/ Seminar / Other
Date
//
yy/mm/dd
/

( ~)
Time (From ~ To)

No. of
Participants

Speaker(s)

Name of Activities

Requested
1
Room

Confirmed

Y
N
Y
N
Y

If applicant is a teaching staff, school approval is not required.

_______________________

/_________________________ ___________________

Signature of Applicant

Approval of Director / Programme Coordinator

Date

///// 2 /
5996 202 vivianma@ipm.edu.mo/ 5996 252 nataliayu@ipm.edu.mo//
cvms.ipm.edu.mo

()
530505//

Notes:
1

If no specific classroom/computer lab/language lab is required, DAAG/CINF will arrange a classroom/computer lab/language lab according to the number of participants.
DAAG/CINF use only.
For classroom enquires, please call 5996 202 or e-mail to vivianma@ipm.edu.moFor computer lab/language lab enquires, please call 5996 252 or e-mail to nataliayu@ipm.edu.mo
For checking classroom/computer lab/language lab availability, please visit cvms.ipm.edu.mo .
If No equipment is required, please send the completed form to DAAG or fax it to CINF 530505 and DAAG/CINF/DAP will confirm your application. If equipment is required, please
fill in the equipment requirement form provided by DAAG.
2

DAAG INT F08_02

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