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STAMP SEAL HERE IF

AVAILABLE
Republic of the Philippines
Polytechnic University of the Philippines
College of Architecture and Fine Arts
DEPARTMENT OF ARCHITECTURE
NDC Compound, Sta. Mesa Manila
(!" #$%&'%&(
)ul* $, !$(
Mr. Jnsen J. Jnsen
District Director
+++ Department
Manila, Philippines
Dear Mr. )ansen,
,ood Da*-
. am !IN"ERT NAME HERE#, a fifth *ear Architecture Student of the Pol*technic /ni0ersit* of the
Philippines. . am currentl* conducting a research for m* Architectural 1hesis Proposal entitled2 !IN"ERT
THE"I" TIT$E#. 1his pro3ect proposal aims to (State the goal of *our proposal. .n logline form".
. am hereb* as4ing *our permission to allo5 us to conduct the research in *our institution6department.
1his research 5ill include an ocular 0isit in *our facilit*, inter0ie5s on authori7ed personnel, data gathering
and other acti0ities related to the completion of the stud* and thus, ac8uire the follo5ing data2
(.nsert ,eneral Data Categor* $"
(.nsert ,eneral Data Categor* !"
(.nsert ,eneral Data Categor* %"
(.nsert ,eneral Data Categor* ("
Attached 5ith this letter is a cop* of m* thesis proposal for *our perusal. Rest assured that the data that
5ill be gathered for the abo0e&mentioned sub3ects 5ill be used purel* for academic purposes.
15o copies of this re8uest are enclosed. Please sign both copies and return one to me, 4eeping the other
one for *our files.
1han4 *ou for *our consideration.
9ours sincerel*,
!NAME OF "TUDENT#
Fifth 9ear Architecture Student
Pol*technic /ni0ersit* of the Philippines
. (5e" grant !IN"ERT NAME HERE# permission to conduct research in our
organi7ation6institution for academic purpose.
::::::::::::::::::::::::::::::::::::::::::::
Signature o0er Printed Name of Authori7ed Person
;rgani7ation6Department2 :::::::::::::::::::::::
Position2 ::::::::::::::::::::::::::::::::::::
Date2 :::::::::::::::::::::::::::::::::::::::
Noted By:
AR. JOCELYN RIVERA - LUTAP
CAFA, Chairperson
Recoended By:
AR. VILMA M. PABELLO
Thesis Ad!iser
Appro!ed By:
AR. TED VILLAMOR G.
INOCENCIO, FUAP
CAFA, "ean

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