Scribd Logo
Upload

Welcome to Scribd!

  • UIC Grant For Exemption

    Uploaded by

    yousef
    7 views2 pages
    This two-page document is an exemption grant form from the University of the Immaculate Conception. It certifies that the bearer is availing of an exemption grant and is exempted from taking the final examination for the listed subject. The form requires signatures from the exempted student, instructor, and program dean to validate the exemption. It also provides spaces to record the student's preliminary and midterm grades, final class standing, and exempted final examination grade.

    Original Description:

    letter

    Original Title

    UIC Grant for Exemption

    Copyright

    © © All Rights Reserved

    Available Formats

    DOC, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This two-page document is an exemption grant form from the University of the Immaculate Conception. It certifies that the bearer is availing of an exemption grant and is exempted from taking the final examination for the listed subject. The form requires signatures from the exempted student, instructor, and program dean to validate the exemption. It also provides spaces to record the student's preliminary and midterm grades, final class standing, and exempted final examination grade.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    7 views2 pages

    UIC Grant For Exemption

    Uploaded by

    yousef
    This two-page document is an exemption grant form from the University of the Immaculate Conception. It certifies that the bearer is availing of an exemption grant and is exempted from taking the final examination for the listed subject. The form requires signatures from the exempted student, instructor, and program dean to validate the exemption. It also provides spaces to record the student's preliminary and midterm grades, final class standing, and exempted final examination grade.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    Page 1 of 2

    FAC-LA-DOC-0017
    Date of Effectivity: 2/14/2015 7:25:30 AM
    Subject: Exemption Grant

    UNIVERSITY OF THE IMMACULATE CONCEPTION


    Davao City
    GRANT FOR EXEMPTION

    Name: _________________________________________

    Dear Proctor:

    Year and Section:

    _____________________________

    Subject:

    _____________________________

    1. This certifies that the bearer avails


    the grant for exemption. This will serve
    as his/ her final examination pass.

    Class Time:

    _____________________________

    Class Room No.:

    _____________________________

    Instructor:

    _____________________________

    Examination Date:

    _____________________________

    Examination Time:

    _____________________________

    Examination Room No.

    _________________

    Preliminary Examination Grade:

    _________________

    Preliminary Grade:

    _________________

    Midterm Examination Grade:

    _________________

    Midterm Grade:

    _________________

    Date of Filing:

    _________________

    2. Signature of The Exempted Student,


    The Instructor and The Program Dean
    must appear to avail the exemption.
    3. Please bundle this Form along with
    the answer sheet of the students who
    took the final examination.
    For Instructor:
    Final Class Standing: _____________
    Exempted Final Exam Grade: ______
    Final Grade: ___________________
    Average:

    ___________________

    Remarks:

    ___________________

    I hereby avail the grant for exemption.


    Prepared by,

    MR./ MS._________________________
    ________________________________
    Year and Section ___________________
    Prof. Sam A. Bernales, Jr.
    09195026683
    sam.bernalesjr@yahoo.com

    Reviewed by,

    Granted:

    PROF. SAM BERNALES, JR.


    Instructor

    Complimentary Copy:
    None

    Program Dean

    Received:

    Page 2 of 2

    FAC-LA-DOC-0017
    Date of Effectivity: 2/14/2015 7:25:30 AM
    Subject: Exemption Grant
    Program _________________________
    ________________________
    Exempted Student

    Prof. Sam A. Bernales, Jr.


    09195026683
    sam.bernalesjr@yahoo.com

    Subject _________________________

    Complimentary Copy:
    None

    Program

    Received:

    You might also like