UM Digos College

Roxas Extension, Digos City

Telefax: (082)553-2914

February 9, 2018

RYAN DALE B. ELNAR, Ph.D

Dean,UM Digos College
Digos City, Davao del Sur

Sir:

I would like to request for a special examination in my Character Education subject this 2nd
Term, 2nd Semester SY 2017-2018 under PROF.

I was not able to take the examination as scheduled due to the following reason/s:
DUE TO NO PERMIT

I pledge that the above claim/s is/are true and correct. I thus agreed upon affixing my signature
below that in any case that I will be found guilty of falsifying any of the above stated reason/s
shall be ground to get zero grades in the exam period.

I hope that you will consider my reason/s which serves as the basis for granting this request.

Thank you.

Truly yours,

Matt Ben Bel Miranda

Student

Approved by:

RYAN DALE B. ELNAR, Ph.D

Dean