DHVTSU-FORM-CEA-003

JAN. 18, 2016, REV 0

Republic of the Philippines

DON HONORIO VENTURA TECHNOLOGICAL STATE UNIVERSITY
Bacolor, Pampanga

COLLEGE OF ENGINEERING AND ARCHITECTURE

Department of ____________________________

Date: ____________________

TO WHOM IT MAY CONCERN:

Sir/Madam:

Greetings!

Please excuse Mr./Ms. Please excuse Mr./Ms. _____________________________________________ for

(Name of Student)

being __________________________ in your class ____________________ last ________________ due

(Late/ Absent) (Subject) (Date)

to the following reasons:

_____________________________________________________________________________________
_____________________________________________________________________________________

In line with this, I would like to ask permission to attend our class starting ________________________
(Date/Time)
May this merit your favorable approval.

Respectfully yours, *(Please attached necessary documents)

________________________________
Student’s Signature Over Printed Name

________________________________
Parent’s Signature Over Printed Name

Noted:

_______________________________
Instructor-in-Charge

Approved by:

_______________________________
Chairperson, ____ Department