You are on page 1of 1

Republic of the Philippines

City of Pasay
X----------------------------------x

AFFIDAVIT FOR CHANGE OF GRADE

I, MALOU MENDOZA, of legal age, Filipino, married of 26 Cabrera street Pasay City, after being duly
sworn in accordance with law, depose and state:

1. That I am faculty member of Pamantasan ng Pasay;

2. That the following students were my students in the following subjects and that their correct grade
are the following:

BSN 2-4 Pagbasa at Pagsulat Tungo sa Pananaliksik (AEG2 00)


Prelim INCORRECT CORRECT GRADE
Grade CS EXAM Prelim GRADE
Bardas, Amelie Nicole V 0.00 83.56 41.67 75.06

APSY 3-2 Pagbasa at Pagsulat Tungo sa Pananaliksik (AEG2 00)


Prelim INCORRECT CORRECT GRADE
Grade CS EXAM Prelim GRADE

Diaz, Kathleen M 0.00 43.42 95.00 84.62


Limpot, June Jay M. 0.00 55.95 73.33 79.83

RDTC 2-2 Pagbasa at Pagsulat Tungo sa Pananaliksik (AEG2 00)


Midterm INCORRECT CORRECT GRADE
Grade CS EXAM Prelim GRADE

Baltazar, Noel D. 0.00 35.60 73.33 74.94


Pangilinana, Marilou G. 0.00 17.60 71.67 70.02

3. I attest that such error was made without bad faith and that the correct grade was based on
authentic records;

4. As such, I am executing this Affidavit attest to the truth of the foregoing and for whatever purpose it
may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 6th day of January 2021 in the City of
Pasay, Philippines.

MALOU MENDOZA
Affiant

SUBSCRIBED and SWORN to before me, this 6th day of January 2021 in the City of Pasay, affiant
exhibiting before me this his proof of identity PRC - 0870674.

Doc No. NOTARY PUBLIC


Page No.
Book No.
Series of 2021

You might also like