<date>

DR. CYNTHIA C. LLANES

VP – Academic Affairs
TIP-QC

Thru: DR. ANGELES A. DE GUZMAN

DEAN, CBE

Madam:

I am <insert name here> currently enrolled in <inset program> would like to request for a
reconsideration to add and cancel the following;

COURSES TO BE ADDED COURSES TO BE CANCELLED

COURSE COURS SECTION
COURSE TITLE SECTION COURSE TITLE
CODE E CODE

The reason for this request is my old section did not populate and I was advised to change section.

Thank you.

Very truly yours,

<INSERT YOUR NAME HERE>

Noted by:

DR. JOEMY C. LOPEZ

Program Chair