Control No.

________
______________________
Date

To : Mark Jordan S. Galves

Mr./Ms. Allen Joy Estrella ,has an incomplete

grade in P.E 12 which he/she took during

the 1st trimester/semester/summer year 20____ - 2021

The reason/s for the INCOMPLETE as reflected in the grading sheet is / are

______________________________________________________________________.

Please accomplish this form and return to this office not later ____________________.

ALBERT B. VILLENA, MSIT

University Registrar

ACTION TAKEN

PASSED________Rating: __________
FAILED________ Rating: __________

Date: _________________

____________________________
NOTED: Subject Instructor/Professor

____________________________
Dean

Distribution of copies:

1 – Registrar’s Office ____________________________

1 – Department Concern Student’s Signature
1 – Student’s Copy I.D. No. 2019116270
Course/Year & Section ET 2H- G2

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