UNIVERSITY OF SANTO TOMAS

COLLEGE OF TOURISM AND HOSPITALITY MANAGEMENT

INTERNET CONNECTIVITY STUDENTS STATUS FORM

AY:20____-
21 20_______
22 1st Term/2nd Term Date: _________________
August 8, 2021

STUDENT: _________________________________
PASAGUI, RENEE MARI E.
SURNAME, FIRST NAME, MI.

STUDENT NUMBER: __________________________

2021-161278
(2021-1234)

Please check ( ) your internet capacity:

CATEGORY 1 CATEGORY 2 CATEGORY 3

(No capacity and (Limited capacity and/or (with full capacity and
CATEGORY OF
internet connectivity) weak/intermittent strong connectivity)
STUDENTS
connectivity)

Combination of non-wired/offline
Non-wired/ Offline Wired/Online activities, mostly
Status and asynchronous online
activities synchronous, are employed
activities.
Approaches https://drive.google.com/file/d/1oiu_1kzK9lJh_-E5RHUiOvZPlo6oeJ7A/view?usp=sharing

The undersigned student hereby affirms:

THAT I, Mr./Ms. _______________________,

RENEE MARI E. PASAGUI am presently a student of the College of Tourism
and Hospitality Management of the University of Santo Tomas under the TOURISM
__________________
MANAGEMENT
program from section ____;
1T5

THAT I am under category __________

2 and shall inform my professor on the capacity of my
internet connection by submission of this document during our first meeting for the _____
1st Term of AY
____-_____.
2021 2022

THAT I am fully aware and cognizant that any falsity or misinterpretation in this document,
misuse of this form thereafter, is a ground for penalty and without prejudice to any disciplinary or legal
action that the University may take against my person.

_______________________
RENEE MARI E. PASAGUI
Student
(Signature over printed name)

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GUIDELINES
1. Students shall accomplish the form before the start of the 1st/2nd Term of every Academic Year.
2. This shall be a requirement to be submitted by the student during the 1st day of classes to identify his/her
internet capacity.
3. This form shall be the basis of faculty member’s approach on the student’s assessment tasks, long
quizzes, major exams and attendance.
4. Kindly save as pdf using this format: Section, Surname, First Name, Middle Name Initial 1st Term
AY 21-22 (ex. 1H5 Cruz, Maria Margarita P. 1st Term AY 21-22).
5. Should there be any updates/adjustment on your category/status, kindly submit an updated form.