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CAGAYAN STATE UNIVERSITY

Sanchez Mira, Cagayan


College of ______________________________

Name:__________________________________________Course:_______________________Year:_________Date:_____________

APPLICATION FOR COMPLETION OF GRADE

Sir/Madam:

I have the honor to apply for compliance of the grade in ______________________________________this deficiency happened during
the ________________semester of school year____________________.

Mid-Term Grade:________________ 2ndTermGrade:_________________ Final Grade:__________________

Certified Correct _____________________________________________________


Professor’s Signature Over Printed Name
Grades Verified by: Approved:

___________________________
College Dean CHRISTOPHER R. GARINGAN
Campus Registrar

(Registrar’s Copy) Completion Fee Paid__________________ OR No._____________________ Date: ________________

___________________________________________________________________________________________________________

CAGAYAN STATE UNIVERSITY


Sanchez Mira, Cagayan
College of ______________________________

Name:__________________________________________Course:_______________________Year:_________Date:_____________

APPLICATION FOR COMPLETION OF GRADE

Sir/Madam:

I have the honor to apply for compliance of the grade in ______________________________________this deficiency happened during
the ________________semester of school year____________________.

Mid-Term Grade:________________ 2ndTermGrade:_________________ Final Grade:__________________

Certified Correct _____________________________________________________


Professor’s Signature Over Printed Name
Grades Verified by: Approved:

___________________________
College Dean CHRISTOPHER R. GARINGAN
Campus Registrar

(Department’s Copy) Completion Fee Paid__________________ OR No._____________________ Date: ________________

_______________________________________________________________________________________________________________

CAGAYAN STATE UNIVERSITY


Sanchez Mira, Cagayan
College of ______________________________

Name:__________________________________________Course:_______________________Year:_________Date:_____________

APPLICATION FOR COMPLETION OF GRADE

Sir/Madam:

I have the honor to apply for compliance of the grade in ______________________________________this deficiency happened during
the ________________semester of school year____________________.

Mid-Term Grade:________________ 2ndTermGrade:_________________ Final Grade:__________________

Certified Correct _____________________________________________________


Professor’s Signature Over Printed Name
Grades Verified by: Approved:

___________________________
College Dean CHRISTOPHER R. GARINGAN
Campus Registrar

(Student’s Copy) Completion Fee Paid__________________ OR No._____________________ Date: ________________

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