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AA 28-10/05-00

Republic of the Philippines


ACADEMIC AFFAIRS DEPARTMENT
ILOILO STATE COLLEGE OF FISHERIES
Tiwi, Barotac Nuevo, Iloilo

COMMITMENT FORM

Name of Faculty: ____MA. PRECY P. PEREZ, Ed.D. _________________________________


Academic Rank: _______________________________________________________________
Designated Position: ____________________________________________________________
Rating Period: _________________________________________________________________

I hereby commit to perform my functions set in this agreement, that is:

A. ________% for Instruction


List of Subjects Taught No. of Hours Credit No. of Students

____________________________ ___________ _____ _____________


____________________________ ___________ _____ _____________
____________________________ ___________ _____ _____________
____________________________ ___________ _____ _____________
____________________________ ___________ _____ _____________
____________________________ ___________ _____ _____________
____________________________ ___________ _____ _____________
____________________________ ___________ _____ _____________
____________________________ ___________ _____ _____________

B. ________% for Research


(List of Proposed, on Going research Titles and Activities)

_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________

C. ________% for Extension


(Extension Activities)

_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________

D. ________% for Production


(Production Activities)

_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________

_______________________________ ______________________________
Signature of the Ratee Signature of the Rater
AA 28-10/05-00
Republic of the Philippines
ACADEMIC AFFAIRS DEPARTMENT
ILOILO STATE COLLEGE OF FISHERIES
Tiwi, Barotac Nuevo, Iloilo

COMMITMENT FORM

Name of Faculty: ____MA. PRECY P. PEREZ, Ed.D. _________________________________


Academic Rank: _____Prof. II ___________________________________________________
Designated Position: ____GAD Focal Chair/QMS Consultant/COMS Research Coordinator___
Rating Period: ____1st semester AY 2012-2013_______________________________________

I hereby commit to perform my functions set in this agreement, that is:

A. ___50____% for Instruction


List of Subjects Taught No. of Hours Credit No. of Students

__Math Major 13 BSE III________ ___3_______ _3___ ____11_______


__Math Major 12 BSE III __ ___3_______ _3___ _____10_______
__ BioSci Major 16 BSE IV ____3_______ _3____ _____4________
__BioSci Major 14 BSE IIV _____6______ _4________ _____4______ _
__BioSci Major 9 BSE III__ _____ _____6______ __4____ ______11_____
__Math 3 BSF II_______________ _____3______ ___________ _____
_____________
____________________________ ___________ _____ _____________
____________________________ ___________ _____ _____________
____________________________ ___________ _____ _____________
____________________________ ___________ _____ _____________

B. ________% for Research


(List of Proposed, on Going research Titles and Activities)

_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________

C. ________% for Extension


(Extension Activities)

_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________

D. ________% for Production


(Production Activities)

_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________

_______________________________ ______________________________
Signature of the Ratee Signature of the Rater

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