Reference No.: BatStateU-FO-REG-07 Effectivity Date: April 27, 2021 Revision No.

: 02

GRADE CORRECTION FORM

Faculty ID: Name of Student:
Class Details
Semester: Academic Year:
Course Code: Units: Section:
Course Title:
Correction Details
Previous Grade: Corrected Grade:
Reason for Grade
Correction:

Requested by: Reviewed and Approved by:

_____________________________ _____________________________
Signature over Printed Name of Instructor Signature over Printed Name of College Dean/
Date Signed: Head, Academic Affairs
Date Signed:
Received by:

_____________________________
Signature over Printed Name of Registrar’s Staff
Date Signed:
Required Attachment: Copy of approved Computation of Grades