Republic of the Philippines

BATANGAS STATE UNIVERSITY

The National Engineering University
Rizal Avenue Ext., Batangas City, Batangas, Philippines 4200
Tel Nos.: (+63 43) 980-0385; loc 1127
E-mail Address: conahs.pb@g.batstate-u.edu.ph | Website Address: http://www.batstate-u.edu.ph
Office of the College of Nursing and Allied Health Sciences

STATEMENT OF UNDERSTANDING AND ACCEPTANCE OF COURSE SYLLABUS CONTENT

I, ___________________________________________, a ________________ student taking _______________________________,

(Name of Student) (Year Level) (Program)

have read, acknowledged, and fully understood all the contents stated in the course syllabus for the

subject________________________________________________. The information presented in the syllabus were

explained completely and my queries regarding the content were addressed accordingly. I am

expressing my willingness to comply in the course requirements stated therein, as I know that the

instructional plan and policies indicated in the syllabus are intended to enhance my learning and

discipline while studying in this profession. I accept the consequences that might occur should I fail

to adhere with the course rules and satisfy the stipulated conditions in order to pass this subject.

_______________________________________________________
SIGNATURE OVER PRINTED NAME OF STUDENT
Date Signed:

Noted by:

___________________________________________________________________
SIGNATURE OVER PRINTED NAME OF PARENT/GUARDIAN
Date Signed:

(For the Student) – PERMISSION TO DIVULGE STUDENT RATING/S

I, ___________________________________________, a ________________ student taking _______________________________,

(Name of Student) (Year Level) (Program)

hereby grant my permission to inform my parents/legal guardian about the complete details of my

grades for the subject __________________________________________________. I understand that this

endeavour will be done as a form of collaborative effort between the CONAHS department and my

parents to enhance the support mechanisms intended for effective learning process for this course.

_______________________________________________________
SIGNATURE OVER PRINTED NAME OF STUDENT
Date Signed: