RO Form No. 2, s.

2011
RO Form No. 2, s. 2011
South Philippine Adventist College
Camanchiles, Matanao, Davao del Sur South Philippine Adventist College
Camanchiles, Matanao, Davao del Sur

REQUEST FOR SPECIAL CLASS

__ Independent __ Tutorial REQUEST FOR SPECIAL CLASS
__ Independent __ Tutorial

______________________
(Date) ______________________
(Date)
Dear __________________________________
(VP for Academic Affairs) Dear __________________________________
(VP for Academic Affairs)

May I request to take special class in the following subject/s.

May I request to take special class in the following subject/s.
Course No. Course Description Units Day Time Instructor
Course No. Course Description Units Day Time Instructor
_________________________________ ____ _____ _____________ ___________________
_________________________________ ____ _____ _____________ ___________________ _________________________________ ____ _____ _____________ ___________________
_________________________________ ____ _____ _____________ ___________________
(State your reasons for taking special class/es)
(State your reasons for taking special class/es)
__________________________________________________________________________________________
__________________________________________________________________________________________ __________________________________________________________________________________________
__________________________________________________________________________________________
I am willing to be charged of the special class fee.
I am willing to be charged of the special class fee.
Sincerely,
Sincerely,
__________________________________
(Student’s signature over printed name) __________________________________
Year Level:____________ GPA:_______ (Student’s signature over printed name)
Year Level:____________ GPA:_______
Noted by:
Noted by:
____________________________________ __________________________________
(Instructor’s signature over printed name) (Registrar’s signature) ____________________________________ __________________________________
(Instructor’s signature over printed name) (Registrar’s signature)
____________________________________ __________________________________
(Instructor’s signature over printed name) (Chairperson’s signature) ____________________________________ __________________________________
(Instructor’s signature over printed name) (Chairperson’s signature)
____________________________________ __________________________________
(Signature of chairperson/coordinator of (Cashier’s signature) ____________________________________ __________________________________
department offering the subject/s to be (Signature of chairperson/coordinator of (Cashier’s signature)
enrolled) OR No.____________________ Date______________ department offering the subject/s to be
enrolled) OR No.____________________ Date______________
Approved by:
Approved by:
___________________________________________
(VP for Academic Affairs’ signature) ___________________________________________
(VP for Academic Affairs’ signature)