BATAAN PENINSULA STATE UNIVERSITY

MAIN CAMPUS
Capitol Compound, Tenejero, City of Balanga 2100 Bataan
DEPARTMENT OF ARTS AND SCIENCES
Cas_mc@bpsu.edu.ph | www.bpsu.edu.ph

March 27, 2023

Dr. Gracelle Ann Del Rosario

University Physician
Bataan Peninsula State University

Dear Dr. Del Rosario,

Good day! I am [Name of the Class Mayor], a 2 nd year student, and class mayor of
[Program/Section]. On behalf of the class, I would like to request our medical certificate stating
that we are fit to undergo activities under the course PHED 0222: Aquatics.

Attached herewith is the list of students in our class.

Thank you in advance for your immediate response.

Respectfully yours,

Complete Name of the Mayor

Mayor, [Program/Section]

Noted by:

Alvin John M. Carlos

Instructor

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