s.

2021

OFFICE OF THE VICE PRESIDENT

FOR ACADEMIC AFFAIRS

PETITION FORM FOR TUTORIAL CLASS

Course Proposed Schedule Reason/s for
Code Course Description Petition REMARKS
(Tutorial)

Student’s Signature over Printed Name/S: Date Requested:

I am aware that petitioned classes are tutorial and not a regular class. I conform that I will shoulder the whole cost
related thereto.

Processed by: Verified by:

ENGR. LEO GERARDO S. ROXAS ENGR. LORENA R. ANGULO, MSME, PCpE

Program Head, Civil Engineering Dean, College of College of Engineering and
Architecture

Recommending Approval:

JOSEPHINE S. LAMBINICIO, Ed.D

Vice President for Academic Affairs
Approved:

ATTY. DAR A. DIGA

OIC University President/COO

OFFICE OF THE VICE PRESIDENT FOR

ACADEMIC AFFAIRS

PETITION FORM FOR TUTORIAL CLASS

Course Proposed Schedule Reason/s for
Code Course Description Petition REMARKS
(Tutorial)

Student’s Signature over Printed Name/s: Date Requested:

I am aware that petitioned classes are tutorial and not a regular class. I conform that I will shoulder the whole cost
related thereto.

Processed by: Verified by:

ENGR. LEO GERARDO S. ROXAS ENGR. LORENA R. ANGULO, MSME, PCpE

Program Head, Civil Engineering Dean, College of College of Engineering and
Architecture

Recommending Approval:

JOSEPHINE S. LAMBINICIO, Ed.D

Vice President for Academic Affairs

Approved:

ATTY. DAR A. DIGA

OIC University President/COO
s.2021

OFFICE OF THE VICE PRESIDENT

FOR ACADEMIC AFFAIRS