SCHOOL OF TEACHER EDUCATION AND LIBERAL ARTS

General Luna Road, Baguio City Philippines 2600

Telefax No.: (074) 442-3071 Website: www.ubaguio.edu E-mail Address: ub@ubaguio.edu

STUDENT CONSULTATION FORM

Name: _RILERIA, MONICA__________________ I.D. No. ___20215680_________ Program & Year: BSCRIM 1st year

Instructor: MARIA THERESA B. MAṄALAC Subject: ___GELECT4___________ Schedule: 09:30 – 11:00 am

Concern (To be accomplished by the student) Resolution/Action (To be accomplished by the professor)
II was unable to submit my output Activity No.03 Philippine
Ecosystems due to technical troubles in submitting my output
the day before a deadline, and unfortunately, I was unable to
submit it the next day due to power outages. may I have a
chance in resubmitting my output maam?

Date: April 2, 2022

Time: 19:31

(To be signed by both student and teacher after “resolution/action has been taken”)

Student’s Signature: RILVEIA MONICA Instructor’s Signature:

Note: Attach valid

document: