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LITN01G SELF REPORT

NAME:

SECTION:

DATE ENROLLED: (EAF)

ATTENDANCE IN VIRTUAL CLASSES: (check or tick when you attended)

SEPT. 03 SEPT 10 SEPT 14 SEPT 21 OCT 01 OCT 09

ACTIVITIES:

DAY 1 WEEK 2 WEEK 3 WEEK 4 PRELIM


(Quiz 1) (Quiz 2) EXAM
Date Date Date Date Date
submitted submitted submitted submitted submitted

Credited as
100? (Y/N)

RECITATION/PARTICIPATION:

(Write the dates when you participated in class)

I attest that the credits I have indicated here are true to the very best of my abilities.

(signature over printed name/date)

Note: Attach a copy of your receipt of payment for Prelims and please submit this with your Prelim
exam. Thank you!

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