F-007 MARITIME ACADEMY OF ASIA AND THE PACIFIC - KAMAYA POINT

Issue 0
Rev. 3 DEPARTMENT OF ACADEMICS
August 20, Associated Marine Officers’ and Seamen’s Union of the Philippines – PTGWO-ITF
2019 Kamaya Pt., Brgy. Alas-asin, Mariveles, Bataan

EXTRA INSTRUCTION/MAKE-UP CLASS REQUEST FORM

! College of Marine Engineering □ College of Marine Transportation

Date filed: _____June 27, 2023_________________

! Request for use of Classroom

Note: Use request form for use of Laboratory if needed

Time: from __0800_____H to __1200_____H Date/s of Use: ____28/06/2023____

Campus: _______east________________

Section Name: ___Neptunium________

PURPOSE:

! Extra Instruction " Make-up Class

Lesson Topic:

Kineatics, Kinetics, and Friction

______________________________________________________________________
_________________________________________________________________________

To be supervised/administered by:
(Instructor)

__C/E Cloyd Fortuna____________

Signature over Printed Name

____________________________________
Signature over Printed Name

Conformed by: Conformed by:

___________________________ _____ _______

DMA Director/Tactical Officer Academic Supervisor/Class Adviser
Signature over Printed Name Signature over Printed Name

Approved by:

___________________________
Dean of Academics
Signature over Printed Name

• Submit one (1) copy to the Dean’s Office and one (1) copy to the DMA Office.