Republic of the Philippines

BULACAN STATE UNIVERSITY

Office of the Registrar
City of Malolos, Bulacan
Tel: 919-7800 Loc. 1001 or 1002

Control no._________________________

July 14, 2022

Date

Mr. Carlo C. Bondoc

To: Prof._______________________

Lilian Alicia S. Bautista

Mr./Ms. ______________________________________, has an incomplete grade in
Risk and Management as Applied to Safety, Security and Sanitation
_____________________________________________________________ which he/she took during the
1st Semester
_____________________________________trimester/semester/summer year 20___
21 - 20___.
22

The reason/s for the INCOMPLETE as reflected in the grading sheet is /are
I never accomplish the final project and late on the deadline
_____________________________________________________________________________________.
Please accomplish this form and return to this office not later.

ALBERT B. VILLENA
Registrar IV

ACTION TAKEN:
PASSED _________
2.5 RATING: ____________________
FAILED __________ RATING: ____________________

July 14, 2022

Date: __________________________

Mr. Carlo C. Bondoc

_________________________________________
Subject Instructor/Professor

NOTED:
Dean
Distribution of Copies:
1- Registrar’s office
1- Department of Concern
1- Student’s copy
Student Signature:
ID No.: _______________________
2021600658
BulSU-OP-OUR-02F15
Revision: 0
BSTM-1A
Course/Year & Section: _______________