Santa cruz, laguna letter of appeal for special examination



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Date28.01.2017
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AMA COMPUTER COLLEGE

SANTA CRUZ, LAGUNA

LETTER OF APPEAL FOR SPECIAL EXAMINATION
School Year 20___ - 20_____ ______ SEMESTER

G

rading Period Prelim Midterm Pre-Final Finals


Student’s Name ________________________________________________

Last Name First Name M.I.
Student Number:___________________ Course : _______________________


Date : ________________
Sir/Madame :
I would like to request for special examination in :


Subject/Section

Instructor’s Name

Instructor’s Signature

1.







2.







3.







4.







5.









The reason for not taking the exam/s is due to ___________________________

Thank you very much.

__________________________

Signature of Student

________________________________________________________________
A

pproved Disapproved O.R.# _________ Amount ________


_______________________ ________________________

Program Head College Dean

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