Application For Petitioned Class: College of Engineering and Architecture

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APPLICATION FOR PETITIONED CLASS

COLLEGE OF ENGINEERING AND ARCHITECTURE

Date: June 11, 2020

RUVEL J. CUASITO SR., DTE.


VCASA / VCAA
USTP-CDO CAMPUS

We, the undersigned, would like to request to open a special class: Gen. Ed. Course
✔ Major Course
Non Gen. Ed. Course

1st Semester 2nd Semester ✔ Summer SY 2019 to 2020

Subject Code: ECE15a No. of Units: 3.0

No. of Hours: Lecture: Laboratory:

Subject Description: Basic Electronics

Cost per Student:

Name of Instructor to handle the subject:


Rate per hour of the Instructor:
Total Number of Students:
No. of Sections:
Total No. of Hours:

Class Schedule (Lecture):


Class Schedule (Laboratory):

Cost of Honoraria:

For the following reasons:

Very truly yours,

Name Course & Year Contact Number


1. Ceniza, John Alfred A. BSME-5 09569349527
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Document Code No.
UNIVERSITY OF SCIENCE AND TECHNOLOGY
FM-USTP-ACAD-03
OF SOUTHERN PHILIPPINES Rev. No. Effective Date Page No.

Alubijid | Cagayan de Oro | Claveria | Jasaan | Oroquieta | Panaon 00 05.01.19 2 of 2

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Verified by:

Dr. Antonio-Abdu Sami M. Magomnang Dr. Agustin G. Lupoy


Chair Chair
(Of the students who requested the petitioned class) (Under which the requested petitioned class is offered)

Recommending Approval:

Dr. Leonel L. Pabilona Dr. Leonel L. Pabilona


Dean Dean
(Of the students who requested the petitioned class) (Under which the requested petitioned class is offered)

Approved:

RUVEL J. CUASITO SR.,DTE


VCASA / VCAA

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