UNIVERSITY OF THE PHILIPPINES MINDANAO
OFFICE OF THE COLLEGE SECRETARY
REQUEST OF COMPLETION/REMOVAL
CSM
CHSS
SOM
Date
TO WHOM IT MAY CONCERN:
The bearer
needs to
( ) - take an examination
( ) - submit a term paper, report
( ) - other, specify ______________________________
in order to remove his/her grade of “4.0” / “INC” in
1st
2nd Semester 20
- 20
incurred during the
or Summer
.
Signature of Instructor
REVISED 2007
Printed Name of Instructor
College Secretary’s Copy




UNIVERSITY OF THE PHILIPPINES MINDANAO
OFFICE OF THE COLLEGE SECRETARY
REQUEST OF COMPLETION/REMOVAL
CSM
CHSS
SOM
Date
TO WHOM IT MAY CONCERN:
The bearer
needs to
( ) - take an examination
( ) - submit a term paper, report
( ) - other, specify ______________________________
in order to remove his/her grade of “4.0” / “INC” in
1st
2nd Semester 20
- 20
or Summer
incurred during the
.
Signature of Instructor
Printed Name of Instructor
REVISED 2007
Student’s Copy

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