University of Southeastern Philippines
< COLLEGE >
< campus, address >
PERMIT FOR REMOVAL OF GRADES OF INCOMPLETE OR CONDITION FAILURE
Name: Course: Curricular:
Removal Examination for Grade of 4.0
Removal Examination for Grade INC
Submission of Requirements
Subject: Description:
Semester: Summer: Day & Time:
Verified By:
OR #:
Date:
Amount:
REPORT OF REMOVAL / COMPLETION
Removal / Complete Grade: Date of Examination:
Signature
Printed Name of Faculty
APPROVED:
w w w . u s e p . e d u . p h
< Dean's Name >
< position, college >
w w w . u s e p . e d u . p h