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