Eastern Samar State University: Certificate No. AJA19-0226
Eastern Samar State University: Certificate No. AJA19-0226
AJA19-0226
Date
DR.EDMUNDO A. CAMPOTO
University President
Eastern Samar State University
Sir.
The undersigned student/s of the _____________________________________
Hereby request/s for special offering of the subject/course_________________under
the_______________curriculum during the _______semester, school year_________,
from____________or totals of______hours.
We fully understand that aside from the regular tuition and other fees required by the
school upon enrollment, we shall be responsible for the payment of the overload fee and/or
honorarium, as the case may be, of the instructor who will handle the subject/course. Such
payment shall be paid in full upon enrollment to avail this special program for graduating
students.
After having determined the validity of this request and the availability of the
instructor who will handle the subject course we hereby endorse said request for your
approval.
__________________________ ________________________________
Program Head Dean
Recommending Approval:
DR.EMILIA L. BAQUILOD
Vice-president for Academic Affairs
Approved:
ESSU-ACAD-208| Version 3
Effectivity Date: April 20, 2020