University of the Philippines Diliman College: _______________________
Form 13-C(Revised 2001)
REPORT OF COMPLETION / REMOVAL GRADE
Class Code: Course No. Section: Course Title: Units:
Student Number: Student Name (Family, First, Middle): Student’s College:
Sem./Term & Sch. Incurred:
_______Sem. 20_______-20_________ Original Grade: Completion/Removal Grade Date of Completion/Removal:
Signature of Instructor over Printed Name: Signature of Dept. Chair over Printed Name:
University of the Philippines Diliman College: _______________________
Form 13-C(Revised 2001)
REPORT OF COMPLETION / REMOVAL GRADE
Class Code: Course No. Section: Course Title: Units:
Student Number: Student Name (Family, First, Middle): Student’s College:
Sem./Term & Sch. Incurred:
_______Sem. 20_______-20_________ Original Grade: Completion/Removal Grade Date of Completion/Removal:
Signature of Instructor over Printed Name: Signature of Dept. Chair over Printed Name:
University of the Philippines Diliman College: _______________________
Form 13-C(Revised 2001)
REPORT OF COMPLETION / REMOVAL GRADE
Class Code: Course No. Section: Course Title: Units:
Student Number: Student Name (Family, First, Middle): Student’s College:
Sem./Term & Sch. Incurred:
_______Sem. 20_______-20_________ Original Grade: Completion/Removal Grade Date of Completion/Removal:
Signature of Instructor over Printed Name: Signature of Dept. Chair over Printed Name:
University of the Philippines Diliman College: _______________________
Form 13-C(Revised 2001)
REPORT OF COMPLETION / REMOVAL GRADE
Class Code: Course No. Section: Course Title: Units:
Student Number: Student Name (Family, First, Middle): Student’s College:
Sem./Term & Sch. Incurred:
_______Sem. 20_______-20_________ Original Grade: Completion/Removal Grade Date of Completion/Removal:
Signature of Instructor over Printed Name: Signature of Dept. Chair over Printed Name:
University of the Philippines Diliman College: _______________________
Form 13-C(Revised 2001)
REPORT OF COMPLETION / REMOVAL GRADE
Class Code: Course No. Section: Course Title: Units:
Student Number: Student Name (Family, First, Middle): Student’s College:
Sem./Term & Sch. Incurred:
_______Sem. 20_______-20_________ Original Grade: Completion/Removal Grade Date of Completion/Removal:
Signature of Instructor over Printed Name: Signature of Dept. Chair over Printed Name:
