TriColl Form- CE.02

Date: ______

The Chairperson

Tri-College (Ph.D. Philippine Studies Program)

Through the Head Secretariat

Dear Sir/Madam:

I would like to manifest my intent to take the qualifying exam for the Ph.D. Philippine Studies program in [ ] October [ ] May 20____. I have completed __ units of core courses as of the end of _____ Semester/ Summer 20___-20___.

Thank you.

Signature: ______Student No.: ______

Name of Student: ______Email Address: ______

Date: ______Contact No.: ______

Student No.: ______

Admitted: [ ] First [ ] Second Semester ______- ______

Last enrolment: [ ] First [ ] Second Semester ______- ______

TriColl Form- CE.02

Core Courses Professor Sem/AY Grade

______

______

______

TriColl Form- CE.02

Exempted:

☐ MA/M Philippine Studies Graduate

______Academic Year

Verified:

Student Records Evaluator