Affidavit of Change of Grade

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REPUBLIC OF THE PHILIPPINES )

CITY OF ANGELES )S.S.

AFFIDAVIT OF CHANGE OF GRADE

I, (name of instrutor), of legal age, Filipino, (married/single), and with office address of
Sta. Isabel Bldg., Balibago, Angeles City, after having been duly sworn to in accordance with law,
depose and say:

1. That (name of student) is a Bachelor of Science in ________ student of Systems Plus


College Foundation, Balibago, Angeles City, Pampanga;

2. That (name of student) was officially enrolled in (subject), school year 2017-2018 and 2nd
semester;

3. That I am the College Instructor of (name of student) in the above-mentioned subject;

4. That due to inadvertence, I erroneously inputted and encoded a final grade of __, instead
of a passing grade of __;

5. That I am executing this Affidavit to attest to the truthfulness of the foregoing statements
made in this Affidavit and for all other legal intents and purposes it may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this __th day of ____, 2018
at the City of Angeles, Philippines.

(name of instrutor)
Affiant

SUBSCRIBED AND SWORN to before me this __th day of ____, 2018 at the City of Angeles,
Philippines. Affiant exhibited to me his/her ____________ ID with No. __________ issued by
____________________ as competent proof of his/her identity.

NOTARY PUBLIC

Doc. No. ___


Page No. ___
Book No. ___
Series of 2018.

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