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LOYOLA SCHOOLS FORM ADAA-4 rev. 04-2012 Ateneo de Manila University Loyola Schools OFFICE OF THE ASSOCIATE DEAN FOR ACADEMIC AFFAIRS CONFIDENTIAL Standards Committee Use Only APPEAL FOR PROBATION Incoming School year ID Number NAME Print Surname First Name M. I. Address Tel* No* Name of Father Name of Mother In the previous schoolyear Year Course Note If you have previously been on probation in the Ateneo you are INELIGIBLE to apply for probation* TYPE YOUR ANSWERS TO THE FOLLOWING QUESTIONS IN THE SPACE BELOW OR ON A SEPARATE SHEET. What were the two/three most important reasons why you failed to meet the required QPI last schoolyear Why do you think you deserve to be given another chance to continue your studies at Ateneo In your appeal it would be important to the Committee to make clear serious reasons beyond your control to explain why you did not meet the required QPI if there are such reasons. I. Address Tel* No* Name of Father Name of Mother In the previous schoolyear Year Course Note If you have previously been on probation in the Ateneo you are INELIGIBLE to apply for probation* TYPE YOUR ANSWERS TO THE FOLLOWING QUESTIONS IN THE SPACE BELOW OR ON A SEPARATE SHEET. What were the two/three most important reasons why you failed to meet the required QPI last schoolyear Why do you think you deserve to be given another chance to continue your studies at Ateneo In your appeal it would be important to the Committee to make clear serious reasons beyond your control to explain why you did not meet the required QPI if there are such reasons.

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