West Visayas State University Janiuay Campus SCHOOL OF INFORMAMTION AND COMMUNICATIONS TECHNOLOGY Janiuay, Iloilo

REQUEST FOR USE OF FACILITIES

Facility Requested: Date Requested : Date of Use :

WVSU-JC Ground August 17, 2012 August 21-22 to use as a setting for the Life and Works of Rizal as a requirements in our subject SS 105 (Life and Works of Rizal)

Reason(s) for Ue :

Requested by

TEODORICO SEVA JR. Pres., INFOTECH VI

Noted by: MARILYN B. GULMATICO Instructor, SS 105

Approved

GUILLER P. PENDON Head, OSA

ARIEL R. JUDILLA, MIT Adviser/Director, SICT