Maritime Academy of Asia and the Pacific-Kamaya Point

Associated Marine Officers’ and Seamen’s Union of the Philippines-PTGWO-ITF

Kamaya Pt., Brgy. Alas-asin, Mariveles, Bataan

(14 MARCH 2019)

FOR : DEAN OF ACADEMICS

FROM : MIDN 3CL BALAYO, CRISNEY B.
SUBJECT : REQUEST FOR EXCUSE FROM CLASSES

Sir,

1. The undersigned midshipman would like to request from your good office an approval for
excuse from classes from 0800H-1700H of 15 MARCH, 2019 for the purpose of medical
pass at AMOSUP SEAMEN’S Hospital, Intramuros, Manila.

2. Attached herewith is the list of the midshipmen who will attend the said event.

3. If approved, this letter will serve as an attachment to the Request for a Medical pass for
the Director of Department of Midshipmen Affairs.

4. Hoping for your kind consideration and approval sir.

Here are the following midshipmen who will attend the said event.

3CL AGOMAA, RUTH JONAH E.

3CL BALAYO, CRISNEY B.
3CL CABANALAN, JO SHEEN
3CL SAYAS, RODILLO JR M.

Requested by:

_____________________
BALAYO, CRISNEY, B.
MIDN 3CL “A” COY

Noted by:

_________________________ _________________________
C/E WILLARD P. LAURENA ENGR. LUCITA R. BENITEZ
AUX MACH 2 ELECTRO 3

_____________________________ _______________________________
C/M REMOND JOSEPH R. REYES 2/M GEORGE ALLAN BI-AY BRIÑAS
SEAM 3 MET-O

Approved/ Disapproved:

______________________________
CAPT. JANUARIO L. LANSANG JR.
ACTING DEAN OF ACADEMICS
Leading the way towards excellence in maritime training and upgrading Tel.No.(0917) 533-8263 Fax.No. (02) 527-2110
 Maritime Academy of Asia and the Pacific-Kamaya Point
Associated Marine Officers’ and Seamen’s Union of the Philippines-PTGWO-ITF
Kamaya Pt., Brgy. Alas-asin, Mariveles, Bataan

(14 MARCH, 2019)

FOR : DIRECTOR, DEPARTMENT OF MIDSHIPMEN AFFAIRS

FROM : MIDN 3CL BALAYO, CRISNEY B.
SUBJECT : REQUEST FOR MEDICAL PASS

Sir,

1. The undersigned midshipman would like to request from your good office an approval for
the request of Medical Pass for the purpose of Medical Examination at AMOSUP
SEAMEN'S Hospital, Intramuros, Manila on 15 March, 2019..

2. Attached herewith are the following letters:

a. The letter for excuse from classes noted by the instructors concerned and approved
by the Dean of Academics.
b. Referral slip/ letter from the Infirmary, including the date and place of consultation.

3. If approved, the said leave will commence at 0300H of 15 MARCH, 2019 until 2200H of
MARCH, 2019.

4. Hoping for your kind consideration and approval sir.

Here are the following midshipmen who will attend the said event.

3CL AGOMAA, RUTH JONAH E.

3CL BALAYO, CRISNEY B.
3CL CABANALAN, JO SHEEN (Conduct Restriction)
3CL SAYAS, RODILLO JR.

Requested by:

_______________________
3CL BALAYO, CRISNEY B.
MIDN 3CL “A” COY

Noted by:

_________________________ ___________________________
GAMBOA, JOHN PAOLO C. VILLANUEVA, BILLE FROST J.
MIDN 1CL “A” COY MIDN 1CL “B” COY
COMPANY COMMANDER COMPANY COMMANDER

Leading the way towards excellence in maritime training and upgrading Tel.No.(0917) 533-8263 Fax.No. (02) 527-2110
 Maritime Academy of Asia and the Pacific-Kamaya Point
Associated Marine Officers’ and Seamen’s Union of the Philippines-PTGWO-ITF
Kamaya Pt., Brgy. Alas-asin, Mariveles, Bataan

(14 MARCH, 2019)

______________________ ______________________________
SENO, FRANCIS YANNI B. NACION, SIGMUND VAN YANCY Z.
MIDN 1CL “C” COY MIDN 1CL “D” COY
COMPANY COMMANDER FLEET MEDICAL OFFICER

______________________ ______________________
AMPONGAN, CHARREL J. CRUZ, ALLEN SCOTT C.
MIDN 1CL “A” COY MIDN 1CL “A” COY
FLEET PERSONNEL OFFICER FLEET COMMANDER

Approved/ Disapproved:

__________________
GERLO L. ELCHICO
CAPT. PN (RET)
DIRECTOR, DMA

Leading the way towards excellence in maritime training and upgrading Tel.No.(0917) 533-8263 Fax.No. (02) 527-2110