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Submit to International and Extended Studies IES Fax 408 924-2666 or deliver to 210 N. Forth Street Suite 301 San Jos CA 95112. Chair s Name Dept. Chair s Signature Date Director of Academic Advising and Retention Services Signature Student s Name Please print clearly Student s Signature Initial approval pending submission within 30 days of Change of Grade Form in sealed envelope and original receipt for fees paid to SJSU Bursar s Office SSC. FOR IES OFFICE USE ONLY Status Approved Denied...
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