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Application For Graduation Form

The document outlines the application process for graduation, detailing required attachments such as passport-sized photos and documentary stamps for both Board and Non-Board applicants. It includes sections for personal information, present academic load, and clearances from faculty and administration. Additionally, it emphasizes compliance with the Data Privacy Act and the necessity of settling financial obligations to receive a diploma during graduation ceremonies.

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davejohncruz022
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50 views1 page

Application For Graduation Form

The document outlines the application process for graduation, detailing required attachments such as passport-sized photos and documentary stamps for both Board and Non-Board applicants. It includes sections for personal information, present academic load, and clearances from faculty and administration. Additionally, it emphasizes compliance with the Data Privacy Act and the necessity of settling financial obligations to receive a diploma during graduation ceremonies.

Uploaded by

davejohncruz022
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Please attach the ff:

• w/Board Exam. – 2 pcs.


passport size pic.
w/nametag & white
background & 2 pcs.
documentary stamps
• Non-Board – 1 pc.
passport size pic.
w/nametag & 1 pc.
APPLICATION FOR GRADUATION documentary stamp

In accordance with the provisions of the Data Privacy Act of 2012 and its corresponding implementing rules and regulations, we
implement reasonable and appropriate security measures to ensure the security of the personal information we gather. We will collect,
process, and store your personal information for graduation purposes.

I authorize and give my consent to the Office of the University Registrar for the purpose stated above.

A. NAME: Student No.


(Surname) (First Name) (M.Name)
Address:
Telephone No./Cellphone No.:
Email Address:
Course Applied for:
Civil Status: Sex: Age:
Date of Birth: Place of Birth:
Name of Parents/Guardian:
High School Graduated:
School last attended: (For transferee only)

B. PRESENT LOAD:
Subject Units Signature of Professor

C. THE ABOVE-NAMED STUDENT IS CLEARED OF ALL MONEY AND PROPERTY ACCOUNTABILITIES IN


MY OFFICE

(To be signed by the responsible officials concerned)

Faculty Adviser: Dean of Student Affairs:

Librarian: In charge, Accounting: Dean:

I hereby promise, in case of approval of my graduation to participate in all graduation activities


and pay the required fees.

Applicant's Signature

Year and Section


D. EVALUATION OF RECORDS BY THE DEAN:
The Dean checks and evaluates the record of the students thru the evaluation provided by the Office of
the Registrar. When completed, this form must be submitted to the Dean’s Office which will forward it to the
Registrar’s Office.
RECOMMENDING APPROVAL:

(DEAN)
APPROVED:

MA.MAGDALENA V. GATDULA, PCpE, DT


Registrar IV
N.B.
All candidates for graduation who have settled all the financial obligations to the University shall receive
their diploma during their graduation ceremonies.

BulSU-OP-OUR-03F1
Revision : 2

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