Student'S Clearance: College of Nursing

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Bicol University

COLLEGE OF NURSING
Legazpi City

STUDENTS CLEARANCE
_______________________
Date
TO WHOM IT MAY CONCERN:
This is to certify that Mr./Ms. _______________________________________, a _________
year Bachelor of Science in Nursing (BSN) Block _____ student of this institution has been
cleared of all obligations fully settled his/her fees and other money and property
accountabilities with the school and with the following concerned personnel for the
________ Semester, S.Y. 20____- 20_____.
STUDEN
T
AFFAIRS
:
Vital

PRESIDENT/
TREASURER:

ADVISER/
COORDINAT
OR:

STUDEN
T
AFFAIRS:

PRESIDENT/
TREASURER:

ADVISER/
COORDINA
TOR:

PNSA

Signs
PYMNR
Women

Alumni
Sports

s Club
RCY

Club
Mens

MWDO
Class/Bl

Club
PCO
Year

ock
CSC

Level

SUBJECT INSTRUCTOR/ PROFESSOR


SUBJECT:

INSTRUCTOR/ PROFESSOR:

SIGNATURE:

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