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    FM RO 30 01 Application For Diploma

    Uploaded by

    almira layugan
    The document is an application form for a duplicate diploma from a university, which requires the applicant to provide their personal details such as name, student number, nationality, contact number, degree earned and date of graduation. The applicant also authorizes the university to release and use the stated information for legitimate purposes. Upon completing all required clearances and payments, the applicant will receive their printed and signed duplicate diploma.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    FM RO 30 01 Application For Diploma

    Uploaded by

    almira layugan
    37 views1 page
    The document is an application form for a duplicate diploma from a university, which requires the applicant to provide their personal details such as name, student number, nationality, contact number, degree earned and date of graduation. The applicant also authorizes the university to release and use the stated information for legitimate purposes. Upon completing all required clearances and payments, the applicant will receive their printed and signed duplicate diploma.

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    FM RO 30 01 Application for Diploma

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    The document is an application form for a duplicate diploma from a university, which requires the applicant to provide their personal details such as name, student number, nationality, contact number, degree earned and date of graduation. The applicant also authorizes the university to release and use the stated information for legitimate purposes. Upon completing all required clearances and payments, the applicant will receive their printed and signed duplicate diploma.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    37 views1 page

    FM RO 30 01 Application For Diploma

    Uploaded by

    almira layugan
    The document is an application form for a duplicate diploma from a university, which requires the applicant to provide their personal details such as name, student number, nationality, contact number, degree earned and date of graduation. The applicant also authorizes the university to release and use the stated information for legitimate purposes. Upon completing all required clearances and payments, the applicant will receive their printed and signed duplicate diploma.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Document No.

    : FM-RO-30-01
    APPLICATION FOR DIPLOMA
    Effective Date: July 28, 2017

    DUPLICATE BILLING NO.


    Amount:
    Documentary
    1" x 1"
    Stamp
    Picture
    I hereby apply for clearance and issuance of my diploma.

    PLEASE PRINT LEGIBLY Signature

    NAME:
    First Middle Last
    STUDENT NO. : NATIONALITY: CONTACT NO. :
    ADDRESS :
    DEGREE : DATE OF GRADUATION :
    SPECIALIZATION (for Graduate Studies only) :
    Applicant also hereby allows the University to release and use the above stated information for legitimate purposes and
    allow the release only to authorized personnel in accordance with the Data Privacy Policy of the University.
    A letter of authorization to transact business or to claim records is required if the applicant himself is unable to do so.
    C L E A R A N C E S:
    Bookstore ELC

    Cardinal & Gold (OSA) ILMO

    Center for Guidance and Counselling NSTP

    Center for Career Services NAMA Office

    Office of the Prefect of Discipline Dean's Office

    Office of the Registrar (PSC) Library

    Thesis Title: Treasury Department

    Return this form to the Office of the Registrar


    Customer Service Section upon payment
    Signatures verified and all data certified and correct.
    CUSTOMER SERVICE SECTION TREASURY

    Signature/Date Assistant Treasurer Payment Validation


    To be filled out by the Office of the Registrar personnel only
    Received for printing by/Date: Printed by/Date: OK for signature of Dean and President:

    Customer Service Section Records Section Chief University Registrar

    I hereby acknowledge receipt of my diploma.


    Authorized Representative Released by/Date:

    Signature over printed name/Date Signature over printed name/Date Customer Service Section

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