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    PUPGeneral Clearance

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    Adiel
    This document is a general clearance form for a graduating student from the Polytechnic University of the Philippines. It provides details of the student such as their name, student number, date of birth, admission details, permanent address, contact number, academic program, and schools attended from elementary through senior high school. It lists the student's credentials and documents requested, and indicates whether they have been cleared by various university offices for things like library fees, laboratory fees, and ROTC requirements. It outlines the requirements and process for claiming requested credentials and releasing them to authorized representatives of the student.

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

    PUPGeneral Clearance

    Uploaded by

    Adiel
    12 views1 page
    This document is a general clearance form for a graduating student from the Polytechnic University of the Philippines. It provides details of the student such as their name, student number, date of birth, admission details, permanent address, contact number, academic program, and schools attended from elementary through senior high school. It lists the student's credentials and documents requested, and indicates whether they have been cleared by various university offices for things like library fees, laboratory fees, and ROTC requirements. It outlines the requirements and process for claiming requested credentials and releasing them to authorized representatives of the student.

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    PUPGeneralClearance

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    This document is a general clearance form for a graduating student from the Polytechnic University of the Philippines. It provides details of the student such as their name, student number, date of birth, admission details, permanent address, contact number, academic program, and schools attended from elementary through senior high school. It lists the student's credentials and documents requested, and indicates whether they have been cleared by various university offices for things like library fees, laboratory fees, and ROTC requirements. It outlines the requirements and process for claiming requested credentials and releasing them to authorized representatives of the student.

    Copyright:

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

    PUPGeneral Clearance

    Uploaded by

    Adiel
    This document is a general clearance form for a graduating student from the Polytechnic University of the Philippines. It provides details of the student such as their name, student number, date of birth, admission details, permanent address, contact number, academic program, and schools attended from elementary through senior high school. It lists the student's credentials and documents requested, and indicates whether they have been cleared by various university offices for things like library fees, laboratory fees, and ROTC requirements. It outlines the requirements and process for claiming requested credentials and releasing them to authorized representatives of the student.

    Copyright:

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

    PUP-GCGS-5-UNRO-021

    POLYTECHNIC UNIVERSITY OF THE PHILIPPINES Rev. 0


    Office of the University Registrar May 15, 2018
    Sta. Mesa, Manila; 716-7832 to 45 local 285/293/389/343

    GENERAL CLEARANCE
    (For Graduating Students Only)

    Student Number Date of Filing Date of Graduation in PUP


    2019-12241-MN-0
    Name Academic Program
    RAVANERA, REUEL ALULOD ABELS
    Date of Birth Admitted in PUP
    09/25/2000 School Year: 1920 Semester: First
    Name of Elementary School Year Graduated
    GABALDON ELEMENTARY SCHOOL 2013
    Name of Junior High School Year Graduated
    LANDY NATIONAL HIGH SCHOOL 2017
    Name of Senior High School Year Graduated
    POLYTECHNIC UNIVERSITY OF THE PHILIPPINES 2019
    Permanent Address
    Contact Number
    BLK 1 LOT 10 KANLAON ST., COUNTRY HOMES, BRGY. PUTATAN, MUNTINLUPA
    09353016291
    MANILA, CITY OF, METROPOLITAN MANILA

    Student Credentials/Documents Requested


    Transcript of Records Diploma
    Certification of Graduation Other _____________________

    The above-named applicant is cleared of all money and property responsibilities in my office.
    Library cleared Accounting/Student Services with deficiency
    College-based Laboratory cleared Office of Student Service cleared
    NSTP (ROTC/CWTS) with deficiency Alumni/Tahanan ng Alumni (optional)
    CHK/P.E. (GYM) cleared Dean/Director cleared
    Legal Office cleared Career Dev't. & Placement Office cleared

    Requirements when claiming credentials:


    1. PUP Student I.D. (to be surrendered)
    2. Claiming Voucher (downloadable in ODRS)
    3. Any government issued ID

    All requested credentials will be released to the following assigned representatives other than the student/client:
    PARENTS/SIBLINGS/SPOUSE/CHILDREN - with formal authorization letter duly signed by the student with two (2) valid ID`s
    with picture of both the student/client and the representative and photo copy of the representative`s PSA (NSO) Birth Certificate
    and PSA (NSO) marriage contract for the spouse.
    REPRESENTATIVE OTHER THAN THE IMMEDIATE FAMILY - with Special Power of Attorney from the student concerned,
    duly notarized in the country/place of residence and any government issued ID with picture of both the student/client and the
    representative

    _______________________________________________ Client Services Info. Couter Clerk ___________________


    Signature of Applicant/Representative over Printed Name Date ___________________

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