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Application For Special Order For Graduation

This document is a processing sheet for an application to issue a special order for graduation from a school in the Negros Island Region Department of Education. It lists the requirements and particulars that must be fulfilled and submitted with the application, including an endorsement from the School Division Superintendent, Form 9 with student names and courses, a letter of recommendation from the school, Form 137 student records, birth certificates or alien registrations for students, and a completed student evaluation form. The application and documents will be reviewed, validated, checked, and either approved or returned with deficiencies noted.

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Keil Morada
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2K views

Application For Special Order For Graduation

This document is a processing sheet for an application to issue a special order for graduation from a school in the Negros Island Region Department of Education. It lists the requirements and particulars that must be fulfilled and submitted with the application, including an endorsement from the School Division Superintendent, Form 9 with student names and courses, a letter of recommendation from the school, Form 137 student records, birth certificates or alien registrations for students, and a completed student evaluation form. The application and documents will be reviewed, validated, checked, and either approved or returned with deficiencies noted.

Uploaded by

Keil Morada
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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NIR QA Form 5

REPUBLIC OF THE PHILIPPINES


DEPARTMENT OF EDUCATION
NEGROS ISLAND REGION

PROCESSING SHEET
APPLICATION FOR ISSUANCE OF SPECIAL ORDER FOR GRADUATION

Name of School : _____________________________________________________


Address of School : _____________________________________________________
Subject/s Offered : _____________________________________________________
School Year : _____________________________________________________
Date Received : _____________________________________________________

Particulars Quality Description Remarks


1. Processing Sheet  Duly accomplished and signed by the Division
In-charge of private/public schools and
countersigned by the ASDS and SGOD Chief
2. Endorsement  Duly signed by the SDS or his/her appointed
OIC
 Dated within one week prior to submission to
RO
3.Form 9  Duly Accomplished Form with the Name
of the Students, Course and Academic
Year Graduated
 Name of the Regional Director is also
printed.
4.Letter of  . Letter of Recommendation from the
Recommendation School registrar/Principal or the
Committee for Checking of Documents of
the Candidates for graduation of the
Particular Year;
 List of Names of All Student-Recipients of
Certificates and Diplomas;

5.Form 137  Certified True Copy of the Secondary


(Student Permanent Student’s Permanent Record of the last
Record) school attended
 Certified true Copy of the Secondary
Student’s Permanent Record of the latter
school, if the student is a transferee from
another school;
 Certification from the School
Registrar/School Principal if the student is
taking summer classes to another school
or a cross-enrollee of another school;

6.Birth Certificate  Verified Copy of the Original NSO/PSA Birth


Certificate from the PSA or certified true copy

QAD Form for Application of Special Order for Graduation Page 1


NIR QA Form 5

for Filipino Citizen students, if the student is


not a Filipino citizen, submit copies of the birth
certificate from a foreign country, alien
certification of registration;
7.Evaluation Form  Accomplished Student Evaluation Form with
signatures of the School
Registrar/Principal/Administrator and the
Division Supervisor-in-Charge of Private
Schools.

Evaluated by: Counterchecked by:


___________________ _______________________________
Division In-charge Chief, SGOD
Noted:
____________________________
ASDS

Reviewed and validated by: Checked and verified:

CYNTHIA M. VISPERAS/RONAMIE V. RELIQUIAS SOFIA A. TUNDAG


QAD Asst. Lead Coordinators Regional QAD Lead Coordinator

Remarks:
 Approved: ____________
 Returned /With deficiencies: ______

QAD Form for Application of Special Order for Graduation Page 2

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