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Student Clearance Form

This student clearance form contains sections for student information including name, student number, year level, course, and semester. It also includes tables for faculty signatures for each subject and remarks on whether the student passed, failed, or has an incomplete for each class. The final section is for signatures from administration offices including registrar, human resources, property custodian, finance, and others to confirm the student has cleared all obligations before graduating or transferring.

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kororo mapalad
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308 views

Student Clearance Form

This student clearance form contains sections for student information including name, student number, year level, course, and semester. It also includes tables for faculty signatures for each subject and remarks on whether the student passed, failed, or has an incomplete for each class. The final section is for signatures from administration offices including registrar, human resources, property custodian, finance, and others to confirm the student has cleared all obligations before graduating or transferring.

Uploaded by

kororo mapalad
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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College of Our Lady of Mercy of Pulilan Foundation Inc.

STUDENT CLEARANCE FORM


STUDENT INFORMATION

Name Student Number


Surname Firstname Middlename

Year Level Course

Semester: School Year:

FACULTY
SUBJECT TEACHER SIGNATURE REMARKS DATE
(Passed, Failed, INC)

ADMINISTRATION
OFFICES Notes (if any) SIGNATURE
Ms. Kassandra Mai Macapagal – School Registrar
(Completed Evaluation)
Mr. Jess Mar RS T. Francisco – Human Resources
Krystal Anne Sibayan – Property Custodian
Leslie Ann Fajardo – Inventory Manager
Reden Bernardo - Finance
Madel Mendoza - School Cashier
Cynthia Vendivil – Prefect of Discipline
Efraim Paez – Office of the Student Affairs
Dr. Rodrigo D. Jimenez – Guidance Counselor
Krystal Anne Sibayan, RL– School Assistant Librarian
Leslie Ann Fajardo, RL – School Assistant Librarian
Ronaldo V. Javier - Clinic

__________________________________
Dean / Program Head / Principal
(Signature over Printed Name)

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