Scribd
Upload
77 views

Sample Students - Clearance

Tracking sip of students

Uploaded by

William Felisilda
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
77 views

Sample Students - Clearance

Tracking sip of students

Uploaded by

William Felisilda
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 2

REG OFC FORM: _____

COLLEGE LEVEL Republic of the Philippines


GRADUATE SCHOOL
UNIVERSITY OF RIZAL SYSTEM
Province of Rizal

OFFICE OF THE REGISTRAR

STUDENTS’ CLEARANCE FORM

Campus: Angono Antipolo Binangonan Cainta Cardona

Morong Pililla Rodriguez Tanay Taytay

COLLEGE LEVEL GRADUATE SCHOOL

Name of the Student:


Last Name First Name Middle Name Student Number: Reason for Clearance
Contact Number:
Course/Major: a. Enrolling
Year and Section: b. Graduating
College:
Academic Year: c. Transferring
First Sem. d. Others
Second Sem. ________________
Summer

Academic Year Last Attended


(for old student returnee)_______________________________________________
CLEARING
NO. DEPARTMENT SIGNATURE DATE REMARKS
OFFICER
1 LABORATORY/SHOP

2 LIBRARY

3 CASHIER

4 STUDENT DEVELOPMENT
SERVICES

5 CLASS ADVISER

6 PROGRAM HEAD

7 DEAN

8 REGISTRAR
NMTC

____________________________________
STUDENT’S SIGNATURE OVER PRINTED NAME

(In accomplishing the clearance, please be guided by the instructions at the back.)
INSTRUCTIONS:
1. Secure Student’s Tracking Form at the SPTA’s Office.
2. Laboratory/Shop in-charge clears the student of accountabilities in terms of utilization of
equipment/tools. The laboratory/shop pertained to here are the following: Computer/ICT.
Typing, Science, GPP, ESWM Implementation.
3. Librarian clears the student of accountabilities in terms of book/s or any other library’s
information material/s.
4. SPTA treasurer clears the student of any voluntary PTA Approved Fees.
5. Office of SSLG Services clears the student on matters that concern the different units
namely Discipline, Guidance and Scholarship, as well as the different student
organizations.
6. Class Adviser clears the student of accountabilities concerning classroom maintenance; the
class adviser coordinates with the different subject advisers if there are other concerns that
need to be settled
7. Grade Level Chairman checks whether the student has subjected himself to evaluation in
the previous quarter to ensure that all performance task required for the subject areas have
been met; for Grade 12, whether the academic requirements have been completed.
8. Office of the SPTA clears the student upon confirmation with the Class Advisers as to the
fulfillment of the academic requirements.
9. Registrar checks the form for complete tracking slip by other relevant departments.
10. This tracking slip shall be presented to the enrolling officer during enrolment or when
claiming for transfer credential, SF9 and SF10, diploma and other certification.

Note: The student needs first to write in full the names of their respective class adviser, grade
level chairman, and SPTA officers before requesting for their signatures.

You might also like