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USC Application For Records

This document is an application form for students and alumni of the University of San Carlos to request various school records, including transcripts, diplomas, certificates of transfer, and certifications. It requires applicants to provide their name, ID number, program and year of study, as well as contact and address information. It outlines the clearance and approval process through different university offices. It also details fees associated with record requests and instructions regarding confidentiality and claiming documents.

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920 views1 page

USC Application For Records

This document is an application form for students and alumni of the University of San Carlos to request various school records, including transcripts, diplomas, certificates of transfer, and certifications. It requires applicants to provide their name, ID number, program and year of study, as well as contact and address information. It outlines the clearance and approval process through different university offices. It also details fees associated with record requests and instructions regarding confidentiality and claiming documents.

Uploaded by

fortunec
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Form 1 REG-RS-MAR2017

UNIVERSITY OF SAN CARLOS


OFFICE OF THE REGISTRAR

APPLICATION FOR SCHOOL RECORDS


Fill out completely and submit to Receiving Window.
I wish to apply for:
( ) Transcript of Records Purpose: ___________________________
( ) Diploma Purpose: ___________________________
( ) Certificate of Transfer Credential (surrender USC ID) Reason for Transfer: __________________
( ) Certification _____________________ Purpose: ___________________________
( ) Others: ________________________ Purpose: ___________________________

ID No. ___________ NAME _______________________________________________________________


(Last) (First) (Middle)

MARRIED NAME, if any ______________________________________

Course &Year: ______________ Graduated? Yes ( ) No ( ) Last Semester in USC: ________________


Present Address: ________________________________________________________________________
Contact No. __________________________________

_________________________________________ _______________________________
Name & Signature of Authorized Representative Signature of Owner

Secure clearance from the following offices.


** For students who graduated from any Academic Program, only the Assessment Section
should be cleared.

_____________________________ ________________________________
Department Chairman Director, Library System

_____________________________ ________________________________
College Dean Head, Office of Student Affairs

_______________________________
Assessment Section
Assessment:
Transcript Fee P __________
Certification Fee __________
Diploma Fee __________
Mailing Fee __________
RR/CAV Fee __________
Authentication Fee __________ OR No._________________________
Envelope Fee __________
Others: _________ __________ Date _________________________
_________

TOTAL P __________ Teller’s Signature: _________________

Present the official receipt to the Records Section receiving window. Your documents will be processed
and you will be advised to claim the documents on the date indicated at the back of the receipt.

Assessed by: _______________ Document Received::_____________________

Date Applied: _______________ Date Received:__________________________

Received by: _______________ Received by:____________________________


(Signature Over Printed Name)
INSTRUCTIONS:

1. All records are strictly confidential. As such their disclosure is governed by stringent policies such
as: (a) a student is entitled to a transcript of records but to no other confidential records in his/her
file; (b) records or grades may be released to parents or guardians without prior approval of the
student concerned if he/she is still a minor or has not yet been emancipated from parental authority.

2. UNCLAIMED DOCUMENTS WILL BE DISCARDED AFTER A LAPSE OF SIX (6) MONTHS FROM THE
DATE OF FILING.

3. Present an authorization letter and any valid identification card for verification and approval, if
documents are processed and/or claimed NOT BY THE OWNER.

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