Revised 2018 | Registrar's copy
APPLICATION FOR GRADUATION
*For Second Sem AY 2024-2025 Application Code: 21ME040030
Student Number: 21-040030 Date: January 29, 2025
LORENZO ZCEL CHEA AGUETE
Last Name First Name Middle Name
CTE Bachelor of Physical Education October 28, 2003
College Degree Date of Birth
BRGY. CAUNAYAN, PAGUDPUD, ILOCOS NORTE Female 09668428783
Place of Birth Sex Contact Number
SITIO MABUHAY, CAUNAYAN, PAGUDPUD, ILOCOS NORTE, PHILIPPINES
Home Address
RECORD OF PRE-UNIVERSITY EDUCATION
Name of School Year Graduated
Elementary : CAUNAYAN ELEMENTARY SCHOOL 2015
Junior High : BANGUI NATIONAL HIGH SCHOOL (MAIN CAMPUS) 2019
Senior High : BANGUI NATIONAL HIGH SCHOOL (MAIN CAMPUS) 2021
Were you a TRANFEREE/SHIFTEE/CROSS ENROLEE? NO
Qualified as HONOR STUDENT as of First Sem, Fourth/Fifth Year? YES
Noted:
_________________________________ _________________________________
Student's Signature Adviser
O.R. # __________________________________
Date __________________________________ _________________________________
Department Chair
-------------------------------------------------------------------------------------------------------------------------------------------------------------
Revised 2018 | Dean's copy
APPLICATION FOR GRADUATION
*For Second Sem AY 2024-2025 Application Code: 21ME040030
Student Number: 21-040030 Date: January 29, 2025
LORENZO ZCEL CHEA AGUETE
Last Name First Name Middle Name
CTE Bachelor of Physical Education October 28, 2003
College Degree Date of Birth
BRGY. CAUNAYAN, PAGUDPUD, ILOCOS NORTE Female 09668428783
Place of Birth Sex Contact Number
SITIO MABUHAY, CAUNAYAN, PAGUDPUD, ILOCOS NORTE, PHILIPPINES
Home Address
RECORD OF PRE-UNIVERSITY EDUCATION
Name of School Year Graduated
Elementary : CAUNAYAN ELEMENTARY SCHOOL 2015
Junior High : BANGUI NATIONAL HIGH SCHOOL (MAIN CAMPUS) 2019
Senior High : BANGUI NATIONAL HIGH SCHOOL (MAIN CAMPUS) 2021
Were you a TRANFEREE/SHIFTEE/CROSS ENROLEE? NO
Qualified as HONOR STUDENT as of First Sem, Fourth/Fifth Year? YES
Noted:
_________________________________ _________________________________
Student's Signature Adviser
O.R. # __________________________________
Date __________________________________ _________________________________
Department Chair
Procedure:
1. Request your Adviser and Department Chair to sign this form.
2. Pay graduation fee at the Cashier's Office.
3. Submit this form to the Registrar's Office together with your NSO Birth Certificate original or xerox and 2"x2" ID picture with royal blue
background and name tag.