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Application For Graduation 1

This document is an application form for graduation from Urdaneta City University, detailing the necessary steps and information required for submission. It includes sections for personal information, scholastic records, and credentials needed for graduation. Important notices emphasize the need for accurate information and the consequences of fraudulent submissions.

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evhirayo
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31 views1 page

Application For Graduation 1

This document is an application form for graduation from Urdaneta City University, detailing the necessary steps and information required for submission. It includes sections for personal information, scholastic records, and credentials needed for graduation. Important notices emphasize the need for accurate information and the consequences of fraudulent submissions.

Uploaded by

evhirayo
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
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URDANETA CITY OFFICE OF THE

UNIVERSITY UNIVERSITY REGISTRAR


Owned and operated by the City Government of
Urdaneta

IMPORTANT NOTICE:
1. If your Legal Name needs to be updated, please report immediately to your College Secretary and Registrars’ office.
2. Please make sure that your final evaluation is attached to this form.
3. Submit the duly accomplished form to your College Secretary.
4. Revocation of your application is allowed if the records provided to fill this form is proven fraudulent.

APPLICATION FOR GRADUATION


Date: ________________

THE PRESIDENT
Urdaneta City University
San Vicente West, Urdaneta City Pangasinan

Thru: THE REGISTRAR

Dear Sir:
I have the honor to apply for graduation and have my name included in the list of graduates for the _____________________ semester,
A.Y. _____________ for the Degree/Diploma in/of ____________________________________________________________________.

Respectfully yours,

________________________________
Signature over Printed Name

Honors and Awards (if any)


Graduating with honors? Yes
No GWA: _____________
Not Sure
Degree/Title: Major:
PERSONAL INFORMATION:
Last Name First Name Middle Name
________________________________ __________________________________ __________________________
Permanent Address: Tel. No.:
Mobile No.:
Birthdate:
Student ID Number: Civil Status: Sex: Birthplace:
PARENTS/GUARDIAN INFORMATION:
Father: Mother:
Parent’s Address:
Guardian: Relationship:
Guardian’s Address:
SCHOLASTICS RECORD:
Primary Completed at: (Grade 1-3) Year Graduated:
Intermediate Completed at: (Grade 4-6) Year Graduated:
High School: Year Graduated:
College: Year Graduated:
Post Baccalaureate: Year Graduated:
Post Graduate: Year Graduated:
For Transferee: (Last School Attended) _____________________________________________________________________
(Course) _____________________________________________________ (Year) ________________
FOR GRADUATE SCHOOL STUDENTS ONLY:
Comprehensive Examination: Date of Examination: Rating:
Dissertation/Thesis Title:

CREDENTIALS ON FILE: (to be check by the College Secretary)


_____1. Form 137a/ Form 138
Checked by: _____________________________
_____2. Certificate of Good Moral
College Secretary
_____3. PSA Birth Certificate
Noted:
_____4. Barangay Clearance
_____5. Picture with nametag (passport size) _____________________________
_____6. Medical Certificate College Dean
_____7. Transfer Credential (OTR/Hon. Dismissal)
_____8. Marriage Certificate ____________________________
_____9. Others; ________________________________ Registrar

(075) 600 - 1507


San Vicente West, Urdaneta City, Pangasinan
Bright future starts ucu.edu.ph | ucu.reg@gmail.com
here

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