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    Application For Graduation Form: San Fernando City, La Union

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    Edrin Roy Cachero Sy
    The document is an application for graduation form from Don Mariano Marcos Memorial State University Open University System. It requests personal information such as name, address, birthdate, and academic information for the applicant, Edrin Roy Cacher, including degree program, subjects enrolled, and thesis title if applicable. It notes the applicant is eligible to graduate pending approval from the Academic Council and Board of Regents. The form is signed by the applicant and contains spaces for evaluation by the registrar.

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    Application For Graduation Form: San Fernando City, La Union

    Uploaded by

    Edrin Roy Cachero Sy
    201 views2 pages
    The document is an application for graduation form from Don Mariano Marcos Memorial State University Open University System. It requests personal information such as name, address, birthdate, and academic information for the applicant, Edrin Roy Cacher, including degree program, subjects enrolled, and thesis title if applicable. It notes the applicant is eligible to graduate pending approval from the Academic Council and Board of Regents. The form is signed by the applicant and contains spaces for evaluation by the registrar.

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    The document is an application for graduation form from Don Mariano Marcos Memorial State University Open University System. It requests personal information such as name, address, birthdate, and academic information for the applicant, Edrin Roy Cacher, including degree program, subjects enrolled, and thesis title if applicable. It notes the applicant is eligible to graduate pending approval from the Academic Council and Board of Regents. The form is signed by the applicant and contains spaces for evaluation by the registrar.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    201 views2 pages

    Application For Graduation Form: San Fernando City, La Union

    Uploaded by

    Edrin Roy Cachero Sy
    The document is an application for graduation form from Don Mariano Marcos Memorial State University Open University System. It requests personal information such as name, address, birthdate, and academic information for the applicant, Edrin Roy Cacher, including degree program, subjects enrolled, and thesis title if applicable. It notes the applicant is eligible to graduate pending approval from the Academic Council and Board of Regents. The form is signed by the applicant and contains spaces for evaluation by the registrar.

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    © All Rights Reserved
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    Don Mariano Marcos Memorial State University

    OPEN UNIVERSITY SYSTEM


    San Fernando City, La Union
    (072) 242 -3608
    ous@dmmmsu.edu.ph
    https://www.facebook.com/DMMMSUOpenUniversity

    APPLICATION FOR GRADUATION FORM


    Date: JUNE 1, 2020 Application Number: __________________
    CP No: 09383260449 Email Address: edrinroy@gmail.com
    INSTRUCTIONS:
    1. Complete all information as requested
    2. Print all information legibly.

    PERSONAL INFORMATION:

    Name of Applicant (EXACTLY as it should appear on the Diploma and Transcript of Records):
    SY EDRIN ROY CACHERO

    Last Name First Name Middle Name

    PERMANENT ADDRESS (To appear by your name in the Commencement Program):


    194 SAN ENRIQUE ROAD, LIOAC NORTE, NAGUILIAN, LA UNION, 2511

    No./Street/Zone/Barangay City/Municipality Province

    Place of Birth: MUNTINLUPA CITY, METRO MANILA Date of Birth: JANUARY 31, 1993
    Town Province Month Day Year

    Note: Submit a Photocopy of BIRTH CERTIFICATE issued by the NATIONAL STATISTICS OFFICE (NSO). If discrepancies were noted,
    submit Request for Change/Correction of Information Form together with the required supporting legal document/s to the Office of
    the Registrar.

    ACADEMIC INFORMATION:

    Degree/Program: DIPLOMA IN LOCAL GOVERNMENT AND REGIONAL ADMINISTRATION


    Major (if applicable): _____________________________________________________________________________________
    Subjects currently enrolled:

    Course No. Course Title Units


    Remarks

    DAFDADADA
    214
    PUBLIC POLICY, PROGRAM AND PROJECT ADMINISTRATION 3 UNITS

    Thesis Title (if applicable): ________________________________________________________________________________

    Did you cross-register in any institution? ____ Yes / No? If yes, specify the name and address of the institution and the subject
    cross-enrolled:

    Name and Address of the Institution: ________________________________________________________________________

    Subjects cross-enrolled:

    Course No. Course Title Units


    Remarks

    EDRIN ROY C. SY (SGD.)


    Signature of Student
    FINAL EVALUATION

    Name: EDRIN ROY C. SY Course: DIPLOMA IN LOCAL GOVERNMENT


    Applicant is eligible to graduate: _______ Yes _______ No. If No, state the reason why:
    Reason/s: _________________________________________________________________________________________________________
    Deficiency/ies:

    Evaluated by:

    ____________________________
    REMEDIOS MAJA C. TABUDLO
    Registrar

    GRADUATION IS SUBJECT TO THE APPROVAL OF THE ACADEMIC COUNCIL AND CONFIRMATION OF THE BOARD OF REGENTS.

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