Scribd Logo
Upload

Welcome to Scribd!

  • 11 views

    University Registrar: Photo 2" 2" in Formal Attire With White Background and Name (LN, FN MN)

    Uploaded by

    camilo reyes
    This document is a form for students applying for graduation from Bataan Peninsula State University. It requests personal information from the student such as name, student number, date of birth, program of study, and schools attended. The student certifies that they have completed all course requirements. The second page is a data privacy consent form, where the student agrees to allow their name and degree to be publicly posted and published if they graduate. The form also has a section for the program clerk to note if the student has any deficiencies.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    University Registrar: Photo 2" 2" in Formal Attire With White Background and Name (LN, FN MN)

    Uploaded by

    camilo reyes
    11 views1 page
    This document is a form for students applying for graduation from Bataan Peninsula State University. It requests personal information from the student such as name, student number, date of birth, program of study, and schools attended. The student certifies that they have completed all course requirements. The second page is a data privacy consent form, where the student agrees to allow their name and degree to be publicly posted and published if they graduate. The form also has a section for the program clerk to note if the student has any deficiencies.

    Original Title

    Untitled

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document is a form for students applying for graduation from Bataan Peninsula State University. It requests personal information from the student such as name, student number, date of birth, program of study, and schools attended. The student certifies that they have completed all course requirements. The second page is a data privacy consent form, where the student agrees to allow their name and degree to be publicly posted and published if they graduate. The form also has a section for the program clerk to note if the student has any deficiencies.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    11 views1 page

    University Registrar: Photo 2" 2" in Formal Attire With White Background and Name (LN, FN MN)

    Uploaded by

    camilo reyes
    This document is a form for students applying for graduation from Bataan Peninsula State University. It requests personal information from the student such as name, student number, date of birth, program of study, and schools attended. The student certifies that they have completed all course requirements. The second page is a data privacy consent form, where the student agrees to allow their name and degree to be publicly posted and published if they graduate. The form also has a section for the program clerk to note if the student has any deficiencies.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    BATAAN PENINSULn STATE U Ensim BPSU-ROF<18

    OFFICE OF THE UNIVERSITY REGISTRAR revsed03/0T/20T9


    Photo
    City of Balanga 2100 Bataan 2" x 2"
    •••^•›•›•*‹
    PHILIPPINES in formal attire
    with white background
    and name
    CAMPUS (LN, FN MN)
    Date
    The University Registrar (mm/dd/yyyy)
    This University

    Sir:
    I expect to finish my program this Semester of Academic Year 20 - 20 with the ODegree of
    OCertificate/Diploma in major in

    Personal Data
    Schools Attended
    Name (LN, FN MN)
    Elementary

    Student No. Sex: DMale 0 Year Graduated


    Date of Birth Female Civil Status Secondary
    Single
    Place of Birth
    Permanent Address Year Graduated
    College
    Father's Name
    Mother's Birth Name Year Graduated
    Email Address
    Contact Number

    I hereby certify that I am currently enrolled for the F ' •t Semester, AY 20 - 20 and that I have
    complied with all the course requirements of the program.

    (Signature over Printed Name of Student)

    DATA PRIVACY CONSENT FORM

    Upon submission of this application for graduation, I hereby affirm that I am allowing Bataan Peninsula State University to
    post my name and the degree I am about to earn on the BPSU OUR FB Page as candidate for graduation and
    |**] on Campus Registrar's bulletin board with my deficiencies, if any.
    In the event my graduation is approved by the University's Board of Regents upon the recommendation of the
    Academic Council, I am allowing Bataan Peninsula State University to
    publish my name and the degree that I earned including any honors received in the program to be distributed,
    include my name and degree that I earned in slideshow presentations during the Commencement Exercises.
    I understand that the University is seeking my consent as the posting and graduation program may be accessed by
    members of the public.

    (Signature over Printed Name of Student)


    Date Signed:

    DO NOT FILL OUT THIS PORTION


    (For Program Clerk's Use Only) As per evaluation:
    [ ] No deficiency
    Received by: [ ] With deficiency in:
    Date and Time:

    Evaluated by: Date and Time:


    Lack following entry credentials:
    [ ] Permanent Record/ToR from previous school
    Application for graduation is[ ] PSA-issued Birth Certificate
    [ ] Confirmed[ ] Denied[ ] Others

    You might also like