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USEP Student Records Request Form

This document is a student records request slip from the University of Southeastern Philippines. It requests the student's name, course of study, contact information, and address to be reflected on their transcript of records. The student can request their transcript of records, honorable dismissal with transcript, certification of subjects/grades/graduation/units earned, CAV certification, diploma, or other records. It also indicates if the student is currently enrolled or not. The requirements to be checked by the Office of the University Registrar staff include clearances, documentary stamps, official receipt of payment, school ID, photos, mailing stamps, and authenticated birth certificate or affidavit of loss.

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171 views1 page

USEP Student Records Request Form

This document is a student records request slip from the University of Southeastern Philippines. It requests the student's name, course of study, contact information, and address to be reflected on their transcript of records. The student can request their transcript of records, honorable dismissal with transcript, certification of subjects/grades/graduation/units earned, CAV certification, diploma, or other records. It also indicates if the student is currently enrolled or not. The requirements to be checked by the Office of the University Registrar staff include clearances, documentary stamps, official receipt of payment, school ID, photos, mailing stamps, and authenticated birth certificate or affidavit of loss.

Uploaded by

richlog
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
  • Student Records Request Slip

Form No.

FM-USeP-RSC-01
Republic of the Philippines

University of Southeastern Philippines Issue Status 02


Iñigo St., Bo. Obrero, Davao City 8000 Revision No. 01
Telephone: (082) 227-8192
Website: [Link] Date Effective 01 March 2018
Email: president@[Link]
Approved by President

STUDENT RECORDS REQUEST SLIP


Student’s Name: ________________________________________________________________________
(Last Name) (First Name) (Middle/Maiden Name)
Course & Year: ___________________________________________________________
Contact No.: _____________________________________________________________
Home address (to be reflected in the TOR) _____________________________________
________________________________________________________________________

RECORDS REQUESTED (Pls. check)


[ ] Transcript of Records (Pls. indicate the purpose) ______________________________
[ ] Honorable Dismissal with Transcript of Records
[ ] Certification of:
[ ] Subjects enrolled [ ] Grades (all subjects enrolled)
[ ] Graduation [ ] Units earned
[ ] Bonafide student
[ ] Grades (pls. indicate the Semester and SY) ______________________________
[ ] Others (pls specify) _________________________________________________
[ ] CAV (Certification, Authentication and Verification)
[ ] Diploma (pls indicate year graduated)
[ ] Others (pls. specify)

STUDENT’S STATUS: (Pls. check)


[ ] Currently enrolled [ ] Not enrolled (pls. specify last Sem. & SY ___________

REQUIREMENTS (to be checked by OUR Staff):


[ ] Clearance [ ] Documentary stamps [ ] Official Receipt of payment
[ ] School ID [ ] 2 pcs of 2x2 ID photo [ ] Mailing stamps
[ ] Authenticated NSO Birth Certificate [ ] Affidavit of Loss

Office of the University Registrar (OUR) Page 1 of 1

Form No. FM-USeP-RSC-01


Republic of the Philippines

University of Southeastern Philippines Issue Status 02


Iñigo St., Bo. Obrero, Davao City 8000 Revision No. 01
Telephone: (082) 227-8192
Website: [Link] Date Effective 01 March 2018
Email: president@[Link]
Approved by President

STUDENT RECORDS REQUEST SLIP


Student’s Name: ________________________________________________________________________
(Last Name) (First Name) (Middle/Maiden Name)
Course & Year: ___________________________________________________________
Contact No.: _____________________________________________________________
Home address (to be reflected in the TOR) _____________________________________
________________________________________________________________________

RECORDS REQUESTED (Pls. check)


[ ] Transcript of Records (Pls. indicate the purpose) ______________________________
[ ] Honorable Dismissal with Transcript of Records
[ ] Certification of:
[ ] Subjects enrolled [ ] Grades (all subjects enrolled)
[ ] Graduation [ ] Units earned
[ ] Bonafide student
[ ] Grades (pls. indicate the Semester and SY) ______________________________
[ ] Others (pls specify) _________________________________________________
[ ] CAV (Certification, Authentication and Verification)
[ ] Diploma (pls indicate year graduated)
[ ] Others (pls. specify)

STUDENT’S STATUS: (Pls. check)


[ ] Currently enrolled [ ] Not enrolled (pls. specify last Sem. & SY ___________

REQUIREMENTS (to be checked by OUR Staff):


[ ] Clearance [ ] Documentary stamps [ ] Official Receipt of payment
[ ] School ID [ ] 2 pcs of 2x2 ID photo [ ] Mailing stamps
[ ] Authenticated NSO Birth Certificate [ ] Affidavit of Loss

Office of the University Registrar (OUR) Page 1 of 1

Republic of the Philippines University of Southeastern Philippines Iñigo St., Bo. Obrero, Davao City 8000 Telephone: (0

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