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Student Clearance Form Instructions

1) The document is a student clearance form that Miamor D. Natividad must complete before graduating from Saint Paul School of Professional Studies. 2) The form requires signatures from the librarian, student services, accountant, subject professors, department chair, dean, and registrar to confirm the student has no outstanding obligations or issues. 3) Once all areas are cleared, the student pledges to have received all official documents from the school upon graduation.

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Miamor Natividad
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62 views1 page

Student Clearance Form Instructions

1) The document is a student clearance form that Miamor D. Natividad must complete before graduating from Saint Paul School of Professional Studies. 2) The form requires signatures from the librarian, student services, accountant, subject professors, department chair, dean, and registrar to confirm the student has no outstanding obligations or issues. 3) Once all areas are cleared, the student pledges to have received all official documents from the school upon graduation.

Uploaded by

Miamor Natividad
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

STUDENT CLEARANCE FORM

FOR STUDENT USE


Student Name: NATIVIDAD, MIAMOR D. Course: JD Major: NA
Home Address: BRGY. BINONGTO-AN, TANAUAN, LEYTE Term & Year Graduated: 2ndAY 2020
Telephone: NONE Mobile: 09203987423 E-mail: miamordnatividad@[Link]
Note to the Student:
Upon completion of your course, you must obtain a signature from departments indicated below for clearing of all your
obligations in School. It is the responsibility of the student to check with the SPSPS Departments listed and to obtain a final
clearance before leaving Saint Paul School of Professional Studies.
FOR OFFICIAL USE
Librarian:
It is confirmed that the student has no obligations regarding borrowed books and other library resources.

Name: Signature: Date: / /


Student Personnel Services Office:
It is confirmed that nothing is pending against the mentioned student.

Name: Signature: Date: / /


School Accountant:
It is confirmed that all financial obligations of the student has been settled.

Name: Signature: Date: / /


Subject/s and Professor/s during the terminal semester:
Subjects Professor’s Signature Subjects Professor’s Signature
and Student’s Grade and Student’s Grade

Department Chair:
It is confirmed with the faculty that the student passed in all subjects taken during the terminal semester.

Name: Signature: Date: / /


Dean:
It is confirmed that the student has completed all academic requirements for his/her course.

Name: Signature: Date: / /


Registrar:
It is confirmed that the mentioned student has submitted all the necessary documents required for graduation.

Name: Signature: Date: / /


TO BE ACCOMPLISHED BY THE STUDENT UPON RECEIPT OF CREDENTIALS FROM SPSPS.
Student Pledge:
It is confirmed that I received all the official/original documents (diploma, transcript & certificates) from SPSPS.

Name: Signature: Date: / /


Note:
1. Accomplish this form in two (2) copies.
2. The completed form must be returned to the Office of the Registrar.

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