College of Engineering, Computer Studies, and Architecture
Graduation Clearance Checklist
____ Semester ___ Special Term, AY 20__ - 20__
Name: _____________________________
Program: ___________________________
Checked by Remarks/Signature
Routing Slip Dr. Anjerick Topacio
Attendance Research
Ms. Mary Ann Mojica
Colloquium
Accomplished e-form
Assessment and Dr. Leah Q. Santos
Evaluation of SO Survey
Notarized Waiver for
Application of TOR for
Engr. Mark Costelo
Board Exam
Singing of LPU Hymn Program Chair
Put N/A if not applicable. Please attach this slip to secure clearance from the college dean.
COECSA – CQI Form No.02
Rev. 02 05/29/25