PAMANTASAN NG LUNGSOD NG MUNTINLUPA
GRADUATION
CLEARANCE OFFICE OF THE UNIVERSITY REGISTRAR
University Road, Poblacion, Muntinlupa City
Document Title GRADUATION CLEARANCE
Issue No. Revision No. 2 Effectivity Date 2023 Page No. 1 of 1
PLEASE FILL OUT THIS FORM COMPLETELY AND ACCURATELY.
Failure to complete this form in its entirety can delay the processing of your request.
PERSONAL INFORMATION: Print your name EXACTLY as what is written in your NSO/PSA Birth Certificate
Student Number:
Full Name
(Last Name) (First Name) (Middle Name)
Address : _______
Birth Date: _________ Contact No.: Email Address: __________________________________________
Date of Graduation : Last School Attended (School Before PLMUN):
Check the College & Degree / Major that Apply: College of Teacher Education
Bachelor of Elementary Education – General Elementary Education
College of Arts and Sciences
Bachelor of Elementary Education – Early Childhood Education
Bachelor of Arts in Mass Communication
Bachelor of Elementary Education – Special Need Education
Bachelor of Science in Psychology
Bachelor of Secondary Education –Sciences
Bachelor of Arts in Political Science Bachelor of Secondary Education – English
Bachelor of Secondary Education – Social Studies
College of Business Administration Bachelor of Secondary Education – Filipino
BSBA-Operations
PROCESSED BY: Management Bachelor of Secondary Education – Mathematics
BSBA-Human Resource Development Management Bachelor of Secondary Education – PE
*BRING YOUR OWN DOCUMENTARY STAMP= PCS.
BSBA-Marketing Management
Graduate Studies
Bachelor of Science in Accountancy Master of Arts in Education – Educational Management (Regular/Executive)
Master of Arts in Education – Guidance and Counseling (Regular/Executive)
College of Information Technology and Computer Studies Master in Business Administration (Regular/Executive)
Bachelor of Science in Computer Science Master in Security and Correctional Administration (Regular/Executive)
Bachelor of Science in Information Technology Master of Science in Criminal Justice (Regular/Executive)
Associate in Computer Technology Master in Information Technology (Regular/Executive)
Bachelor of Science in Criminology
Thesis Title: (For Graduate Studies only)
If you anticipate graduating with honors, please CHECK ONE that applies to you:
SUMMA CUM LAUDE MAGNA CUM LAUDE CUM LAUDE PRESIDENT’S AWARD
WITH DISTINCTION OTHERS (Please Specify)
I hereby certify that the information that I listed above are true and correct and will be used as reference for the
processing of my credentials.
Signature over Printed Name of Student
EVALUATED BY: OR No. (Graduation Fee Receipt):
Degree Auditor Verified by: Date:
ATTESTED
Ms. Lily G. Jarata, LPT
College/GS Dean OIC, Student Affairs & Services University Prefect of Discipline
DATE: DATE: DATE:
Ms. Melissa A. Untalan Ms. Marilou B. Salting, RL Mr. Ricky C. Dimaapi, MIT
Finance Officer LRC – University Librarian University Registrar
DATE: DATE: DATE: