Republic of the Philippines
Province of Cebu
City of Talisay
TALISAY CITY COLLEGE
Poblacion, City of Talisay, Ceb
STUDENT’S CLEARANCE
Name: _____________________________________________________________________________________________________ I.D. No.:
__________________
(Last Sex:___M___F
Name)
(Given Name)
(Middle Initial)
Course/Program:__BEED_________Year___2nd__Section:__Ferguson___Semester:_First___S.Y.:_2025-
2026__Status:____Regular____Irregular
Mr. Arnel Zafra_____ _________________________ Miekie A. Canonayon, MaEd, Sped
_____Mr. Jade
Treasury-in-Charge _____ Student Organization Coordinator
Clinic
Geraldez_____
____Mrs. Brenda Tabera____ Mrs. Mae Abellana / Mr. John ____Dr. Riza Archival___ Jennilyn D. Geagonia,
Guidance Counselor Dapar Campus Ministry DevEd.D.
Prefect of Discipline Students’ Affairs, Services
Mrs. Ma. Lourdes Mrs. Wendelyn O. Deletah D.G. Polinar,
Mediano / Mrs. Labajo Ed.D.
Flordelis Piala College Registrar Program Dean
College Librarian
Approved:
RICHEL N.
BACALTOS, Ed.D.
College
~IMPORTANT REMINDER: Kindly present this accomplished Clearance Form to the Admission Committee upon enrollment.~
- - - - - - - - - - - - - - - - - - - - - - - - - - - - President
--------------------------------------------------------
Republic of the Philippines
Province of Cebu
City of Talisay
TALISAY CITY COLLEGE
Poblacion, City of Talisay, Ceb
STUDENT’S CLEARANCE
Name: _____________________________________________________________________________________________________ I.D. No.:
__________________
(Last Sex:___M___F
Name)
(Given Name)
(Middle Initial)
Course/Program:__BEED_________Year___2nd__Section:__Ferguson___Semester:_First___S.Y.:_2025-
2026__Status:____Regular____Irregular
Mr. Arnel Zafra_____ _________________________ Miekie A. Canonayon, MaEd, Sped
_____Mr. Jade
Treasury-in-Charge _____ Student Organization Coordinator
Clinic
Geraldez_____
____Mrs. Brenda Tabera____ Mrs. Mae Abellana / Mr. John ____Dr. Riza Archival___ Jennilyn D. Geagonia,
Guidance Counselor Dapar Campus Ministry DevEd.D.
Prefect of Discipline Students’ Affairs, Services
Mrs. Ma. Lourdes Mrs. Wendelyn O. Deletah D.G. Polinar,
Mediano / Mrs. Labajo Ed.D.
Flordelis Piala College Registrar Program Dean
College Librarian
Approved:
RICHEL N.
BACALTOS, Ed.D.
College
~IMPORTANT REMINDER: Kindly present this accomplished Clearance Form to the Admission Committee upon enrollment.~
- - - - - - - - - - - - - - - - - - - - - - - - - - - - President
--------------------------------------------------------