CLEARANCE SLIP

Name _____________________________________________ Date ________________________

Degree Program & Major________________________________ School Year & Semester __________
This slip must be signed by the authorized personnel of each department certifying that the above named student has no obligations
whatsoever to the department concerned.
Department Signature Date
Office of the Student Services ________________ ______________
Library ________________ ______________
Business Office ________________ ______________
Office of the Registrar ________________ ______________
This slip is valid only during the semester for which it is intended. It is to be accomplished in three !" copies
for the purpose of #hec$ the appropriate item"%
" &raduation " Release of 'iploma
" #ertification Letter " Release of Transcript of Records
" Others (ls. Specify" __________________________________
CLEARANCE SLIP
Name _____________________________________________ Date ________________________
Degree Program & Major________________________________ School Year & Semester __________
This slip must be signed by the authorized personnel of each department certifying that the above named student has no obligations
whatsoever to the department concerned.
Department Signature Date
Office of the Student Services ________________ ______________
Library ________________ ______________
Business Office ________________ ______________
Office of the Registrar ________________ ______________
This slip is valid only during the semester for which it is intended. It is to be accomplished in three !" copies
for the purpose of #hec$ the appropriate item"%
" &raduation " Release of 'iploma
" #ertification Letter " Release of Transcript of Records
" Others (ls. Specify" __________________________________
CLEARANCE SLIP
Name _____________________________________________ Date ________________________
Degree Program & Major________________________________ School Year & Semester __________
This slip must be signed by the authorized personnel of each department certifying that the above named student has no obligations
whatsoever to the department concerned.
Department Signature Date
Office of the Student Services ________________ ______________
Library ________________ ______________
Business Office ________________ ______________
Office of the Registrar ________________ ______________
This slip is valid only during the semester for which it is intended. It is to be accomplished in three !" copies
for the purpose of #hec$ the appropriate item"%
" &raduation " Release of 'iploma
" #ertification Letter " Release of Transcript of Records
" Others (ls. Specify" __________________________________
ALLIANCE GRADUATE SCHOOL ALLIANCE GRADUATE SCHOOL
ALLIANCE GRADUATE SCHOOL ALLIANCE GRADUATE SCHOOL
ALLIANCE GRADUATE SCHOOL ALLIANCE GRADUATE SCHOOL