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Application For Graduation Form: San Fernando City, La Union

The document is an application for graduation form from Don Mariano Marcos Memorial State University Open University System. It requests personal information such as name, address, birthdate, and academic information for the applicant, Edrin Roy Cacher, including degree program, subjects enrolled, and thesis details if applicable. It includes spaces for the registrar to evaluate eligibility to graduate and identify any deficiencies. Upon approval, graduation is subject to confirmation by the Academic Council and Board of Regents.

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Edrin Roy Cachero Sy
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783 views2 pages

Application For Graduation Form: San Fernando City, La Union

The document is an application for graduation form from Don Mariano Marcos Memorial State University Open University System. It requests personal information such as name, address, birthdate, and academic information for the applicant, Edrin Roy Cacher, including degree program, subjects enrolled, and thesis details if applicable. It includes spaces for the registrar to evaluate eligibility to graduate and identify any deficiencies. Upon approval, graduation is subject to confirmation by the Academic Council and Board of Regents.

Uploaded by

Edrin Roy Cachero Sy
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
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Don Mariano Marcos Memorial State University

OPEN UNIVERSITY SYSTEM


San Fernando City, La Union
(072) 242 -3608
ous@dmmmsu.edu.ph
https://www.facebook.com/DMMMSUOpenUniversity

APPLICATION FOR GRADUATION FORM


Date: JUNE 1, 2020 Application Number: __________________
CP No: 09383260449 Email Address: edrinroy@gmail.com
INSTRUCTIONS:
1. Complete all information as requested
2. Print all information legibly.

PERSONAL INFORMATION:

Name of Applicant (EXACTLY as it should appear on the Diploma and Transcript of Records):
SY EDRIN ROY CACHERO

Last Name First Name Middle Name

PERMANENT ADDRESS (To appear by your name in the Commencement Program):


194 SAN ENRIQUE ROAD, LIOAC NORTE, NAGUILIAN, LA UNION, 2511

No./Street/Zone/Barangay City/Municipality Province

Place of Birth: MUNTINLUPA CITY, METRO MANILA Date of Birth: JANUARY 31, 1993
Town Province Month Day Year

Note: Submit a Photocopy of BIRTH CERTIFICATE issued by the NATIONAL STATISTICS OFFICE (NSO). If discrepancies were noted,
submit Request for Change/Correction of Information Form together with the required supporting legal document/s to the Office of
the Registrar.

ACADEMIC INFORMATION:

Degree/Program: DIPLOMA IN LOCAL GOVERNMENT AND REGIONAL ADMINISTRATION


Major (if applicable): _____________________________________________________________________________________
Subjects currently enrolled:

Course No. Course Title Units


Remarks

DAFDADADA
214
PUBLIC POLICY, PROGRAM AND PROJECT ADMINISTRATION 3 UNITS

Thesis Title (if applicable): ________________________________________________________________________________

Did you cross-register in any institution? ____ Yes / No? If yes, specify the name and address of the institution and the subject
cross-enrolled:

Name and Address of the Institution: ________________________________________________________________________

Subjects cross-enrolled:

Course No. Course Title Units


Remarks

EDRIN ROY C. SY (SGD.)


Signature of Student
FINAL EVALUATION

Name: EDRIN ROY C. SY Course: DIPLOMA IN LOCAL GOVERNMENT


Applicant is eligible to graduate: _______ Yes _______ No. If No, state the reason why:
Reason/s: _________________________________________________________________________________________________________
Deficiency/ies:

Evaluated by:

____________________________
REMEDIOS MAJA C. TABUDLO
Registrar

GRADUATION IS SUBJECT TO THE APPROVAL OF THE ACADEMIC COUNCIL AND CONFIRMATION OF THE BOARD OF REGENTS.

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