ALLIANCE GRADUATE SCHOOL

CLEARANCE SLIP
Name _____________________________________________
Degree Program & Major________________________________

Date
________________________
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
Office of the Student Services
Library
Business Office
Office of the Registrar

Signature
________________
________________
________________
________________

Date
______________
______________
______________
______________

This slip is valid only during the semester for which it is intended. It is to be accomplished in three (3) copies
for the purpose of (Check the appropriate item):
( )
( )
( )

Graduation
Certification Letter
Others (Pls. Specify)

( )
Release of Diploma
( )
Release of Transcript of Records
__________________________________

ALLIANCE GRADUATE SCHOOL

CLEARANCE SLIP
Name _____________________________________________
Degree Program & Major________________________________

Date
________________________
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
Office of the Student Services
Library
Business Office
Office of the Registrar

Signature
________________
________________
________________
________________

Date
______________
______________
______________
______________

This slip is valid only during the semester for which it is intended. It is to be accomplished in three (3) copies
for the purpose of (Check the appropriate item):
( )
( )
( )

Graduation
Certification Letter
Others (Pls. Specify)

( )
Release of Diploma
( )
Release of Transcript of Records
__________________________________

ALLIANCE GRADUATE SCHOOL

CLEARANCE SLIP
Name _____________________________________________
Degree Program & Major________________________________

Date
________________________
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
Office of the Student Services
Library
Business Office
Office of the Registrar

Signature
________________
________________
________________
________________

Date
______________
______________
______________
______________

This slip is valid only during the semester for which it is intended. It is to be accomplished in three (3) copies
for the purpose of (Check the appropriate item):
( )
( )
( )

Graduation
Certification Letter
Others (Pls. Specify)

( )
Release of Diploma
( )
Release of Transcript of Records
__________________________________