Republic of the Philippines

POLYTECHNIC UNIVERSITY OF THE

PHILIPPINES Office of the Vice President for
Academic Affairs
ELECTRONICS ENGINEERING DEPARTMENT

BSECE STUDENT CLEARANCE

1st SEMESTER S.Y. 2018 – 2019

Name:

Student No:

Year & Section:

Date Submitted:

Signature:

POSITION NAME SIGNATURE DATE

Class Treasurer

Class President

ECESS Officer

ECE Laboratory
Head

ECE Chairperson