POLYTECHNIC UNIVERSITY OF THE PHILIPPINES PUP-ERFO-5-UNRO-022

Rev. 0
Office of the University Registrar May 15, 2018
Sta. Mesa, Manila

EVALUATION RESULT
Date : 03/09/2019
Mr. / Ms. CAÑADA, PATRICIA ANN INDIG

Per evaluation of your scholastic records, you are hereby requested to complete the following requirements in your
chosen courses.

SUBJECT CODE OTHER REQUIRED

CREDENTIALS
SEED 4063 NNG Birth Certificate (NSO Copy)
Form 138/ALS/PEPT
Form 137A
TOR - Copy for PUP (for Transferee)
Shifting Form
NCAE
Others (specify)
Remarks :

This evaluation is tentative, if you still have something to straighten out on oversight or non-inclusion of a subject that you have
taken, please call our attention. Submit this form at the receiving window.
LEGEND :
NAF = NO ACE FORM GINA M. TAVANLAR
NRC = NO REGISTRATION CERTIFICATE
NCF = NO COMPLETION FORM University Evaluator
NNG = NOT NUMERIC GRADE

Advisory:
1.) If F137A is a deficiency, obtain a copy of the “Request for Form 137A” Form
- from Student Records Officer at Window 1, Registrar's Office, South Wing (For the Sta. Mesa Campus)

This report is system generated. No signature is required.