PUP-AGSI-5-UNRO-016

Polytechnic University of the Philippines Rev. 0

May 15, 2018
OFFICE OF THE UNIVERSITY REGISTRAR
Manila

APPLICATION FOR GRADUATION

Date: January 16, 2020

The University Registrar
Polytechnic University of the Philippines
Sta. Mesa, Manila

Sir/Madame:

I expect to finish my course in the 2nd Semester/Summer of the School Year 2019-2020 with the degree of
JURIS DOCTOR.

STUDENT NUMBER: 2015-12778-MN-0

LAST NAME: BAUTISTA FIRST NAME: JOHN ROBERT MIDDLE NAME: OMOSURA

PERMANENT ADDRESS: 26 ILANG- ILANG ST., MARICABAN SEX: Male Tel. No. / Cel. No.
PASAY CITY, METROPOLITAN MANILA 09562893979
PROVINCIAL ADDRESS: 26 ILANG-ILANG ST., MARICABAN, Birthday: /Month/Day/Year
PASAY CITY, METROPOLITAN MANILA 04/25/1990
ELEMENTARY SCHOOL: HOLY REDEEMER SCHOOL OF YR. GRADUATED: 2002
DASMARIÑAS CAVITE
HIGH SCHOOL: PAG-ASA NATIONAL HIGH SCHOOL YR. GRADUATED: 2006

DATE OF ADMISSION PUPCET SCHOOL NAME AND ADDRESS LAST

SEMESTER S.Y. RATING % YR. TAKEN (If Transferee)
First 1516

LAST TERM ATTENDED IN PUP: OFFICE NAME AND ADDRESS (If Employed)

PRESENTLY ENROLLED SUBJECTS

SUBJECT SUBJECT DESCRIPTION ROOM DAY TIME UNITS INSTRUCTOR/
CODE PROFESSORS

Very truly yours,

___________________________
(Signature)