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Subject Being Completed Enrolled in First Sem Second Sem Summer SY 2020_ -2021__
X
PEN Code Descriptive Title Units Section Time and Day
Faculty Member:
Program Head:
Dean
Student No: Last Name First Name Middle Name Program/Course and Major
X
Subject Being Completed Enrolled in First Sem Second Sem Summer SY 2020__ -2021__
PEN Code: Descriptive Title: Units: Section: Instructor's Name (Last, First, MI)
PEN Code: Descriptive Title: Units: Section: Instructor's Name (Last, First, MI)
2. The Program Head/ Dean shall assist the student in processing of the completion grade for faculty who are not anymore connected with the University.
3. Only the Department Secretary or authorized person by the Dean can submit the completion grade to the Registrar's Office. The Registrar's Office will n
accept completion grade/s submitted personally by the student.
4. Verification of Completion Grade will be entertained two (2) weeks after the College/Department submitted to the Registrar's Office.
Conform:
er SY 2020_ -2021__
Current Grade
INC
INANCE CLEARANCE
XAM PERMIT NO: _______________
OR NO. 1125573
/17/21
REMARKS
Date Signed
===================
nt. This stub must be signed by the
ompletion grade.
Y 2020__ -2021__
tor’s Signature
l the subject.
egistrar's Office.
Date: 05/31/21