Office of the Registrar

APPLICATION FOR GRADUATION

Brian Mac Cabinta Umali
(PLEASE PRINT)________________________________________________________________________________________
(Given Name) (Middle Name) (Family Name)
Kindly consider me a candidate for graduation for the degree/title

Bachelor of Science in Information Technology major in Web Technology , to

graduate in AUGUST 2020
________________________________ (indicate last term of attendance).

I shall participate in the COMMENCEMENT EXERCISES set by the University of the Cordilleras on
_______________________. I promise to comply with the graduation requirements and to pay the
corresponding fees.

I hereby agree that my application for graduation does not guarantee that I have completed all my course requirements.
My official graduation is dependent on my class performance and compliance of all documents and clearances necessary for the
release of my school credentials (Certification, Official Transcript of Records and Diploma).
Brian Mac C. Umali September 4, 2020
________________________________ ___________________________
Printed Name and Signature Date Applied
INFORMATION SHEET
Brian Mac C. Umali 15-4601-375

Name: ___________________________________________ ID Number: ___________________ Passport Size

Place of Birth: Dagupan City Date of Birth: July 11,1996 White background with
Nationality: Filipino Single Name tag
Civil Status: (3.5 cm. X 4.5 cm)
Contact Numbers: 1. 09453265001 2. __________________________

E-mail Address: ubervirus0@gmail.com

Permanent Address: #528 Badihoy St. Pinsao Proper, Baguio City

Name of Father: Jerome K. Umali Address: #528 Badihoy St. Pinsao Proper, Baguio City

Name of Mother: Marlene A. Cabinta Address: #528 Badihoy St. Pinsao Proper, Baguio City
Primary School (Grade 1-4): Divine Grace Academy _ Year: 2002-2006
Intermediate (Grade 5-6): Divine Grace Academy
Year: 2006-2008
Secondary (High School): OLMCM, Easter College and Baguio City National Highschool
Year: 2008-2012
College Degree: Bachelor of Science in Information Technology
Year: 2016-2020
Master’s Degree: _____________________________________________________________ Year: ___________________
Doctorate Degree: ___________________________________________________________ Year: ___________________

I am presently enrolled in the following subjects this 1st/2nd/3rd/ Semester/Trimester/ Summer, SY_________
Subject (s) Time Instructor Room No.

1. IT15 - Internship WSAT 5:30PM-8:00PM Ma'am Natividad Conception

2. ICS - Emerging Technologies in IT TF 10:00AM-12:30PM Ma'am Joan Peralta

3.
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For SUBMISSION:
➢ PSA certified birth certificate (photocopy)/passport size photo(3.5 cm. X 4.5 cm)) (White
background, with name tag)
➢ Certificate of Enrolment – for Cross-enrollees
Submit application form and other documents in a long folder.

UC-VPAO-RO-FORM-03_GF
Feb. 9, 2015 Rev. 02