Republic of the Philippines

BULACAN STATE UNIVERSITY

City of Malolos, Bulacan

APPLICATION FOR GRADUATION

A. Name: Lacanilao,Cyra A. Student No. 2018-103271

Address: Blk 49 Lot 12 Balete drive,Phase 4A, Sto. Nino, Camalig, Meycauayan Bulacan
Telephone No./Cellphone No.: 09322055714
Course Applied: Bachelor of Secondary Education Major in Social Studies Year and Section: BSED 4I
Civil Status: Single Sex: Female Age: 22
Date of Birth: July 21,1999 Place of Birth: Manila
Name of Parents/Guardian: Cesar B. Lacanilao
High School Graduated: Meycauayan National Highschool
School last attended: (For transferee only)

B. PRESENT LOAD:
Subject Units Name of Professor
(SSP 101b) Philippine Indigenous Communities 3.0 Mr. Jose Dominic Olaguer
(SSE 401) Teaching-based Research 3.0 Mr. Ruben E. Borja II.
(Educ 402) Review in General Education 1.0 Mrs. Adora Andes
(Educ 402) Review in Professional Education Courses 1.0 Ms. Franchezca Djanne B. Magpayo
(MST 101d) Living in the IT Era 3.0 Mrs. Rosalie A. Somontina
(AAH 101b) Philippine Popular Culture 3.0 Ms. Boie Lopez

D. EVALUATION OF RECORDS BY THE DEAN:

The Dean checks and evaluates the record of the students thru the evaluation provided by the Office of the
Registrar. When completed, this form must be submitted to the Dean’s Office which will be forwarded to the
Registrar’s Office.
RECOMMENDING APPROVAL:

DR. EMELITA LAGANAO

(DEAN)
APPROVED:

ALBERT B. VILLENA
University Registrar
N.B.
All candidates for graduation who have settled all the financial obligations to the University shall receive their
diploma during their graduation ceremonies.

BulSU – OP – OUR – 03F1