Reference No.: SJCDC - RED1 - 2018 - 0000 Effectivity Date: September 01, 2018 Revision No.

: 00

REQUEST SLIP

No.:
Date Applied:
Surname: First Name: Middle Name:

Address:

Contact No.: Date of Graduated: Student's No.:

Grade Level/Strand/Course: Section:

Secondary School Name: Year Graduated:

FORM 138/CARD GRADUATION

FORM 137 COPY OF GRADES
DIPLOMA ENROLLMENT

OTR G.W.A.
CTC/HD UNITS EARNED
CAV COURSE DESCRIPTION

CERTIFIED TRUE COPY

LICENSURE/INTERNSHIP TOTAL
GOOD MORAL O.R. #:

Reason:

Note: We will not issue any documents without the complete admission requirements.

Please return this form to the Registrar's Office upon accomplishment together with official receipt, otherwise your application cannot be processed.

Release Date:

Please present the claim stub together with School I.D. to claim your documents.
For representative, Letter of Authorization and Valid I.D.
Processing of documents is 5 working days (for BED & SHS) while 10 working days (for COLLEGE) from date applied.
Documents not claimed after 30 days will be disposed.

(Registrar's Copy)
FRM - RED - 2018 - 0000

CLAIM STUB
No.:

Surname: First Name: Middle Name:

Grade Level/Strand/Course: Student's No.:

Documents Applied:

Date Applied: Release Date:

To claim Documents, please present this form together with Valid I.D.
For representative, Letter of Authorization and Valid I.D.
Processing of documents is 5 working days (for BED & SHS) while 10 working days (for COLLEGE) from date applied.
Documents not claimed after 30 days will be disposed.
(Student's Copy) FRM - RED - 2018 - 0000