Republic of the Philippines

DR. EMILIO B. ESPINOSA SR. MEMORIAL

STATE COLLEGE OF AGRICULTURE AND TECHNOLOGY
Admission and Registration Office
www.debesmscat.edu.ph | Cabitan, Mandaon, Masbate

CERTIFICATION AS GRADE 12 GRADUATING STUDENT

Graduating Grade 12 (Senior High School) Applicant only

Date: ___________________

TO WHOM IT MAY CONCERN:

This is to certify that Mr./Ms. ____________________________________________

(Complete Name of Student)
is a bonafide student of _____________________________________________________,
(Complete Name of School)
________________________________________________with LRN No. ________________.
(Complete School Address)

Certifying further that he/she is graduating from Grade 12 (Senior High

School) this Second Semester, AY 2022-2023.

Issued this _________ day of _________________________ 2023 upon request of

Mr./Ms. __________________________________ for his/her Application for College
Admission Purposes Only.

_____________________________________________________________
(Signature over Printed Name of Principal/School Head/Authorized Person)

(This certification form is valid only for A.Y 2023 – 2024).

School dry seal

here.

FM-ADM-38 00 01-30-23