CITY GOVERNMENT OF SAN PABLO CITY GOVERNMENT OF SAN PABLO

PAMANTASAN NG LUNSOD NG SAN PABLO PAMANTASAN NG LUNSOD NG SAN PABLO

GRADUATE SCHOOL GRADUATE SCHOOL

PLSP-GS Form No. 004 PLSP-GS Form No. 004

STUDENT’S CLEARANCE STUDENT’S CLEARANCE
Student No.: GS-________________ Date: ______________________ Student No.: GS-________________ Date: ______________________

Name: ______________________________________________________________ Name: ______________________________________________________________

Program: ______________________________________ Year and Section: ______ Program: ______________________________________ Year and Section: ______

Major: ______________________ Semester: ____________ AY: ______________ Major: ______________________ Semester: ____________ AY: _____________

No pending obligations in the following offices: No pending obligations in the following offices:

Library ______________________________ Library ______________________________

University Librarian University Librarian

Office of Student Office of Student

Affairs and Services ______________________________ Affairs and Services ______________________________
Vice – President for OSAS Vice – President for OSAS

Registrar’s Office ______________________________ Registrar’s Office ______________________________

University Registrar University Registrar

Finance Department ______________________________ Finance Department ______________________________

Finance Officer Finance Officer

GS Office ______________________________ GS Office ______________________________

Dean, Graduate School Dean, Graduate School

______________________________ ______________________________
Student’s Signature Student’s Signature