Republic of the Philippines

UNIVERSITY OF EASTERN PHILIPPINES

University Town, Northern Samar
Web: http://uep.edu.ph; Email: uepnsofficial@gmail.com

COLLEGE OF EDUCATION
STUDENT CLEARANCE

THIS IS TO CERTIFY THAT ___________________________________,

a _______________________________student is hereby cleared from all money,
property and academic accountability and other obligations in the College of
Education, ________ Semester, School Year 20___20_____.

PURPOSE: ( ) Enrolment ( ) Transfer

( ) Graduation ( ) Employment
( ) Others, specify

Note: Grades will be evaluated by the faculty or staff-in-charge.

Signature
Subjects Taken in the Course Action Taken (For the evaluator of
Previous Semester Professor (Only if the completed grades and
Grades
(To be filled out by the (To be filled out student got INC professors who gave
student) by the student) or No Grade) the student an INC or
No Grade)

__________________________
Department Chair

DOCUMENT NO.: REVISION NO.: EFFECTIVITY

UEP-COED-FM-003 00 SEPTEMBER 12, 2022