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FM-AA-INT-02

Rev. 0
03-Oct-2017

CERTIFICATION OF UNITS EARNED FOR


PRACTICUM/INTERNSHIP
PANGASINAN STATE UNIVERSITY

NAME
Last Name First Name Middle Name

COURSE
MAJOR
COURSES EARNED
YEAR LEVEL 1st SEMESTER Units 2nd SEMESTER Units SUMMER Units TOTAL

FIRST YEAR

SECOND YEAR

THIRD YEAR

FOURTH YEAR

TOTAL

COURSES FAILED TO TAKE AS OF THE PRESENT


COURSE CODE COURSE TITLE UNITS

CERTIFIED TRUE AND CORRECT

Registrar

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