ROUTING ASSIGNMENT SLIP

HEI: EASTERN VISAYAS CENTRAL COLLEGES Document Tracking No.:

ADDRESS: BRGY. DALAKIT, CATARMAN NORTHERN SAMAR Date Received:
PROGRAM: BACHELOR OF ELEMENTARY EDUCATION
GOVERNMENT RECOGNITION/ AUTHORITY NO.: 14 Date of Issue: July 19, 2004
Series: 2004 Effectivity:

PERSON DATE DATE

PROCESS INITIAL REMARKS
RESPONSIBLE RECEIVED ACCOMPLISHED
1. Status of Program Verification
2. Verification vs EL/F-IX
3. Evaluation
4. Review
□ Yes □ No
FOR ISSUANCE
5. Numbering
6. Encoding
7. Proofreading
8. Releasing

SURIO, SANDRA SOLMERANO

(Valid for one (1) student only

Sir/Madam:

The Commission on Higher Education Regional Office VIII, hereby returns the documents of
due to the following reason/s:
_____ Typographical Error in the applicant's First Name/Middle/Last Name of SO form
_____ No Signature of Signing Office (please indicate)
_____ Incomplete attachment
_____ Transmittal Letter
_____ Certification under Oath signed by the Registrar, Dean & President/Administrator
_____ Certified Photocopy of Official Transcript of Records (OTR) for Transferees;
_____ Form IX with Subject Groupings;
_____ CHED Noted Curriculum Checklist
_____ Original Notarized Cases for BSNursing & Graduate in Midwifery; and
_____ One copy of thesis book.dissertation for students of graduate programs with
attached Certificate & Date of Comprehensive Examination & Certificate and
Date of Oral Defense and Oral Revalida Results
_____ Wrong Entry (Program/Date of Graduation)
_____ Illegible name/designation of Signing Officer ______________________________________
_____ Lacking Supplementary Documents: (RLE, TRB, Training Certificate, Cert. of Completion
and Evaluation Rating, and etc.
_____ Birth Certificate
_____ Others (specify)

Kindly forward the corrected document to this Office. Your immediate attention to this matter
will be appreciated.

Very truly yours,

NORINA T. ESPOCIA
EPS II/Regional Records Officer Designate