QUIRINO STATE UNIVERSITY

ARA - Office of the University Registrar

APPLICATION FOR GRADUATION

MARCH 20, 2024

Date

THE REGISTRAR
Quirino State University
Diffun, Quirino

Madam:
I have the honor to apply for graduation this Second Semester of School Year
2023-2024 for the Degree/Title of BACHELOR OF TECHNOLOGY AND LIVELIHOOD
EDUCATION, Major /Area of Specialization: HOME ECONOMICS.
Attached herewith are the following documents for final evaluation.
 Evaluation of Grades (Certified by Adviser, Verified by Program Chair)
 Certification of Grades from the Registrar
 Validation of grades taken from other schools (if applicable)
 Other supporting documents (i.e. completion of grades, etc.)

Very truly yours,

BLESSIE S. ADAOY
(Signature of Applicant over Printed Name)

Evaluators Comment:
Lack Units in: NONE
Incomplete Grade/s in: NONE
Conditional Grade/s in: NONE
Recommendation/s : FOR GRADUATION

NOTED:

LAILYN S. LOPEZ MARICRIS V. NANGLIHAN, PhD ROSALYN L. DELIZO, PhD

Batch Adviser Program Chair Director for Instruction

----------------------------------------------------------
PLEASE ACCOMPLISH THIS PORTION

ADSOY BLESSIE
SINACAY
FAMILY NAME FIRST NAME MIDDLE NAME

BIRTHDATE: OCTOBER 19,20002 CELL PHONE NO.: 09551249219

E-MAIL ADDRESS: Bleblessieadsoy@gmail.com
HOME ADDRESS: BALLIGUI MADDELA QUIRINO
Bachelor of Technology and Livelihood Education Home Economics
COURSE/DEGREE MAJOR/AREA OF SPECIALIZATION

BLESSIE
S. ADSOY
Signature Over Printed Name

Verified: Noted:

ELIZABETH D. ANTONIO, MIT ROSALYN L. DELIZO, PhD

OIC- Office of the Registrar Director for Instruction

QSU-REG-F021
Rev. 00 (Feb. 11, 2019)