[go: up one dir, main page]
Scribd
Upload
16 views1 page

University Student Clearance: University of The Philippines Manila Office of The University Registrar

Uploaded by

marinasalinasmarina

The document is a student clearance form from the University of the Philippines Manila. It requires students to obtain signatures clearing them from various university offices before leaving the university. These include the college, student affairs office, learning resource center, library, office of anti-sexual harassment, health service, accounting office, and office of the university registrar. Students must present their signed clearance form when requesting records like transcripts and letters of dismissal from the university.

Copyright:

© All Rights Reserved
Download as PDF, TXT or read online from Scribd
Download as pdf or txt

University Student Clearance: University of The Philippines Manila Office of The University Registrar

Uploaded by

marinasalinasmarina
16 views1 page
The document is a student clearance form from the University of the Philippines Manila. It requires students to obtain signatures clearing them from various university offices before leaving the university. These include the college, student affairs office, learning resource center, library, office of anti-sexual harassment, health service, accounting office, and office of the university registrar. Students must present their signed clearance form when requesting records like transcripts and letters of dismissal from the university.

Original Description:

to request tor

Original Title

University Student Clearance

Copyright

© © All Rights Reserved

Available Formats

PDF, TXT or read online from Scribd

Did you find this document useful?

Is this content inappropriate?

The document is a student clearance form from the University of the Philippines Manila. It requires students to obtain signatures clearing them from various university offices before leaving the university. These include the college, student affairs office, learning resource center, library, office of anti-sexual harassment, health service, accounting office, and office of the university registrar. Students must present their signed clearance form when requesting records like transcripts and letters of dismissal from the university.

Copyright:

© All Rights Reserved
Download as PDF, TXT or read online from Scribd
Download as pdf or txt
16 views1 page

University Student Clearance: University of The Philippines Manila Office of The University Registrar

Uploaded by

marinasalinasmarina
The document is a student clearance form from the University of the Philippines Manila. It requires students to obtain signatures clearing them from various university offices before leaving the university. These include the college, student affairs office, learning resource center, library, office of anti-sexual harassment, health service, accounting office, and office of the university registrar. Students must present their signed clearance form when requesting records like transcripts and letters of dismissal from the university.

Copyright:

© All Rights Reserved
Download as PDF, TXT or read online from Scribd
Download as pdf or txt
You are on page 1/ 1

UNIVERSITY OF THE PHILIPPINES MANILA UP FORM # 421

The Health Sciences Center


OFFICE OF THE UNIVERSITY REGISTRAR
Padre Faura Street, Manila

UNIVERSITY STUDENT CLEARANCE


Please accomplish in duplicate Process in sequential order. Print legibly.

DATE SURNAME FIRST NAME MIDDLE NAME MAIDEN NAME


STUDENT NUMBER - B/BA/BS
COLLEGE DEGREE M/MA/MS
PURPOSE
PhD/DrPH
TERM ACADEMIC YEAR
First Enrollment in the University FS SS MID
Last Enrollment in the University FS SS MID

1. COLLEGE 5. OFFICE OF ANTI-SEXUAL HARASSMENT (OASH)


College Clearance Accomplished No Obligation

DEAN Date COORDINATOR Date

2. OFFICE OF STUDENT AFFAIRS 6. UPM HEALTH SERVICE


No Obligation No Obligation
2.1. Pending Case ____________________
2.2. Student Loan
O.R. No. ______________ Date: __________
DIRECTOR Date

7. ACCOUNTING OFFICE
DIRECTOR Date No Obligation

3. LEARNING RESOURCE CENTER (for undergraduate)


No Obligation
CHIEF ACCOUNTANT Date

8. OFFICE OF THE UNIVERSITY REGISTRAR


DIRECTOR Date 8.1. Entrance Credentials ________________
8.2. Deposit _____________ O.R. __________
4. UNIVERSITY LIBRARIAN 8.3. Underassessment _____ O.R. __________
No Obligation 8.4. Graduation Fee _______ O.R. __________

UNIVERSITY LIBRARIAN Date UNIVERSITY REGISTRAR Date


NOTE: Always present your copy of this clearance when requesting for Transcript of Records and Honorable Dismissal.

You might also like