Application for Graduation (DOT.Uni)

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Application for Graduation (DOT.Uni) 1st Semester 2022 - 2023

Email *

Instructions

Please provide all required information. If the item is irrelevant, please type in "Not Applicable."

College *

I am applying for the degree/certificate of __________ *

(e.g. BS in Agriculture)

Major/Specialization *

(Please type in N/A if not applicable)

Title of Thesis or Field Practice Report *

(Please type in N/A if not applicable)

Family Name *

Given Name *

Name Extension (e.g. Jr.) *

(Please type in N/A if not applicable)

Middle Name *

Home Address *

Date of Birth *

YYYY

Sex *

ID Number *

Please do not include a hyphen (e.g. 221234 NOT 22-1234).

Mobile number *

Email Address (clsu2.edu.ph account) *

Other Email Address *

Date (Month and Year) of Admission to CLSU *

School Attended 1 *

(Name of High School, Address, Date of Graduation)

School Attended 2 *

(Name of School where Certificate/Associate Program [e.g. Certificate in Agricultural Science; Associate Language and Literature] was Completed, Address, Date of Graduation; Please type in N/A if not applicable)

School Attended 3 *

(Bachelor's Degree, Name of School where Baccalaureate Degree was Obtained, Address, Date of Graduation; Please type in N/A if not applicable)

School Attended 4 *

(Master's Degree, Name of School where Master's Degree was Obtained, Address, Date of Graduation; Please type in N/A if not applicable)

Scholarship(s) Enjoyed *

(Please list the name(s) and duration/period; Please also send supporting documents by email [graduation@clsu2.edu.ph] if your scholarship is not being administered by the OAd; Please type in N/A if not applicable)

Name of your Thesis/Field Practice Report Adviser *

(Please type in N/A if not applicable)

Email Address (clsu.edu.ph or clsu2.edu.ph account) of your Adviser *

(Please type in N/A if you do not have an adviser)

DATA PRIVACY NOTICE. CLSU is committed to ensure that the data privacy rights of its students are upheld and protected. By submitting this electronic form, you give permission to CLSU to store and process your personal data in adherence to the principles of transparency, legitimate purpose, and proportionality as required by RA 10173 or the Data Privacy Act of 2012. *

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