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Clearbook Submission Form for Enrollment

The document is a submission and clearance form for the College of Engineering's Dean's Office, intended for students submitting their clearbook. It outlines the instructions for completion, including the requirement for all documents to be arranged properly. The form also includes sections for student information, clearance verification, and remarks regarding enrollment eligibility.

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Agelly Fernandez
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24 views1 page

Clearbook Submission Form for Enrollment

The document is a submission and clearance form for the College of Engineering's Dean's Office, intended for students submitting their clearbook. It outlines the instructions for completion, including the requirement for all documents to be arranged properly. The form also includes sections for student information, clearance verification, and remarks regarding enrollment eligibility.

Uploaded by

Agelly Fernandez
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

UPHSD-LP-COE-DOS-88

15-04-2024-03

COLLEGE OF ENGINEERING
Dean’s Office – Clearbook Submission & Clearance Form

INSTRUCTIONS:
- Accomplish this form when submitting your clearbook to the Dean’s Office.
- Ensure all required documents are complete and properly arranged.
- Submit this form together with your clearbook.
- The Dean’s Office will evaluate and indicate if you're cleared and eligible for enrollment.

Name: _________________________________________ Contact Number: ____________________________


Student Number: ________________________________ Email Address: ______________________________
Course: ________________________________________ Year Level: _________________________________

********************************************************************************************
☐ Cleared for Student Clearance Checked and Verified by:
Date Cleared: _______________________ Name: ____________________________________
☐ Received Clearbook Requirement Signature: ________________ Date: ________

Remarks: OK FOR ENROLLMENT

----------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------

UPHSD-LP-COE-DOS-88
15-04-2024-03

COLLEGE OF ENGINEERING

Dean’s Office – Clearbook Submission & Clearance Form

INSTRUCTIONS:
- Accomplish this form when submitting your clearbook to the Dean’s Office.
- Ensure all required documents are complete and properly arranged.
- Submit this form together with your clearbook.
- The Dean’s Office will evaluate and indicate if you're cleared and eligible for enrollment.

Name: _________________________________________ Contact Number: ____________________________


Student Number: ________________________________ Email Address: ______________________________
Course: ________________________________________ Year Level: _________________________________

********************************************************************************************
☐ Cleared for Student Clearance Checked and Verified by:
Date Cleared: _______________________ Name: ____________________________________
☐ Received Clearbook Requirement Signature: ________________ Date: ________

Remarks: OK FOR ENROLLMENT

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