Form No.
FM-USeP-RSC-04
Republic of the Philippines
University of Southeastern Philippines Issue Status 02
Iñigo St., Bo. Obrero, Davao City 8000 Revision No. 01
Telephone: (082) 227-8192
Website: www.usep.edu.ph Date Effective 01 March 2018
Email:
[email protected] Approved by President
STUDENT RECORDS CLAIM SLIP
(Please present this slip upon claiming the requested document/s)
Due Date: _________________
09/07/2020
Student’s Name: _______________________________________________________________
LOGRONIO RICHARD M.
(Last Name) (First Name) (Middle/Maiden Name)
Course & Year: ___________________________________________________________
BSCE
DOCUMENTS REQUESTED (Pls. check)
[ ] TOR [ ] HD [ ] Certification [ ] CAV [ ] Others: _______________
IMPORTANT NOTICE:
We require authorization letter and Valid I.D. for representative to
claim the requested document/s in student’s behalf.
Office of the University Registrar (OUR) Page 1 of 1
Form No. FM-USeP-RSC-04
Republic of the Philippines
University of Southeastern Philippines Issue Status 02
Iñigo St., Bo. Obrero, Davao City 8000 Revision No. 01
Telephone: (082) 227-8192
Website: www.usep.edu.ph Date Effective 01 March 2018
Email:
[email protected] Approved by President
STUDENT RECORDS CLAIM SLIP
(Please present this slip upon claiming the requested document/s)
Due Date: _________________
Student’s Name: _______________________________________________________________
(Last Name) (First Name) (Middle/Maiden Name)
Course & Year: ___________________________________________________________
DOCUMENTS REQUESTED (Pls. check)
[ ] TOR [ ] HD [ ] Certification [ ] CAV [ ] Others: _______________
IMPORTANT NOTICE:
We require authorization letter and Valid I.D. for representative to
claim the requested document/s in student’s behalf.
Office of the University Registrar (OUR) Page 1 of 1