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Student Clearance

The document is a Student Clearance form required for education students at Eastern Visayas State University before enrollment. It includes sections for student information, semester details, and certification of clearance from academic and financial obligations. The form must be signed by relevant school authorities to confirm that all responsibilities have been settled.

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117 views1 page

Student Clearance

The document is a Student Clearance form required for education students at Eastern Visayas State University before enrollment. It includes sections for student information, semester details, and certification of clearance from academic and financial obligations. The form must be signed by relevant school authorities to confirm that all responsibilities have been settled.

Uploaded by

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

Ormoc City

Control No.
Title of the Form:
Revision No.
STUDENT CLEARANCE
Date

Instruction: An education student is required to accomplish this clearance form before enrollment.

Student Number Last Name First Name M.I. Course/Major/ Yr. Level

Home Address: ___________________________________________________________________________


No. of Semesters in EVSU-OCC _______ [ ] Graduating [ ] None Graduating
School Year Admitted in EVSU-OCC: ________ Last term enrolled in EVSU-OCC: SY __________ Sem: ______

BEATRICE D. MABITAD, Ed.D.


Head, Teacher Education Dept.
EVSU-Ormoc Campus

Ma’am:

I have the honor to request of this clearance for _ENROLLMENT_. All property, responsibility, money
obligation and other school accountability of the _2ND______ Semester of SY _2024-2025_ have been settled
and cleared as signified below by the school authorities concerned.

Very truly yours,

_____________________________
Signature over Printed Name

We certify that the above-named student is cleared from academic, monetary, property responsibility,
and other school accountability.
SIGNATURE OVER PRINTED NAME:

BEATRICE D. MABITAD, Ed.D.


Head, Teacher Education Department

DR. JOERGEN T. ARRADAZA, JR. ROMULO JOSEPH M. JEREZA IV ANGELA M. COQUILLA, CPA
Head, SASO Librarian Designate Accountant Designate

Adviser Research Coordinator SCO PRESIDENT


(for graduating students only) (for graduating students only)

Organization President/Treasurer SSG – President

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