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BatStateU FO REG 10 - Application For Graduation - Rev. 02

This document is an application form for graduation from BatState University. It requests information such as the student's name, birthdate, address, secondary and elementary school details, proposed date and term of graduation, academic program and major. The student signs to agree to the university's data privacy policy. It must then be signed by registrar staff, the college dean, and an authorized official to be approved. The application process involves securing the form, evaluation, review, submission, confirmation, fee payment, and recording.

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40 views1 page

BatStateU FO REG 10 - Application For Graduation - Rev. 02

This document is an application form for graduation from BatState University. It requests information such as the student's name, birthdate, address, secondary and elementary school details, proposed date and term of graduation, academic program and major. The student signs to agree to the university's data privacy policy. It must then be signed by registrar staff, the college dean, and an authorized official to be approved. The application process involves securing the form, evaluation, review, submission, confirmation, fee payment, and recording.

Uploaded by

joahn.rocreo1234
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOC, PDF, TXT or read online on Scribd
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Reference No.: BatStateU-FO-REG-10 Effectivity Date: May 18, 2022 Revision No.

: 02

APPLICATION FOR GRADUATION


STUDENT INFORMATION
SURNAME: FIRST NAME: MIDDLE NAME: EXTENSION NAME:
(if applicable)

BIRTHDATE:
SR CODE: PLACE OF BIRTH:
(MM/DD/YYYY)
HOME ADDRESS: ZIP CODE:
CONTACT NUMBER:

EMAIL ADDRESS:

SECONDARY SCHOOL YEAR


GRADUATED: GRADUATED:
ELEMENTARY SCHOOL YEAR
GRADUATED: GRADUATED:
DATE OF GRADUATION: DECEMBER, 20____ MAY, 20____ MIDTERM, 20____
COLLEGE:
PROGRAM:
MAJOR:
Requested by: Evaluated by:

____________________________________ ____________________________________
Signature over Printed Name of Student Signature over Printed Name of Registrar’s Staff
Date Signed: Date Signed:
Reviewed by: Approved by:

____________________________________ ____________________________________
Signature over Printed Name of College Dean/ Signature over Printed Name of Authorized Official
Head, Academic Affairs Designation:
Date Signed: Date Signed:
DATA PRIVACY AGREEMENT:

In submitting this form, I agree that my details be utilized for evaluating my academic records and for other purposes
relevant to my graduation. I also agree that the information I have indicated in this form be made available to the university,
and to other external agencies, groups and individuals for scholastic, research and employment purposes.

_________________________________
Signature over Printed Name of Student

REMINDER: It is understood that should this application be approved, the candidate MUST COMPLY WITH ALL THE
REQUIREMENTS FOR GRADUATION before the Academic Council Meeting such as:
1. Photocopy of the Approval Sheet of Thesis/Dissertation
2. Certificate of Submission of hardbound copy of thesis in the Library

PROCEDURE

1. Secure and fill-out completely the Application for Graduation Form.


2. Go to the Registrar’s Office for Evaluation.
3. Proceed to your Dean’s Office for the review of the application.
4. Submit the application form to the Registrar’s Office.
5. Wait for the confirmation of the Registrar’s Office regarding the status of application.
6. After the confirmation, pay the required fees.
7. Submit to the Registrar’s Office the receipt of payment for recording.

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