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BISCAST-F-SRR-04-BISCAST-Transaction-Slip-Rev-2

The document is a student registration form for Vanessa B. Tuplano, who graduated in 2020 and is requesting various academic credentials for employment purposes. It outlines the required documents, processing times, and additional requirements for the requests. The form also includes reminders regarding data privacy laws for authorized representatives to claim credentials.

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vatuplano
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47 views

BISCAST-F-SRR-04-BISCAST-Transaction-Slip-Rev-2

The document is a student registration form for Vanessa B. Tuplano, who graduated in 2020 and is requesting various academic credentials for employment purposes. It outlines the required documents, processing times, and additional requirements for the requests. The form also includes reminders regarding data privacy laws for authorized representatives to claim credentials.

Uploaded by

vatuplano
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
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OFFICE OF THE VICE PRESIDENT FOR ACADEMIC AFFAIRS

STUDENT REGISTRATION AND RECORDS OFFICE


Control No:_______________

Name of Student: ___Vanessa B Tuplano___ Course: BEED__ Major: General_ Student No.: _________
__ Contact No.: 0 9 9 3 9 4 5 3 0 5 8 _ Year Graduated: 2020__ Last S/Y Attended:May 30,2020

Credentials (Pls. Check) Requirements: Additional Requirements (if applicable):

Transcript of Records - 1 pc. Picture (1.5” x 1.5”) _____ Student’s Clearance


(Processing days: 7 Working days) - 2 pcs. Documentary Stamp _____ Authorization letter & IDs (photocopy only) of the
requesting parties
- Brown Envelope (long)
Certification - 2 pcs. Documentary Stamps Processed by: _________________________
(Processing days: 5 Working days) Date & time received: _________________________
Pls. specify: Date & time processed: _________________________
________________________________ Date & time released: _________________________
Acad. Year: ______________________
Semester(s): _____________________
Checked by: _________________________
Certification, Authentica- - Original and photocopies Date & time received: _________________________
tion & Verification (CAV) of TOR, Diploma and Date & time checked: _________________________
(Processing days: 5 Working days) Certification (if any) Date & time released: _________________________
- Brown Envelope (long)
Reconstructed Diploma - Affidavit of Loss Certified by: _________________________
(Processing days: 5 Working days) Date & time received: _________________________
Authentication - Original and photocopies of Date & time checked: _________________________
(Processing day: 1 Working day) credentials for authentication Date & time released: _________________________

Purpose: _____EMPLOYMENT________________________________ Date Filed: O c t o b e r 2 5 _____ Tentative Date of Release: _____________

_____________________________________
(Printed Name & Signature of Receiving Clerk)

--------------------------------------------------------------------------------------------------------------------
Control No:_______________

Name of Student: VANESSA B TUPLANO Course: __BEED___ Major: _GENERAL_______ Student


No.: ___________ Contact No.: _09939453058 Year Graduated: 2020 Last S/Y Attended:May 30,2

Requested Credential(s): Submitted Requirements:


________ Student’s Clearance
Transcript Of Record ________ Picture (1.5” x 1.5”)
Purpose: ________ 2 Pcs. Documentary Stamps
EMPLOYMENT ________ Brown Envelope (long)
________ Affidavit of Loss
Date Filed:____________ Tentative Date of Release: :_____________ ________ Receipt of Payment(s)
IMPORTANT REMINDER: Per Data Privacy Law of 2012 (R.A. 10173), authorized representative
may request and/or claim applicant’s credentials upon presentation of
the following: (1) Authorization letter from the applicant with his/her
signature; (2) Photocopy of the applicants’ valid ID with his/her picture
and signature; and (3) Photocopy of the representative’s valid ID with _____________________________________
his/her picture and signature. (Printed Name & Signature of Receiving Clerk)
BISCAST-F-SRR-04
September 2019 Rev. 2 Page 1 of 1

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