6 Eef Clearance Form

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MARIANO MARCOS STATE UNIVERSITY

COLLEGE OF BUSINESS, ECONOMICS AND ACCOUNTANCY


Batac City
STUDENTS CLEARANCE
Course & Year ________________________________ 1st 2nd Semester SY 20_____ - 20_____
THIS IS TO CERTIFY ___________________________________________ is cleared from money and
property responsibilities.
A.

INSTRUCTORS
__________________________
__________________________
__________________________
__________________________
__________________________
__________________________
__________________________
__________________________
__________________________

SUBJECT
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________

SIGNATURE
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________

__

MARIANO MARCOS STATE UNIVERSITY


COLLEGE OF BUSINESS, ECONOMICS AND ACCOUNTANCY
Batac City
STUDENTS CLEARANCE
Course & Year ________________________________ 1st 2nd Semester SY 20_____ - 20_____
THIS IS TO CERTIFY ___________________________________________ is cleared from money and
property responsibilities.
A.

INSTRUCTORS
__________________________
__________________________
__________________________
__________________________
__________________________
__________________________
__________________________
__________________________
__________________________

SUBJECT
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________

SIGNATURE
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________

MARIANO MARCOS STATE UNIVERSITY


COLLEGE OF BUSINESS, ECONOMICS AND ACCOUNTANCY
Batac City
STUDENTS CLEARANCE
Course & Year ________________________________ 1st 2nd Semester SY 20_____ - 20_____
THIS IS TO CERTIFY ___________________________________________ is cleared from money and
property responsibilities.
A.

INSTRUCTORS
__________________________
__________________________
__________________________
__________________________
__________________________
__________________________
__________________________
__________________________
__________________________

SUBJECT
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________

SIGNATURE
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________

NAME _________________________________________

Course & Year ___________________

NAME

SIGNATURE

Student Organization
__________ Treasurer
__________ Adviser
Student Council Treasurer
Student Council Adviser
Lab Coop Treasurer
Lab Coop Adviser
Student Affairs Coordinator
Guidance Coordinator
Reading Center In-Charge

________________________
________________________
________________________
________________________
________________________
________________________
________________________
________________________
________________________

_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________

University Librarian
University Registrar
University Cashier

________________________
________________________
________________________

_________________________
_________________________
_________________________

NOTE: Please attach Form 5


_________________________
LORNA OLIVIA F. SALMASAN
Dean
_

NAME _________________________________________

Course & Year ___________________

NAME

SIGNATURE

Student Organization
__________ Treasurer
__________ Adviser
Student Council Treasurer
Student Council Adviser
Lab Coop Treasurer
Lab Coop Adviser
Student Affairs Coordinator
Guidance Coordinator
Reading Center In-Charge

________________________
________________________
________________________
________________________
________________________
________________________
________________________
________________________
________________________

_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________

University Librarian
University Registrar
University Cashier

________________________
________________________
________________________

_________________________
_________________________
_________________________

NOTE: Please attach Form 5


_________________________
LORNA OLIVIA F. SALMASAN
Dean

NAME _________________________________________

Course & Year ___________________

NAME

SIGNATURE

Student Organization
__________ Treasurer
__________ Adviser
Student Council Treasurer
Student Council Adviser
Lab Coop Treasurer
Lab Coop Adviser
Student Affairs Coordinator
Guidance Coordinator
Reading Center In-Charge

________________________
________________________
________________________
________________________
________________________
________________________
________________________
________________________
________________________

_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________

University Librarian
University Registrar
University Cashier

________________________
________________________
________________________

_________________________
_________________________
_________________________

NOTE: Please attach Form 5


_________________________
LORNA OLIVIA F. SALMASAN
Dean

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