Republic of the Philippines

BULACAN STATE UNIVERSITY

City of Malolos, Bulacan

APPLICATION FOR GRADUATION

A. Name: Student No.

Address:
Telephone No./Cellphone No.:
Course Applied: Year and Section:
Civil Status: Sex: Age:
Date of Birth: Place of Birth:
Name of Parents/Guardian:
High School Graduated:
School last attended: (For transferee only)

B. PRESENT LOAD:
Subject Units Name of Professor

D. EVALUATION OF RECORDS BY THE DEAN:

The Dean checks and evaluates the record of the students thru the evaluation provided by the Office of the Registrar. When
completed, this form must be submitted to the Dean’s Office which will be forwarded to the Registrar’s Office.
RECOMMENDING APPROVAL:

IN-CHARGE, ACCOUNTING:________________ AIMEE GRACE M. MADLANGBAYAN, DPA

(DEAN)
APPROVED:

ALBERT B. VILLENA
University Registrar

N.B.

All candidates for graduation who have settled all the financial obligations to the University shall receive their diploma during their
graduation ceremonies.

BulSU – OP – OUR – 03F1