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  • Student Clearance Form PDF

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    joy robiano
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    This student clearance form contains sections for student information, academic clearance from the library and department, administrative clearance of ID cards and lockers, and signature lines. The student must fill in their name, ID, program, and expected clearance date. Boxes are checked to confirm the return of books, equipment, clearance of dues, ID card, and locker. Space is provided to list any other returned materials.

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    This student clearance form contains sections for student information, academic clearance from the library and department, administrative clearance of ID cards and lockers, and signature lines. The student must fill in their name, ID, program, and expected clearance date. Boxes are checked to confirm the return of books, equipment, clearance of dues, ID card, and locker. Space is provided to list any other returned materials.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    Download as docx, pdf, or txt
    4 views2 pages

    Student Clearance Form PDF

    Uploaded by

    joy robiano
    This student clearance form contains sections for student information, academic clearance from the library and department, administrative clearance of ID cards and lockers, and signature lines. The student must fill in their name, ID, program, and expected clearance date. Boxes are checked to confirm the return of books, equipment, clearance of dues, ID card, and locker. Space is provided to list any other returned materials.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 2

    Student Clearance Form PDF

    Section 1: Student Information

    ● Name: _______________________
    ● Student ID: _______________________
    ● Program/Department: _______________________
    ● Expected Clearance Date: _______________________

    Section 2: Academic Clearance

    ● Library: [Checkbox] All books returned


    ● Department: [Checkbox] All equipment returned
    ● Financial: [Checkbox] All dues cleared

    Section 3: Administrative Clearance

    ● ID Card Returned: [Checkbox] Yes


    ● Locker Cleared: [Checkbox] Yes
    ● Other Materials Returned: _______________________

    Signature Section:

    ● Student's Signature: _______________________


    ● Date: _______________________
    ● Authorized Personnel Signature: _______________________
    ● Date: _______________________

    Copyright @ SampleForms.com
    Copyright @ SampleForms.com

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