Republic of the Philippines

BULACAN STATE UNIVERSITY

City of Malolos, Bulacan

APPLICATION FOR GRADUATION

A. Name: Hazel C. Espinoza Student No. 2018110264

Address: 1771 Mahabang Labak, Magsakay Subd, San Isidro II, Paombong, Bulacan
Telephone No./Cellphone No.: 09616351549
Bachelor of Technical Vocational Teacher Education-
Course Applied: Major in Garments, Fashion and Design BTVTED-4C GFD
Year and Section:
Civil Status: Single Sex: Female Age: 22
Date of Birth: June 30, 1999 Place of Birth: Sto Domingo , Vinzons ,Camarines Norte
Name of Parents/Guardian: Sherly C. Espinoza
High School Graduated: STI College Malolos
School last attended: (For transferee only)

B. PRESENT LOAD:
Subject Units Name of Professor
(SC-SIT) Supervised Industrial Training 3.0 Sir Rhino Lou Rivera
(Educ 309) Technology Research II ( Undergraduate
Thesis/Research Paper/Research Project) 3.0 Ma’am Jovita Villanueva
(Educ 402) Review in General Education 1.0 Sir Jonathan Cruz
(Educ 403) Review in Professional Education Courses 1.0 Ma’am Adora Andes
(SSP 101c) Gender and Society 3.0 Sir Nicolo Velasco
(AAH 101b*) Philippine Popular Culture 3.0 Ma’am Boie L. Lopez
(MST 101a*) Environmental Science 3.0 Ma’am Michelle Agustin

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:

DR. EMELITA LAGANAO

(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