APPLICATION FOR GRADUATION

To : THE UNIVERSITY REGISTRAR’S OFFICE

From : THE DEAN, SCHOOL OF_____________________________________________________________________

This application for graduation of Mr./Miss/Mrs. ________________________________________________________________

(PLEASE PRINT) Family Name First Name Middle Name
is hereby forwarded to your Office with the following information:
[ ] Upon evaluation and verification of our records, the student expects to complete all requirements for graduation
from the__________________________________________________________________________________________________
course as of ______________________________________________________________________________________________

[ ] The student is presently enrolled this ( ) 1 st Sem, ( ) 2nd Sem, ( ) Short Term, 20__________ - 20__________ in the following
subjects with the corresponding units:
Subject Units Subject Units
___________________________________ ___________ _____________________________________ __________
___________________________________ ___________ _____________________________________ __________
___________________________________ ___________ _____________________________________ __________
___________________________________ ___________ _____________________________________ __________
___________________________________ ___________ _____________________________________ __________

EXTRA SUBJECT/S ENROLLED FOR THE CURRENT SEMESTER BUT NOT REQUIRED FOR THE COURSE:
Subject Units Subject Units
___________________________________ ___________ _____________________________________ __________
___________________________________ ___________ _____________________________________ __________
___________________________________ ___________ _____________________________________ __________

SUBJECT/S ENROLLED IN OTHER SCHOOLS WITH PERMIT FROM SLU: (Pls. submit Certificate of Enrollment indicating
descriptive title and no. of units)
Subject Units Subject Units
___________________________________ ___________ _____________________________________ __________
___________________________________ ___________ _____________________________________ __________

OVERALL TOTAL UNITS ENROLLED ________ UNITS

N.B.  A student who has been granted a PERMIT TO CROSS-ENROLL must submit a Certificate of Enrollment with the
subject/s and no. of units indicated. After the end of the term, an Official Copy of Final Grades must be submitted by the
student to the University Registrar’s Office to be able to join the Graduation Exercises.
 Students who graduated during the Short term and who wish to join the January Graduation Exercises are advised to file
another application for Graduation Purposes only on or before 1st week of December.

[ ] The Form IX – Application for the Issuance of the Registry of Graduates No. may be prepared by the Registrar’s Office upon
completion of all requirements.
[ ] On the basis of the evaluation made by this office, the candidate’s request to join the graduation rites is hereby approved subject
to the final evaluation of the Registrar’s Office, provided he/she accomplishes the attached WAIVER.
[ ] The Student will not join the graduation rites.
Evaluated by (Dean’s Office Evaluator):_________________________________
Signature
CONFORME:
____________________________________
Dean’s Signature

______________________________________ ____________________________________
Student’s Signature School

______________________________________ _____________________________________
Date Date
Submitted to the Registrar’s Office on: Received by:
__________________________________________________ ________________________________________________
N.B. Deadline for Filing of Application for Graduation:
To the Dean’s Office To the University Registrar’s Office
nd
- For those graduating in December: 2 week after the start of the First Semester - One month after submission
- For those graduating in May: 2nd week after the start of the Second Semester to the Dean’s Office
- For those graduating in July: 1st week after the start of Short Term - Two weeks after submission
to the Dean’s Office
 CANDIDATE FOR GRADUATION
(PLEASE FILL IN THE BLANKS BELOW COMPLETELY AND ACCURATELY) I.D. No._________________
CANDIDATE FOR THE DEGREE/TITLE: ________________________________________________________________________
MAJOR:_____________________________________________ MINOR:______________________________________________

PLEASE TYPE OR PRINT CLEARLY

NAME: ___________________________________ _____________________________________ ________________________

Family Name First Name Middle Name

DATE OF BIRTH: _______________________ PLACE OF BIRTH: ________________________________________________

AGE: ____ CIVIL STATUS: ______ NATIONALITY: ______ TEL NO.: _____________ MOBILE NO.:__________________
HOME ADDRESS(This will appear in your Transcript & in the Graduation Program)
House No. & Street: ________________________________________________________________________________________
District/Barangay: _________________________________________________________________________________________
Municipality (Town)/City: ________________________________________ Province: __________________________________
FOR SCHOLARS, PLEASE INDICATE THE SCHOLARSHIP ENJOYED: _________________________________________
PRE-COLLEGE EDUCATION: School Academic Year
ELEMENTARY: __________________________________________ _____________________
JUNIOR HIGH SCHOOL: __________________________________________ _____________________
SENIOR HIGH SCHOOL: __________________________________________ _____________________
(THIS PORTION SHALL BE ACCOMPLISHED BY QUALIFIED LOYALTY MEDALISTS ONLY)
(Students who completed their primary & elementary education at the SLU Lab. Elem School; their secondary education at the SLU
Laboratory High School; and their collegiate education at SLU are qualified. Candidates must submit a certification from the SLU-LES that
they completed Grades 1-6 in said school.)
SCHOOL ATTENDED ACADEMIC YEAR
SLU LAB. ELEM. SCH. (SLU-LES)
Grade 1 _____________________________________________________ _________________________________
Grade 2 _____________________________________________________ _________________________________
Grade 3 _____________________________________________________ _________________________________
Grade 4 _____________________________________________________ _________________________________
Grade 5 _____________________________________________________ _________________________________
Grade 6 _____________________________________________________ _________________________________

SLU LAB. HIGH SCH. (JUNIOR HIGH SCHOOL)

Grade 7 _____________________________________________________ _________________________________
Grade 8 _____________________________________________________ _________________________________
Grade 9 _____________________________________________________ _________________________________
Grade 10 _____________________________________________________ _________________________________
SLU LAB. HIGH SCH. (SENIOR HIGH SCHOOL)
Grade 11 _____________________________________________________ _________________________________
Grade 12 _____________________________________________________ _________________________________
SAINT LOUIS UNIVERSITY (SLU)
1st Year _____________________________________________________ _________________________________
2nd Year _____________________________________________________ _________________________________
3rd Year _____________________________________________________ _________________________________
4th Year _____________________________________________________ _________________________________
5th Year _____________________________________________________ _________________________________
 WAIVER

(By the CANDIDATE FOR GRADUATION)

I, ________________________________________________________________, a senior student taking the

(PLEASE PRINT) Family Name First Name Middle Name

_____________________________________________________ course, respectfully request that I be allowed to join the

GRADUATION RITES in ___________________________________________________________________.

I expect to finish all requirements for graduation at the end of:

( ) First Semester ________________________

( ) Second Semester ________________________

( ) Short Term ________________________

Should my application to participate in the GRADUATION RITES BE APPROVED, I shall voluntarily and
willingly subject myself to the following conditions:

1. That my application for the issuance of Registry of Graduates No. shall be filed by the University Registrar’s
Office only upon proper evaluation and recommendation by the Dean and upon submission of all supporting
papers that may be required by the University Registrar’s Office pursuant to existing CHED rules and regulations
and after the final evaluation of the Registrar’s Office;

2. That I shall not claim nor demand for a diploma or certificate unless and until my application for graduation shall
have been APPROVED and CONFIRMED BY AN R.O.G. NO. ISSUED BY SAINT LOUIS UNIVERSITY;

3. That should I obtain “NC-INC/NFE” marks at the end of the term, I shall not be allowed to join the graduation
exercises unless and until I have completed my INC/NFE marks before the graduation exercises;

4. That should I obtain “FAILED (F)” or “DROPPED (DR)” marks at the end of this term, I shall not be allowed to
participate in the graduation exercises.

5. That all my personal data collected from the student information system and from the Application for Graduation
form will be shown/used during in-person commencement exercises and will be published in the SLU website, the
official Social Media Account, and in the virtual graduation ceremony if applicable. The collected information
will also be posted in bulletins in the university, publications, and commencement exercises programme, if any, as
maybe deemed necessary by the University in compliance with Data Privacy Act of 2012 (R.A. 10173), its
Implementing Rules and Regulations, and other applicable laws.

Signed at Baguio City, Philippines, this ________ day of _________________________________,________.

CONFORME _________________________________________ _________________________________

(PARENT’S PRINTED NAME & SIGNATURE) (CANDIDATE’S SIGNATURE)

APPROVED __________________________________________
(DEAN)

School of __________________________________________

Date __________________________________________

N. B. THIS DULY ACCOMPLISHED WAIVER SHOULD BE ATTACHED TO THE APPLICATION FOR

GRADUATION.