2012 GENERAL COMMENCEMENT EXERCISES

WHEN WHERE ASSEMBLY TIME START OF PROGRAM : : : : 22 April 2012 University Ampitheatre (behind Quezon Hall) 2:00 PM 3:00 PM

REMINDER: Please advise your guests attending the graduation rites to observe university rules to keep the graduation rites solemn and orderly. All attendees are expected to stay for the duration of the entire graduation rites, and dress and behave in a manner in keeping with the solemnity of the occasion.

TO: ALL 2012 GRADUATES CONGRATULATIONS! We are glad to inform you that April 2012 graduates can now avail themselves of the expedited processing of their application for a University Clearance, a copy of their Official Transcript of Records (OTR), and a Certificate of Graduation (COG). You may start applying on 16 April 2012. Please fill out the attached UP Form 241 (Clearance) and OTR application forms and pay the following fees at the Cashiers Office (2nd floor, ISSI Building):
(Check what you have already accomplished)

Graduation Fee
Pay the graduation fee of Php 300.00 (inclusive of the diploma fee) at the Cashiers Office nd (2 floor, ISSI Building). The official receipt will be required when claiming the diploma. After paying your graduation fee, present the official receipt to your College Secretary and get the following: 2 seat tickets for the General Commencement Exercises

Php 300.00

1 auto pass Clearance Fee

Processing of transcripts may take longer than usual because of the volume of requests during the months of May to July.

30.00 100.00 30.00

1 set of OTR
One set of a 2-page OTR only. If applicable, you will be charged an additional fee for an OTR exceeding two (2) pages. Additional copies will be charged additional fees.

1 copy of COG Sablay

The Sablay is available in Hablon, handwoven in Iloilo, costing Php 750.00 (small and medium) and Php 800.00 (large). You may place your order for the sablay at the Benitez Alumni Hostel, Magsaysay Avenue cor. Ylanan Street (in front of DMST/UP Vanguard). For inquiries, please contact 981-8500 ext. 4258 or 929-3386 and look for Ms. Norma Castro. You may also pay for this directly at the Cashiers Office under the account name, Sablay Management. On the day of graduation, please make sure your academic costume is complete; the Sablay should be on your right shoulder.

750.00 or 800.00

Total amount you have to prepare for all items

TOTAL

Php 1,210.00/ 1,310.00

HOW TO APPLY FOR CLEARANCE AND OTR 1. Present application for OTR and the Official Receipt (O.R.) at the counter of the Transcript of Records (TOR) Section, 2nd floor, OUR Building, for assessment and issuance of OTR stub. 2. Submit the forms (applications for OTR and Clearance) and present the O.R. at the One-StopClearance-Center (OSCC) Window 5, 1st floor, OUR Building, starting 23 April 2012. You will be issued a clearance claim stub. The OSCC will accept and process 100 applications per day. 3. You may follow up the status of your applications based on the claim date provided on the claim stubs of the TOR Section and OSCC. NOTE: The above procedure is applicable to all graduates except from the College of Law since a member of the Bar Operations Secretarial Commission Committee takes charge of processing their clearance and OTR applications.

OFFICE OF THE UNIVERSITY REGISTRAR University of the Philippines Diliman Quezon City

CLAIM STUB NO.: DUE DATE:

(TOR Trust Fund A Code No. 9774700)

Note: Please PRINT your name and address. Thank you. 1X1 or 2X2 picture

Required only for bar/board applicants

TO: CASHIER

Total

Graduation fee Clearance fee One set OTR * A copy of COG

Additonal:

P 300.00 P P

(0509.10.003.1460.60-515-615) TOR Trust Fund B (9774711) TOR Trust Fund A (9774700)

30.00 30.00

P 100.00 P 460.00

OTR COG

copies x 100 copies x 30

TOTAL * OTR consists of 2 pages only

Optional: PURPOSE OF APPLICATION (Pls. check): Employment Local Abroad Scholarship Local Abroad Enrollment Local Abroad Migration Records Purposes PRC Licensure Exam BAR Exam Transfer to other School COPY FOR (Notation) UPDilman / UP System

DATE: AMT PAID O.R. NO. P-MED LAE

Others

NAME OF STUDENT
(Please Print Legibly)
LAST FIRST MIDDLE MAIDEN

(Based on birth certificate; If married, encircle family name used during last enrollment in U.P.) PERMANENT ADDRESS: STUDENT NO.: Father's Name: Mother's Maiden Name: DATE & PLACE OF BIRTH OF STUDENT PLEASE CHECK: To be picked up personally (unclaimed TORs/COGs within 6 months are shredded) To be mailed to the following address (es) (If more than one, attach mailing list) CONTACT NO: To be placed in official envelope(s) COLLEGE(S)/UNIT(S)* ATTENDED IN U.P. DEGREE/MAJOR Yes INCLUSIVE DATES No DATE OF GRADUATION

NOTE: NON-DISCLOSURE of complete enrollment in UP will cause delay in processing your TOR since an UPDATED CLEARANCE IS NEEDED.

*If shiftee, please indicate college last attended. sadf U.P. CAMPUS(ES) WHERE YOU CROSS REGISTERED (If any)

INCLUSIVE DATES

For students who transferred or obtained their first degree from another school, please indicate all schools attended in chronological order: Name & Location of Institution Inclusive Dates Degree/Title Obtained

Signature of Student: Tel./Mobile No: If representative is filing the application for the student, please furnish the following information: Name of Representative: Signature: Complete Address: Tel./Mobile No:

E-mail add: E-mail add:

the

NOTE: 1) If to be claimed by a REPRESENTATIVE, present a letter of authorization, claim stub and your valid I.D. upon claiming requested documents.

REV. jc 03262012

FOR UNIVERSITY CLEARANCE APPLICATION ONLY

UP Form 241 (Revised Mar 2012)

(To be filled up by OSCC personnel) PENDING ACCOUNT WITH _______________________________

OFFICE OF THE UNIVERSITY REGISTRAR UNIVERSITY OF THE PHILIPPINES - DILIMAN One-Stop Student Clearance Center (OSCC)
IMPORTANT: 1. PLEASE PROVIDE ACCURATE & COMPLETE DATA TO AVOID DELAY
IN PROCESSING. 2. KEEP YOUR CLEARANCE CARD WHICH YOU WILL PRESENT EACH TIME YOU TRANSACT BUSINESS REQUIRING CLEARANCE (e.g. APPLICATION FOR TRANSCRIPT OF RECORDS, DIPLOMA, HONORABLE DISMISSAL and CERTIFICATE OF GRADUATION).

DATE RECEIVED _________BY________

TRANSCRIPT FUND B CODE # 9774711 Records Section CERTIFICATION:

CLEARANCE - P 30.00 O. R. No. : _____________________ AMT. PAID : ____________________ DATE : _________________________

STUDENT NO.

PURPOSE: ____________________________________ SIGNATURE _________________

NAME ___________________________________________________________ FAMILY FIRST MIDDLE MAIDEN

(If married woman, encircle family name used during last enrollment in UP)

FIRST ENROLLMENT IN U.P. ________________________________________________________ SEMESTER ACADEMIC YEAR COLLEGE LAST ENROLLMENT IN U.P. ________________________________________________________ SEMESTER ACADEMIC YEAR COLLEGE YEAR GRADUATED ___________________ DEGREE ________________________________ PRESENT ADDRESS __________________________________________________ First Time to Apply Yes No CONTACT NO. (Landline/Mobile phone)______________________________ E-MAIL : _____________________________ COLLEGE STUDENT DISCIPLINARY TRIBUNAL (SDT)
CLEARED BY _____________ DATE _________ CLEARED BY _____________ DATE _________

UNIVERSITY LIBRARY / COLLEGE LIBRARY

CLEARED BY _____________ DATE _________

U.P. HEALTH SERVICE

CLEARED BY _____________ DATE _________

UP STUDENT HOUSING (DORMITORY)

CLEARED BY _____________ DATE _________

STUDENT LOAN BOARD

CLEARED BY _____________ DATE _________

OFFICE OF THE UNIVERSITY REGISTRAR Graduation Fee P ______________ OR # ________________ Date __________________ UNDERASSESSMENT Nature
__________________________ __________________________ __________________________ __________________________

Semester
__________________ __________________ __________________ __________________

Amount
____________________ ____________________ ____________________ ____________________

OR#
___________________ ___________________ ___________________ ___________________

Date
___________________ ___________________ ___________________ ___________________

CLEARED (Underassessment) BY _____________ DATE _________

CLEARED (Scholarship) BY _____________ DATE _________

ENTRANCE CREDENTIALS SUBMITTED Official Transcript of Records _______________ High School Card _________________________ F 137 __________________________________ ______________________________________ GRADUATED IN U.P. YES NO DEGREE & DATE _________________________

CLEARED BY AMELITA S. JORDA CHIEF ADMISSION and REGISTRATION SECTION DATE _________________ AS OF _________________