ADAMSON UNIVERSITY 2x2 Picture 900 San Marcelino Street, White Background 1000, (Business Attire) Office of the Registrar

Student Number APPLICATION FOR CANDIDACY FOR GRADUATION

*This is to inform you that upon signing on this document you hereby provide your consent to (“AdU”), to process your personal data for the purpose of documentation and accreditation evidence. The Personal Data, including pic- tures, collected herein will only be used for the purpose stated above and will be stored and eventually be disposed securely in accordance to AdU’s retention and disposal policies.

Completely fill up this form legibly:

______Expected to Graduate Degree / Title Applied for Major (Term / Semester)

Complete Name (Please print): ______(Last Name) (First Name) (Middle Name)

Date and Place of Birth: ______Nationality: ______Gender: ______Parent / Guardian: ( ) Ms. ( ) Mrs. ( ) Mr. ______Home / Mailing Address (Complete): ______Admission Credentials: ______Admission Status: ______School Last Attended (Before admission to ADU): ______Landline #: ______Mobile #: ______E-mail Address: ______

EDUCATIONAL BACKGROUND

PROGRAM SCHOOL DATE OF GRADUATION

Elementary: ______Secondary: ______Bachelor’s Degree: ______Master’s Degree: ______Thesis / Dissertation Title: ______

PRESENTLY ENROLLED COURSES:

COURSES UNITS COURSES UNITS

______

AFFILIATIONS / ORGANIZATIONS POSITION DATE ______

I UNDERSTAND THAT:

1. I will have my picture taking at the Institutional Development and External Affairs (IDEA) Office.

2. If I have not completed all the academic and non-academic requirements two weeks before the Commencement date, I will not be eligible for graduation and may not take part in the Commencement Exercise.

3. The Office of the Registrar may not act on this application if any of the above information is found to be incorrect.

______Signature and Date

F-REG-304 Rev. 4 (08-01-20)