graduation clearance 2
DESCRIPTION
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Republic of the Philippines
POLYTECHNIC UNIVERSITY OF THE PHILIPPINES Office of the Vice President for Academic AffairsCOLLEGE OF COMPUTER AND INFORMATION SCIENCES
PERSONAL INFORMATION
Student Number: ____________________
________________________________________________________________________Last Name First Name Middle Name
Gender: _______________ Birthday (MM/DD/YYYY): ___________________________
Email Address: ___________________________________________________________
Mobile Number: __________________________________________________________
Permanent Address: _______________________________________________________
________________________________________________________________________
Contact Number: _________________________________________________________
Current Address: __________________________________________________________
________________________________________________________________________
Contact Number: _________________________________________________________
I certify that all the data indicated in this information sheet are correct.
_______________________________ Signature over printed name
I allow the college and the department to use my personal information for purposes of contacting me for future studies and placement services.
_______________________________ Signature over printed name
Republic of the Philippines
POLYTECHNIC UNIVERSITY OF THE PHILIPPINES Office of the Vice President for Academic AffairsCOLLEGE OF COMPUTER AND INFORMATION SCIENCES
Graduation Clearance
Remark DateFor COPYRIGHT
- Two (2) copies of Thesis Docs (Hardbound with signatures)
- CD (2 pcs) containing the following
o Thesis manuscript – WORD file
o Thesis manuscript – PDF file
- CD (2 pcs) containing the following
o Tool/Software - PACKAGED
- Four (4) copies of the following
o Copyright Application - PAPER
o Copyright Application – TOOL/SOFTWARE
o Affidavit of Co-Ownership - PAPER
o Affidavit of Co-Ownership – TOOL/SOFTWARE
For COLLEGE/UNIVERSITY COPY
- Proofreading certification (included in Thesis Docs)- Two (2) copies of Thesis Docs (Hardbound with
signatures)- CDs (3 pcs) containing the following
o Thesis manuscript – WORD file
o Thesis manuscript – PDF file
o Thesis Paper (ACM Format) – WORD file
o Thesis Paper (ACM Format) – PDF file
o Poster (softcopy)
o Complete Project files – PACKAGED
o Complete Project files – SOURCE CODE* Remarks: Put OK if complied with, otherwise do not put any marks. Students are advised to prepare at least a copy of the document and have it checked in the department for format compliance before having it reproduced and binded.
Conformed to all department requirements:
______________________________