Republic of the Philippines Republic of the Philippines

Tarlac State University Tarlac State University

REGISTRATION OFFICE REGISTRATION OFFICE
Tarlac City Tarlac City

STUDENT CLEARANCE STUDENT CLEARANCE

This certifies that M______________________________________ This certifies that M______________________________________

is cleared of all responsibilities with the University, during is cleared of all responsibilities with the University, during
the ________Semester, School Year_______________ the ________Semester, School Year_______________

Graduate Undergraduate Graduate Undergraduate

Librarian Librarian

Cashier Cashier

Dir., Student Dev't. Dir., Student Dev't.

College Dean College Dean

Registrar Registrar

Please claim at : Please claim at :

WINDOW WINDOW

Form No.: TSU-REG-SF-07 Revision No: 00 Effectivity Date: June 20, 2016 Page 1 of 1 Form No.: TSU-REG-SF-07 Revision No: 00 Effectivity Date: June 20, 2016 Page 1 of 1

Republic of the Philippines Republic of the Philippines

Tarlac State University Tarlac State University
REGISTRATION OFFICE REGISTRATION OFFICE
Tarlac City Tarlac City

STUDENT CLEARANCE STUDENT CLEARANCE

This certifies that M______________________________________ This certifies that M______________________________________

is cleared of all responsibilities with the University, during is cleared of all responsibilities with the University, during
the ________Semester, School Year_______________ the ________Semester, School Year_______________

Graduate Undergraduate Graduate Undergraduate

Librarian Librarian

Cashier Cashier

Dir., Student Dev't. Dir., Student Dev't.

College Dean College Dean

Registrar Registrar

Please claim at : Please claim at :

WINDOW WINDOW

Form No.: TSU-REG-SF-07 Revision No: 00 Effectivity Date: June 20, 2016 Page 1 of 1 Form No.: TSU-REG-SF-07 Revision No: 00 Effectivity Date: June 20, 2016 Page 1 of 1