Republic of the Philippines PALOMPON INSTITUTE OF TECHNOLOGY Palompon, Leyte COLLEGE OF GRADUATE STUDIES APPLICATION FOR COMPREHENSIVE EXAMINATION TERM:________________ S.Y.______________ Date NAME: ___________________________________________________________________ COURSE PURSUED: ______________________________________________________ DATE OF ADMISSION: ____________________________________________________ SCHOOL LAST ATTENDED ________________________________________________ Home Address: ____________________________________________________________ Contact Number: _______________________ Email: ___________________ PAID / OR No.: _________________ DATE: ________________________ (Student’s Signature) CERTIFIED CORRECT AND EVALUATED: JONALOU D. GECAIN Registrar III APPROVED: Requirements to take Comprehensive Examination: -Filled-up application form -Enrolment (residency) -Evaluation of Grades -Submission of Transfer Credentials -Clearance Goal: SONIA A. PAJARON Dean, CGS To produce globally competitive graduates trained to excel in their field of specialization through quality and excellence, relevance and responsiveness, access and equity, and efficiency and effectiveness with high moral values, ethical standards and personal discipline. Page 1 of 1 CGS FORM 12