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CGS FORM 12 - Application for Comprehensive Exam ok ok

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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.
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CGS FORM 12
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