NORTH EASTERN MINDANAO STATE UNIVERSITY
Rosario, Tandag City, Surigao del Sur 8300
Telefax No. 086-214-4221
Website: www.sdssu.edu.ph
APPLICATION FOR GRADUATION
Platitas John Leo Pontevedra 22 Male Single
1. NAME: _____________________________________________________________________________________________________
(Surname) (Given Name) (Middle Name) Age Sex Status
09073497045
Contact Number: __________________________________ ID Number: _____________________________
19-01395
July 16, ____________________
Date of Birth: ________ 2000 Tago, Surigao del Sur
Place of Birth: __________________________________
Victoria Platitas
Parent/ Guardian:_____________________________ Prk. Avocado Evergreen, Brgy. Purisima, Tago, SDS
Address: ___________________________________________________
Bachelor of Science in Business Administration Major: _________________________________________
Course:__________________________________________________ Financial Management
Primary Grade Completed: Mga _______________________________________________
Bayani ng Pilipinas Elem. School 2007-2010
Year: __________________________
2010-2013
Intermediate Grade Completed: __________________________________________Year:_________________________________
Mga Bayani Ng Pilipinas Elem. School
Saint Theresa College of Tandag INC
High School Completed: __________________________________ Year: 2018-2019
_____ ___________________________
2. List of all subjects currently enrolled:
_________________________________________
FM9-Practicum/Work Integrated ________________________________ ____________________________________
_________________________________________ ___________________________________ _________________________________
June 16, 2023
3. I signify to join graduation ceremonies on ________________________________. My Actual graduation will
be depending upon satisfactory completion of my course enrolled in.
________________________
Signature of Applicant
RECOMMENDING APPROVAL:
JUDITH J. SANCHEZ, MICB, Ph.D RIZZA MAE C. AZARCON, DBA
Program Chairman Department Chair
RAMEL D. TOMAQUIN, Ph.D, DPA
Dean
4. List of Deficiency:
(Note: Do not fill this Portion)
__________________________________ ____________________________________ _______________________________
__________________________________ ____________________________________ ________________________________
__________________________________ _____________________________________ ________________________________
ACTION TAKEN: CHECKED & VERIFIED BY: JULIE ANN SARZUA-AMPARO
DATE: ____________________________________
( ) Approved ( ) Disapproved
LYNNET A. SARVIDA
Registrar III
FM-REG-005D/REV002/01.26.23/PAGE1