[ ] AMA Computer Learning Center [ ] AMA International Institute of Technology
[ ] AMA Telecomm. & Electronics Learning Center [ ] St. Augustine School and Nursing Branch: ____________________ Course: ________________
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NAME : ______________________________________________ CONTACT # : ______________________________ ADDRESS : __________________________________________________________birth place:_______________________________ DATE OF BIRTH : _____________________ AGE: _______________ STATUS: _________________ UNEMPLOYED: [ ] EMPLOYED: [ ] DATE HIRED: _______________________________ NAME OF COMPANY (if hired): ____________________________________________________________________ COMPANY ADDRESS: ____________________________________________________________________________ SCHOOL DETAILS (BEFORE ENROLLING TO ACLC/AIIT/SASN) FRESHMAN (HIGH SCHOOL GRADUATE) High School: __________________________________________ Location: ____________________ Date of Graduation: __________________ TRANSFEREE (GRAD//UNDERGRAD FROM OTHER COLLEGES/UNIV.) School Last Attended: _____________________________ Location: ___________________ School Year: __________ ACLC/AIIT/SASN INFORMATION (AMA Education System) School Year Admitted in AMA: ___________________ Status: Graduated (SY _______________) Undergraduate (SY _______________) REQUESTING FOR: Transcript of Records S. O. # ___________________________________ No. of Request Honorable Dismissal Others (specify) ___________________________ 1ST Request Diploma 2nd Request DO NOT FILL-UP THIS PORTION FOR REGISTRAR PERSONNEL SUBMITTED REQUIREMENTS: Clearance F137 / Affidavit of Loss (in case of loss) for FRESHMAN Special Order File Transcript of Records from Previous School (if OJT Certificate (for GRADUATE STUDENT) TRANSFERREE) I.D. (ACLC) With seal TRANSCRIPT OF RECORDS (TOR) / Diploma NSO Birth Certificate/Marriage Certificate from ACLC 2x2 picture in WHITE BACKGROUND Evaluation / Class Cards / True Copy of Grades Others: _________________________ REQUIREMENTS TO BE SUBMITTED: 1. ______________________________________________ 4. ______________________________________________ 2. ______________________________________________ 5. ______________________________________________ 3. ______________________________________________ 6. ______________________________________________ Date filed : ______________________________ Student Signature: ___________________ Remark : ______________________________ Follow-up : ______________________________ Date of Release : ___________________ ===========================================================================================
NAME : __________________________________ Branch : _______________________
Follow-up : __________________________________ Date of Release : _______________________
DO NOT FILL-UP THIS PORTION FOR REGISTRAR PERSONNEL ONLY
REQUESTING FOR Payment Transcript of Records T.O.R. --------------------------------- - Php Certificate of Graduation Diploma ------------------------------- - Honorable Dismissal Doc. stamp (T.O.R. / Diploma)----- - Diploma Others (specify) ______________- - Others (specify) _______________ Total Payment------------------------ - Php REQUIREMENTS TO BE SUBMITTED: F137 / Affidavit of Loss (in case of loss) for FRESHMAN Special Order File Transcript of Records from Previous School (if OJT Certificate (for GRADUATE STUDENT) TRANSFERREE) I.D. (ACLC) With seal TRANSCRIPT OF RECORDS (TOR) / Diploma NSO Birth Certificate/Marriage Certificate from ACLC 2x2 picture in WHITE BACKGROUND Evaluation / Class Cards / True Copy of Grades Others: _________________________ Clearance AMA COMPUTER LEARNING CENTER – REGISTRARS OFFICE Address: Room 402, 4/F APC Bldg., 1186 Quezon Avenue, Quezon City Contact # (02) 411-1334 / 411-1335