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[ ] AMA Computer Learning Center [ ] AMA International Institute of Technology

[ ] AMA Telecomm. & Electronics Learning Center [ ] St. Augustine School and Nursing
Branch: ____________________ Course: ________________

--------- ALL ENTRIES SHOULD BE IN BOLD LETTERS---------


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

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