e: FM-URO•007

WAIVER Lunent o
Revision Number 00 t,
(By the CANDIDATE FOR GRADUATION) Effective Date: Febru p
e of

1 a senior student taking the

(PLEASE PRINT) Family Name First Name Middle Name

course, rcspcctfully request that I be allowed to join

the

GRADUATION RITES in
I expect to finish all

( ) First
( ) Second Semester

( ) Short Term

Should my application to participate in the GRADUATION RITES BE APPROVED, 1 st-nil voluntarily and
willingly subject myself to the following conditions:

l. That my application for the issuance of Registry of Graduates No. shall be filed by the University Registrar's
Offce only upon propa- evaluation and recommendation by the Dean and upon submission of all supporting
papers that may bc required by the University Registrar's Offce pursuant to existing CHED rules and regulations
and after the final evaluation of the Registrar's Office;

2. That I shall not claim nor demand for a diploma or ca•tificate unless and until my application for graduation
shall have been APPROVED and CONFIRMED BY AN R.O.G. NO. ISSUED BY SAINT LOUIS
UNIVERSITY;

3. That should r obtain "NC-INC/NFE" marks at the end of the tam, I shall LQ! be allowed to join the graduation
exercises unlÄs and until I have completed my INCINFE nurks before the graduation exercises;

4. That should I obtain "FAILED (F)" or "DROPPED (DR)" marks at the end of this ta-m, I shall not be allowed
to participate in the graduation ocercises.

5. That all my personal data collected from the student information system and from the Application for
Graduation form will be shown/used during in-person commencement exacises and will be published in the
SLU website, the omcial Social Media Account, and in the virtual graduation ceremony, if applicable. The
collected information will also be posted in bulletins in the university, publications, and commencement
exacises programme, if any, as maybe deemed necessary by the University in compliance with Data Privacy Act
of 2012 (R.A. 10173), its Implementing Rules and Regulations, and other applicable laws.

Signed at Baguio City, Philippines, this day of

CONFORME
(PARENT'S PRINTED NAME & SIGNATURE) (CANDIDATE'S SIGNATURE)

APPROVED

(DEAN)

School of

Date
Tms DULY ACCOMPLISHED WAIVER SHOULD BE ATTACHED TO THE APPLICATION FOR
GRADUATION.

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