@if($status->academic_type == "Senior High School" || $status->academic_type == "Junior High School") @endif @if($status->academic_type != "Senior High School" && $status->academic_type != "Junior High School") @endif @if($status->academic_type != "Senior High School" && $status->academic_type != "Junior High School") @endif
DMMC INSTITUTE
OF HEALTH SCIENCES
Office of the Registrar
REGForm01-2011
STUDENT CLEARANCE FORM
ACADEMIC INFORMATION
ID Number: {{$user->idno}}
Course/Track: @if($status->academic_type=="Senior High School"){{$status->track}} @else {{$status->program_name}} @endif
Date Received: GRADUATION REASOoN FOR CLEARANCE
PERSONAL INFORMATION Yes, I graduated on
Date:_________________

No, I last attended DMMC IHS on
Term _________ S.Y. _______-_______ 		____ End of Term: 1st/2nd/Summer
____ Graduation
____ File for Transfer Credentials
____ Filing of LOA
____ Dropping
____ Others:_____________________
Lastname: {{$user->lastname}}
Firstname: {{$user->firstname}}
Middlename: {{$user->middlename}}
Maidenname(if married):
Gender: {{$studentinfo->gender}}
Birthdate: {{$studentinfo->birthdate}} SIGNATURE
Citizenship: {{$studentinfo->Citizenship}}
CONTACT INFORMATION
Address: {{$studentinfo->street}} Contact No. (Home): {{$studentinfo->contact_no}}
{{$studentinfo->barangay}} {{$studentinfo->municipality}} Cellphone No:
{{$studentinfo->province}} {{$studentinfo->zip}} Email Address: {{$user->email}}
CLEARANCE
Please sign if the concerned student is free from responsibility or obligation with your department. Otherwise, specify the reason why we should hold his/her request.
Department
Accountability
Name
Signature
Date Signed
Class Adviser
@if($status->academic_type == "Senior High School") SHS Principal @else Dean/Dept. Head @endif
Laboratories
Property Custodian
Library
Guidance Office
Clinic
Student Affairs
Student Council
Research Dept.
 (For student enrolled in Research Only)
Accounting
Registrar Office
Remarks:________________________________________________________________________________________________________________________________
Note: Please submit fully accomplished clearance to the Registrar's Office.