[Wavier on the use of Graduation Picture and clearance for Graduation]

Instructions:

hopefully this:

  1. is easier than printing, signing, scanning and sending
  2. is safer than walking around asking people to sign during pandemic
  3. is less worrisome than sending around electronic photos of signature
  4. fills up the gap of google form for not having signatures
  5. enables the creation of online forms faster than development of systems for each form

 


Wavier on the use of Graduation Picture and clearance for Graduation
FM-VPA-084
Rev 1/06.13.17

user: Login for workers with AOLIS Account | Login for Students with AOLIS Account | Login with @aup.edu.ph AUP Email account | | time: Tue Dec 7 23:24:04 PST 2021 , forminstanceid: 0 Last signed: . Last edited: . | Signatures/Approvals: 0/0

Name

Address

Date of Graduation

Program

Document Date

Location

I, (Name) of legal age, with address at (Address) hereby acknowledge that my joining the graduation exercises of the Adventist University of the Philippines on (Date of Graduation), with my photograph and name appearing in the printed souvenir programme and the rights and privileges thereto attached as a bona fide graduate of the Adventist University of the Philippines are subject to and dependent upon the following conditions:

  1. that I shall have satisfied all of the requirements enjoined in my program;
    1. As evidenced by the copy of the updated checklist I have on hand and confirmed by my department chair.
    2. As an undergraduate student I am aware that; 1) all my grades are passing, 2) I have taken 12 units of Bible, all PE courses, Home Skills, and one more Voed, Work Ed 1 and 2, Forum in all semesters, Student Convocation in all semesters.
    3. As a graduate student, I have complied with all the requirements of the CGS.
  2. that my name has been voted and approved for graduation by the Academic Administration Council; and
  3. that my name has been cleared by the RAO, Academics, Student Services, and Student Finance offices of the University.

Unless all the above conditions are met, I waive my privilege as having graduated from AUP for the degree of (Program).

I declare that I shall not use my photograph and my name appearing in the souvenir program as evidence that I graduated. Further, that I shall not post any photograph, comments, and exhibits on any social media sites that may imply that I have already graduated giving false hopes to parents and parties and thus may complicate situations until I shall have satisfied the conditions herein specified.

I finally declare that I have read and understood this entire document and that I voluntarily and willingly execute this waiver with full knowledge of my rights under the law.

IN WITNESS WHEREOF, I have hereunto set my hand this (Document Date) at (Location).

Conforme
Please login to Approve/Decline/Sign.

This is a sequentially required signature.

SIGNED IN THE PRESENCE OF

Witness 1
Please login to Approve/Decline/Sign.

This is a sequentially required signature.
Witness 2
Please login to Approve/Decline/Sign.

This is a sequentially required signature.

CERTIFICATION

SUBSCRIBED AND SWORN to before me this

day of

in the year

in the City of

the conforme exhibiting to me his

With this I hereby certify that I have personally examined the Conforme and I am satisfied that he/she voluntarily executed and understood the said claim.

Doc. No.

Page No.

Book No.

Series of

Photo of Notarial Certificate (https://sc.judiciary.gov.ph/12490/)

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