AKLAN STATE UNIVERSITY
CITIZEN’S CHARTER
Table of Contents Vision/Mission Performance Pledge Feedback and Redress Mechanism FRONTLINE SERVICES: I. Registrar’s Office For Undergraduate Level Admission (Pre-Registration) University Admission Test Application College/School Entrance Test/Interview Admission (Registration) For Graduate Level Pre-Admission Admission (Registration) Application for Comprehensive Examination Issuance of Certificate of Grades Issuance of Certification of Student’s Graduation Issuance of Certificate of Enrolment Authentication of T/R, Diploma & other Academic Records Application and Releasing of Transcript of Records II. Accounting Office Issuance of Statement of Account/Balances III. Dean’s Office Comprehensive Examination Application for Outline Defense Application for Pre-Oral Defense Application For Final Oral Defense Issuance of Final Examination Permit Release of Class Cards with Grades to the Students Signing of Clearance Validation of Subjects Request for Cross Registration to the other Schools Shifting of Course Issuance of Certification of the Use of English Language as a Medium of Instruction Conduct of Classes IV. Library Services Application and Issuance of Library Card Application and Issuance of Library Card - Banga Validation of Library Card Application and Re-Issuance of New Library Card Photocopying of Library Materials Library Reader’s Guidance/Reference Assistance
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Circulation of Books – Lending Services (Open Shelf Policy) Circulation – Returning of Books Issuance of Referral Letters Audio-Visual Services Computer/Internet Access Library Signing of Clearance V. Office of Student Affairs Application for Certificate Good Moral Character University Admission Test Approval of Permits of Student Activities Accreditation of Student Organizations Housing and Dormitories Processing of Scholarship Applications Student Assistantship VI. Guidance Office Excuse Letter Psychological Testing (for Outside Clients) Psychological Testing (For Enrolled Clients) VII. Medical Services Consultation and Treatment Physical Examination Issuance of Medical Certificate VIII. Dental Services Issuance of Certification for Enrolment to all New Students Oral Health Evaluation and Education for all New Students Treatment of Emergency Cases Assignment of Date and Time for Appointment Treatment of Appointed Cases (Non Emergency) Issuance of Certificate of Dental Treatment IX. NSTP Services Registration of Student Enrollees Validation and accreditation of grades and units taken of transferees. Issuance of Orders / Serial Number and Certification Establishment of linkages and network. X. Research Services Conduct of Training in Research Request for Capability Building Request for Consultancy Services XI. Extension Services Conduct of Extension/Training Activity Dissemination of Information, Education and Communication (IEC) Materials Feedback Form
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Vision An Academic Pillar of Excellence (APEX) for Sustainable Development
Mission Aklan State University is committed to offer degree and non-degree curricula in agriculture, forestry, veterinary medicine, fishery, arts and sciences, engineering and technology, education and management sciences to produce globally competent professionals, leaders, and entrepreneurs through technological breakthroughs in research, efficacy of extension, and efficiency in production.
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Performance Pledge We, the public service providers of the Aklan State University, do hereby commit to: ctively perform our tasks and obligations with efficiency, promptness and courtesy; erve our clientele based on the standards set in our Citizen’s Charter within the bounds of the code of ethics; and, nwaveringly act on every request, especially from the differently/specially-abled clients, and take comments and Usuggestions positively. These we solemnly pledge, with utmost humility, in the name of our God and country.
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Feedback and Redress Mechanism Please let us know how we have served you by doing any of the following: Accomplish our Feedback Form available in the offices and drop it in the suggestion box located at the entrance of the Administration building and at the Library Building; E-mail to:
[email protected] Send your feedback by calling us at (036) 267-5801 or (036) 267-7134; and Talk to our Officer-of-the-Day assigned in the Public Assistance Desk or inform the Security Guard on Duty at the Administration Building. If you are not satisfied with our service, your written/verbal complaints shall immediately be attended to by the Officer-of-the Day at the Public Assistance and Complaints Desk. THANK YOU for helping us continuously improves our services.
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Registrar’s Office Undergraduate Level
ADMISSION (PRE-REGISTRATION) University Admission Test Application Service Time: Monday – Friday (As scheduled) 8:00 AM – 5:00 PM Clients: New student applicants, transferees and Accreditation & Equivalency (A & E) Test passers Requirements: 1. New Student Applicants a. Photocopy of Form 138 (Report Card) or Transcript of Records 2. Transferees a. Photo copy of Transcript of Records certified by the registrar 3. Accreditation & Equivalency (A & E) Test Passers a. A & E Test result Duration: 15 minutes Procedure: DURATION OF THE ACTIVITY STEP STUDENT APPLICANT SERVICE PROVIDER (Under Normal Circumstances) 1 Secures UAT Application Form Issues application form 5 minutes from the Guidance Office
PERSON RESPONSIBLE
FORM/S
Registrar’s Office Personnel
UAT Application Form
2
Fills out University Admission Application Form
3
Pays the UAT Fee
Accepts payment and issues Official Receipt
10 minutes
Cashier’s Office Personnel
4
Presents filled out UAT Application Form and other requirements for perusal
Checks UAT application form and issues schedule for taking University Admission Test (UAT)
5 minutes
Registrar’s Office Personnel
FEE
Php100.00
End of Transaction
* UAT Application form is free and may be photocopied * University Admission Test fee is P 100.00 only.
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Registrar’s Office Undergraduate Level
COLLEGE/SCHOOL ENTRANCE TEST/INTERVIEW Service Time: Monday - Friday (As scheduled) 8:00 AM – 9:00 AM 10:00 AM – 11:00 AM
1:00 PM – 2:00 PM
3:00 PM – 4:00 PM
Clients: New student applicants, transferees and Accreditation & Equivalency (A/ E) Test passers Requirements: 1. University Admission Test Result 2. Form 138 (Report Card) / Transcript of Records (A GPA of 85% or higher for Teacher Education course and a grade of 85% or higher in Science and Technology, English and Mathematics for DVM, Business Management, Engineering and Accountancy courses is required); and/or A & E Test Result Duration: 1 hour and 25 minutes Procedure: STEP 1 2
3
4
STUDENT APPLICANT Gets UAT result from OSA Pays qualifying exam fee (Bachelor’s Degree only) at the Cashier’s Office Proceeds to College/School for qualifying exam and present examination permit Undergoes Exam/Interview
DURATION OF THE ACTIVITY (Under Normal Circumstances) 5 minutes 5 minutes
SERVICE PROVIDER Releases UAT result Receives payment, issue official receipt and examination permit Accepts and checks examination permit, assign seat and give preliminary instructions Administers college/school entrance test/ conduct interview
15 minutes
PERSON RESPONSIBLE OSA Personnel Cashier’s Personnel
FORM/S
FEE
Php100.00
Examiner/Interviewer from Dean’s Office
1 hour
End of Transaction
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Registrar’s Office Undergraduate Level
ADMISSION (REGISTRATION) Service Time: Monday – Friday (As scheduled) 8:00 AM – 5:00 PM Clients: New (and Old) student applicants, transferees and Accreditation & Equivalency (A/E) Test passers Requirements: 1. New Student Applicants a. University Admission Test (UAT) Results b. Form 138 (Report Card) c. Certificate of good moral character signed by school head d. Medical certificate signed by University Physician e. Two recent ID pictures (2”x2”) f. Certificate of live birth issued by the National Statistics Office (NSO) 2. Transferees a. University Admission Test (UAT) Results b. Transfer Credential (Honorable Dismissal) c. True copy of Transcript of Records certified by the Registrar d. Medical certificate signed by University Physician e. Two recent ID pictures (2”x2”) f. Certificate of live birth issued by the National Statistics Office (NSO) 3. A&E Test Passers a. University Admission Test (UAT) Results b. A & E Test result c. Certificate of good moral character signed by school head of last school attended d. Medical certificate signed by University Physician e. Two recent ID pictures (2”x2”) f. Certificate of live birth issued by the National Statistics Office (NSO) 4. Old Students a. Student clearance of last term attended b. Complete set of class cards and registration form of last term attended c. Approved leave of absence for returnee Duration: 2 hours and 30 minutes
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Procedure: STEP 1
STUDENT APPLICANT Presents admission requirements at the Registrar’s Office for preliminary assessment
2
SERVICE PROVIDER Accepts and pre-asses admission credentials
DURATION OF THE ACTIVITY (Under Normal Circumstances) 15 minutes
PERSON RESPONSIBLE
Issues subject appraisal form
5 minutes
Registrar’s Office Personnel
Fills out Appraisal Form
4
Submits subject appraisal form at the Dean’s Office Submits approved subject validation form and admission credentials at the Registrar’s Office and gets registration form (RF) Fills out registration form
Checks, assesses and signs appraisal form
10 minutes
Dean’s Office Personnel
Validates admission credentials and issues RF
10 minutes
Dean’s Office Personnel
7
Submits registration form and secures approval of the Dean
10 minutes
Dean’s Office Personnel
8
Secures student inventory form at the Guidance Office Fills out Student Inventory Form
Checks the approved subjects to be enrolled as reflected in subject appraisal form Issues student inventory form
5 minutes
Guidance Counselor
Checks student inventory form (and process and validate scholarship information form, if applicable) Validates and approves RF
15 minutes
Guidance Counselor
20 minutes
Registrar’s Office Personnel
Assesses tuition and other fees
10 minutes
Accounting Office Personnel
Receives payment and issues official receipt
10 minutes
Cashier’s Office Personnel
Checks and posts payment, and receives Accountant’s copy of RF
5 minutes
Accounting Office Personnel
6
9 10
Submits filled out student inventory (and scholarship information, if any)
11
Goes back to Registrar’s Office to present enrolment credentials and have Registration Form (RF) validated Proceeds to Accounting Office for assessment of fees Pays tuition and other fees at Cashier’s Office Goes back to Accounting Office, presents official receipt of payment for posting, and submits Accountant’s copy of RF
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FEE
Registrar’s Office Personnel
3
5
FORM/S
Subject Appraisal Form
Scholarship Information Form
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Proceeds to Registrar’s Office for official enlistment and submits copy of RF and get class cards a. For new/Transferee and A&E students, goes to OSA and applies for student ID
Receives Registrar’s copy of RF and issues class cards
3 minutes
Registrar’s Office Personnel
Process student ID
30 minutes
OSA Personnel
ID application slip
b. For old student, validation of ID
Revalidation of ID
Registrar’s Office Personnel
Current ID
Submits Dean’s copy of RF to Dean’s Office Applies library card at the Library (Renew, for old student)
Receives and file Dean’s copy of RF
2 minutes
Dean’s Office Personnel
Accepts and enlists (re-issue, for old students) library card applicants
10 minutes
Library Personnel
10 minutes
Library Card Application Form
End of Transaction
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Registrar’s Office Graduate Level
PRE-ADMISSION Service Time: Monday – Friday (As scheduled) 8:00 AM – 5:00 PM (No Noon Break) Clients: Regular New Graduates Student Applicants and Transferees Requirements: 1. Certified true copy of Transcript of Records 2. Certificate of Honorable Dismissal from the last School attended 3. Recommendations/appraisals from two (2) professors/superiors and colleagues 4. Permit to study (if employed) 5. Service Records 6. Marriage Contract (for married women) 7. Two recent ID pictures (1x1) Duration: 1 hour and 40 minutes Procedure: STEP
STUDENT APPLICANT
1
Secures University Admission Test (UAT) Application Form from the Registrar’s Office Fills out University Admission Test Application Form Presents filled out UAT Application Form and credentials for screening to the Registrar.
2 3
4
Pays UAT fee at Cashier’s Office
5
Submits admission credentials to Registrar’s Office and gets registration form (RF) Undergoes interview/ takes examination Gets entrance test/interview results
6 7
SERVICE PROVIDER
Issues UAT Application Form
Checks UAT application, screens credentials and issues schedule for taking University Admission Test (UAT) Receives UAT fee, issues official receipt and examination permit Validates admission credentials and issues RF Conducts interview/entrance examination Releases of Notice of Admission
DURATION OF THE ACTIVITY (Under Normal Circumstances)
PERSON RESPONSIBLE
5 minutes
Registrar’s Office Personnel
10 minutes
Registrar’s Office Personnel
5 minutes
Cashier’s Office Personnel
10 minutes
Registrar’s Office Personnel
1 hour
Dean
10 minutes
Dean’s Office personnel
FORM/S
FEE
Php100.00
Application for Admission
End of Transaction
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Registrar’s Office Graduate Level
ADMISSION (REGISTRATION) Service Time: Monday - Saturday (As scheduled) 8:00 AM – 5:00 PM Clients: New graduate student applicants and transferees Requirements: 1. Certified true copy of Transcript of Records 2. Certificate of Honorable Dismissal from the last School attended 3. Recommendations/appraisals from two (2) professors/superiors and colleagues 4. Permit to study from supervisor (if employed) 5. Service Records 6. Marriage Contract (for married women) 7. Two recent ID pictures (1x1) 8. Notice of Admission Duration: 1 hour and 10 minutes Procedure: STEP 1 2 3 4
STUDENT APPLICANT Presents admission requirements at Registrar’s Office Gets and fills out registration form
8
Fills out Appraisal Form Proceeds to Accounting Office for Assessment of Fees Pays tuition & other fees at the cashier’s office Submits accountant’s copy of the Registration Form (RF) Submits Registrar’s copy of RF and get class cards Secures approval of the Dean
9
Gives Dean’s copy of the RF
5 6 7
SERVICE PROVIDER Accepts and validates admission credentials
DURATION OF THE ACTIVITY (Under Normal Circumstances) 10 minutes
PERSON RESPONSIBLE
FEE
Registrar
Issues, evaluates and approves registration form
5 minutes
Registrar’s Office Personnel
Assesses tuition and other fees
10 minutes
Accounting Office Personnel
Receives payments & issues official receipt
10 minutes
Cashier’s Office Personnel
Receives Accountant’s copy of the RF, checks & posts payment
10 minutes
Accounting Office Personnel
Receives Registrar’s copy of RF and issue class cards
10 minutes
Registrar’s Office Personnel
Accepts and pre-assesses admission credentials Receives Dean’s copy of the RF
10 minutes
Dean’s Office Personnel Dean’s Office Personnel
5 minutes
FORM/S
Registration Form
Official Receipt
End of Transaction - 10 -
Registrar’s Office Graduate Level
APPLICATION FOR COMPREHENSIVE EXAMINATION Service Time: Monday - Saturday (As scheduled) 8:00 AM – 5:00 PM Clients: Graduate students who have completed Academic Requirements Requirements: Plan of Course Work Duration: 55 minutes Procedure: STEP 1
2
STUDENT APPLICANT Fills out application form at the Registrar’s Office for Comprehensive Exam Submits application for preliminary evaluation to the Registrar
3
Secures approval of application form for Comprehensive Exam
4
Pays Comprehensive Examination Fee
SERVICE PROVIDER Checks application form for Comprehensive Exam Evaluates Student Academic Records as to completion of Academic Requirements and takes proper action Recommends/approves comprehensive examination application Receives payment and issues official receipt
DURATION OF THE ACTIVITY (Under Normal Circumstances) 10 minutes
PERSON RESPONSIBLE
FORM/S
Registrar
Application Form
30 minutes
Registrar
Plan of Course Work
10 minutes
Dean
5 minutes
Cashier’s Office Personnel
Official Receipt
FEE
Php600.00
End of Transaction
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Registrar’s Office
ISSUANCE OF CERTIFICATE OF GRADES Service Time: Monday - Friday 8:00 AM – 5:00 PM Clients: Bonafide Students Requirements: 1. University I.D. (student) 2. Student Authorization Letter 3. Representative’s Identification Card Duration: 24 minutes Procedure: STEP
STUDENT APPLICANT
SERVICE PROVIDER
1
Checks if grades sheets have been submitted, encoded/posted to individual students academic worksheet
2
Presents validated ID and inquires for the certificate of grades (student) Presents students ID and authorization letter and representative identification card (representative) Gets application for school records form
3 4
Fill-up the form Pays the corresponding fee
5
Presents OR and log in the record book
6
Gets/Claims the certificate of grades
DURATION OF THE ACTIVITY (Under Normal Circumstances) 10 minutes
Provides the application for school records form
2 minutes
Receives payment and issue receipt
5 minutes
Provides and checks record book 2 minutes and OR Prints/encodes and issues 5 minutes certificate of grades End of Transaction
PERSON RESPONSIBLE
FORM/S
FEE
Registrar’s Office Personnel
Registrar’s Office Personnel
Application for School Records
Cashier Office Personnel
Filled-up application for school records form
20.00/ certification
Registrar’s Office Personnel Registrar’s Office Personnel
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Registrar’s Office
ISSUANCE OF CERTIFICATION OF STUDENT’S GRADUATION Service Time: Monday - Friday 8:00 AM – 5:00 PM Clients: Graduated Students or Representative Requirements: 1. University I.D. (student) 2. Student Authorization Letter 3. Representative’s Identification Card Duration: 3 days and 36 minutes Procedure: STEP 1
STUDENT APPLICANT
2
Secures a request slip from the Registrar’s Office Fills out the request slip and logbook
3
Submits the filled-out slip
4
Proceeds to the Cashier and pays the required fees Goes back to Registrar Office and presents OR Gets/Claims the certification
5 6
SERVICE PROVIDER Checks student’s records and request slip Provides the application for school records form Receives the filled-out slip Computes the corresponding fee Receives payment and issue Official Receipt (OR)s
DURATION OF THE ACTIVITY (Under Normal Circumstances) 10minutes 2 minutes
PERSON RESPONSIBLE
FORM/S
Registrar’s Office Personnel Registrar’s Office Personnel Registrar’s Office Personnel
Application for School Records Computation Slip
5 minutes
Cashier Office Personnel
OR
Processes the Certification
3 working days
Registrar’s Office Personnel
Prints/encodes and issues certificate of grades
4 minutes
Registrar’s Office Personnel
15 minutes
FEE
20.00/ certification
Claim Slip
End of Transaction
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Registrar’s Office
ISSUANCE OF CERTIFICATE OF ENROLMENT Service Time: Monday - Friday 8:00 AM – 5:00 PM Clients: Student or Student’s Representative Requirements: 1. Student’s Copy of Registration Form 2. Student’s ID 3. Student Authorization Letter 4. Representative’s ID Duration: 3 days and 36 minutes Procedure: STEP 1
STUDENT APPLICANT
2
Secures a request slip from the Registrar’s Office Fills out the request slip and logbook
3
Submits the filled-out slip
4
Proceeds to the Cashier and pay the required fees
5 6
Goes back to Registrar Office and present OR Gets/Claims the certification
SERVICE PROVIDER Checks student’s records and request slip Provides the application for school records form Receives the filled-out slip Compute the corresponding fee Receives payment and issues Official Receipt (OR)
DURATION OF THE ACTIVITY (Under Normal Circumstances) 10 minutes 2 minutes 15 minutes
PERSON RESPONSIBLE
3 working days
Prints/encodes and issues certificate of grades
4 minutes
FEE
Registrar’s Office Personnel Registrar’s Office Personnel Registrar’s Office Personnel
5 minutes
Processes the Certification
FORM/S
Application for School Records Computation Slip OR
Cashier Office Personnel Registrar’s Office Personnel Registrar’s Office Personnel
20.00/ certification
Claim Slip
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Registrar’s Office
AUTHENTICATION OF T/R, DIPLOMA & OTHER ACADEMIC RECORDS Service Time: Monday - Friday 8:00 AM – 5:00 PM Clients: Student or Student’s Representative Requirements: Original Copy of Documents to be Authenticated Duration: 26 minutes Procedure: STEP
STUDENT APPLICANT
1
3
Inquires and presents the original copy of the documents to be authenticated Gets and fills out the application for school records form Pays the corresponding fee
4
Presents OR and logs in the record book
5
Gets/Claims the authenticated documents
2
SERVICE PROVIDER Examines and verifies the authenticity of the documents
DURATION OF THE ACTIVITY (Under Normal Circumstances) 10 minutes
PERSON RESPONSIBLE
FORM/S
FEE
10.00/ Certification
Registrar’s Office Personnel
Provides the application for school records form
2 minutes
Registrar’s Office Personnel
Application for School Records
Receives payment and issues receipt Provides and checks record book and OR
5 minutes
Cashier Office Personnel Registrar’s Office Personnel Registrar’s Office Personnel
OR
2 minutes 2 minutes
Record Book
End of Transaction
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Registrar’s Office
APPLICATION AND RELEASING OF TRANSCRIPT OF RECORDS* Service Time: Monday - Friday 8:00 AM – 5:00 PM Clients: Graduates and students who stopped schooling except for those records which were damaged by fire/flood and those of Regional Graduate School Consortium (RGSC.) Requirements: 1. Student’s Clearance of last term/summer attended 2. University I.D. (student) 3. Student Authorization Letter 4. Representative’s Identification Card Duration: 3 hours and 20 minutes Procedure: STEP
STUDENT APPLICANT
1
Secures a request slip from the Registrar’s Office Fills out the request slip and log book Submits the filled-out slip
2 3
4
Proceeds to the Cashier’s Office and pay required fees
5
Goes back to the Registrar’s Office and presents the official receipt Receives the ToR
6
DURATION OF THE ACTIVITY (Under Normal Circumstances) 1 minute
SERVICE PROVIDER Issues of request slip
Receives the filled-out slip Assesses the student records to qualify for express service* Computes the corresponding fee Receives payment and issues Official Receipt (OR)
Processes the Transcript of Records (ToR) Releases of ToR
PERSON RESPONSIBLE
FORM/S
Registrar’s Office
Request Slip
15 minutes
Registrar’s Office Personnel
Computation Slip
5 minutes
Cashier’s Office Personnel
OR
-3 hours (express service) -10-15 days (regular process)
Registrar’s Office Personnel
4 minutes End of Transaction
FEE
TOR- Php50.00 1st page Php30.00 every succeeding page. (Plus additional fee for Express Service of Php300.00)
Claim Slip
*Express processing is good for maximum of five persons per day. First come, first serve basis. **Regular processing takes 10-15 days
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Accounting Office
ISSUANCE OF STATEMENT OF ACCOUNT/BALANCES Service Time: Monday - Friday 8:00 AM – 5:00 PM Clients: Bonafide Students Requirements: University I.D. (student) and Official Receipt Duration: 15 minutes Procedure: STEP 1
STUDENT APPLICANT Fills out request form and presents this with school I.D. and Official Receipt
2
SERVICE PROVIDER Checks student’s payment record in file
DURATION OF THE ACTIVITY (Under Normal Circumstances) 5 minutes
PERSON RESPONSIBLE
FORM/S
Accounting Office Personnel
Request form Order of Payments (OP)
Issues Order of Payments (OP) for students with balance and directs them to the cashier for payment Processes payments and issues Official Receipts Requests students to fill out the logbook
15 minutes
Accounting Office Personnel
5 minutes
Cashier
10 minutes
Accounting Office Personnel
Logbook
Accounting Office Personnel Student’s Account Clerk
Logbook
3
Pays at the Cashier’s Office
4
Presents Official Receipt
5
Logs name, details of Official Receipts
Informs students to claim request
2 minutes
6
Presents ID, affixes signature in the logbook and claims statement of account
Issues statement to student
1 minute
FEE
End of Transaction
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Dean’s Office Graduate Level
COMPREHENSIVE EXAMINATION Service Time: As scheduled in the Approved University Academic Calendar (3 hours is allotted per area*) Clients: Graduate Students who have completed Academic Requirements Requirements: 1. Receipt Payment 2. Approved application for Comprehensive Examination Duration: 12 hours & 5 minutes Procedure: STEP
STUDENT APPLICANT
1
Presents official receipt of payment
2
Takes the Comprehensive Examination
SERVICE PROVIDER Prepares and issues test and test booklet Administers the examination
DURATION OF THE ACTIVITY (Under Normal Circumstances) 5 minutes 3 hours per area
PERSON RESPONSIBLE
FORM/S
FEE
Dean’s Office Personnel Dean’s Office Personnel
End of Transaction Note: release of Comprehensive Exam result is after 30 days * Comprehensive examination is given in the three (3) areas for Thesis Program Area I – Required Subjects Area II – Major Subjects Area III – Cognate Subjects ** Comprehensive examination is given in the four (4) areas for Non Thesis Program Area I – Required Subjects Area II – Major Subjects Area III – Cognate Subjects Area IV- Alternative Subjects
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Dean’s Office Graduate Level
APPLICATION FOR OUTLINE DEFENSE Service Time: As scheduled in the Approved University Academic Calendar Clients: Graduate students who passed the Comprehensive Examination Requirements: Comprehensive Examination Result Duration: 10 minutes Procedure: STEP
STUDENT APPLICANT
1
Applies for Outline Defense
2 3
Fills out application Submits application form
SERVICE PROVIDER Issues application for Thesis/Dissertation Title and requests for Advisory Committee Approves schedule and issues memorandum to all concerned
DURATION OF THE ACTIVITY (Under Normal Circumstances) 5 minutes
5 minutes
PERSON RESPONSIBLE Dean
FORM/S
FEE
Application for Thesis / Dissertation Title
Dean
End of Transaction
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Dean’s Office Graduate Level
APPLICATION FOR PRE-ORAL DEFENSE Service Time: As scheduled in the Approved University Academic Calendar Clients: Graduate students who passed Outline Defense Requirement: Approved Outline Duration: 10 minutes Procedure: STEP
STUDENT APPLICANT
1
Applies for pre-oral Defense
2 3
Fills out application Submits application form
SERVICE PROVIDER Issues application for pre-oral defense Approves schedule and issues memorandum to all concerned
DURATION OF THE ACTIVITY (Under Normal Circumstances) 5 minutes
5 minutes
PERSON RESPONSIBLE
FORM/S
FEE
Dean/Authorized representative Dean
End of Transaction
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Dean’s Office Graduate Level
APPLICATION FOR FINAL ORAL DEFENSE Service Time: As scheduled in the Approved University Academic Calendar Clients: Graduate students who passed pre-oral Defense Requirements: Approved Pre-Oral Defense Duration: 10 minutes Procedure: STEP
STUDENT APPLICANT
1
Applies for final oral Defense
2 3
Fills out application Submits application form
SERVICE PROVIDER Issues application for pre-oral defense Approves schedule and issues memorandum to all concerned
DURATION OF THE ACTIVITY (Under Normal Circumstances) 5 minutes
5 minutes
PERSON RESPONSIBLE
FORM/S
Dean/Authorized representative
Application Form
FEE
Dean
End of Transaction
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Dean’s Office
ISSUANCE OF FINAL EXAMINATION PERMIT Service Time: Monday - Friday 8:00 AM – 5:00 PM Clients: Bonafide Students Requirements: Duration: 5 minutes Procedure: STEP
STUDENT APPLICANT
1
Submits approved clearance to the Dean or Authorized Representative
2
Receives examination permit.
SERVICE PROVIDER
Accepts and validates student’s clearance. Issues examination permit
DURATION OF THE ACTIVITY (Under Normal Circumstances) 3 minutes
2 minutes
PERSON RESPONSIBLE Dean’s Authorized Representative Dean’s Authorized Representative
FORM/S
FEE
Approved Clearance Form Permit Form
End of Transaction
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Dean’s Office
RELEASE OF CLASS CARDS WITH GRADES TO THE STUDENTS* Service Time: Monday - Friday 8:00 AM – 5:00 PM Clients: Bonafide Students Requirements: Duration: 10 minutes Procedure: STEP 1
STUDENT APPLICANT Gets class cards with grades from the Dean’s Office
SERVICE PROVIDER Releases the class cards with grades.
DURATION OF THE ACTIVITY (Under Normal Circumstances) 10 minutes
PERSON RESPONSIBLE Dean’s Authorized Representative
FORM/S
FEE
Class Cards
End of Transaction
*Grades will be ready at least 10 working days after Final Examination
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Dean’s Office
SIGNING OF CLEARANCE Service Time: Monday - Friday 8:00 AM – 5:00 PM Clients: Bonafide Students Requirements: Duration: 30 minutes Procedure: STEP
STUDENT APPLICANT
1
Gets two copies of Clearance Form from the Dean’s Office Presents clearance to the Director/Coordinator of Student Affairs or his/her Authorized Representative
Provides Clearance Form Checks accountabilities and sign clearance
7 minutes
3
Proceeds to the Library and present the clearance
5 minutes
4
Presents clearance to the Accountant or his/her Authorized Representative Proceeds to the Cashier’s Office and seeks signature
Checks the name of students for borrowed books (if checked, sign the clearance) Checks the accountabilities (and sign the clearance, if cleared) Checks for accountabilities Sign clearance
2
5
*Pays for balance accounts 6
Presents clearance to the Dean or his/her Authorized Representative
SERVICE PROVIDER
DURATION OF THE ACTIVITY (Under Normal Circumstances) 3 minutes
PERSON RESPONSIBLE
FORM/S
Dean’s Authorized Representative
Clearance Form
Student Affairs Coordinator/ Authorized Representative Librarian/Authorized Representative
Clearance
5 minutes
Accountant/Authorized Representative
Clearance
5 minutes
Cashier/Authorized Representative
Clearance
Dean/authorized Representative
Clearance
*Receives payment and issue official receipt Validates the signatures, 5 minutes approves the clearance and returns one copy to the student End of Transaction
FEE
Clearance
*For students with financial and other accountabilities
- 24 -
Dean’s Office
VALIDATION OF SUBJECTS Service Time: Monday - Friday 8:00 AM – 5:00 PM Clients: Shifters & Transferee Students Requirements: 1. Assessment Form from the Dean 2. Official Description of Subjects Duration: Procedure: STEP 1 2 3 4
STUDENT APPLICANT Secures Validation Form from the Registrar’s Office Fills out Validation Form Submits Validation Form to the Dean
5
Goes to the subject teacher for validation Pays Validation fee
6
Takes the examination
SERVICE PROVIDER Issues Validation Form
Checks the Validation Form and assigns subject teacher to validate Determines the subjects for validation
DURATION OF THE ACTIVITY (Under Normal Circumstances) 5 minutes
PERSON RESPONSIBLE
FORM/S
Registrar’s Office personnel
Validation Permit Form
15 minutes
Dean
Validation Form
15 minutes
Subject Teacher
Receives payment and issues 3 minutes official receipts Administers the examination 1 hour End of Transaction
Cashier
FEE
Php50/subject
- 25 -
Dean’s Office
REQUEST FOR CROSS REGISTRATION TO OTHER SCHOOLS Service Time: During the Enrolment Period 8:00 AM – 5:00 PM Clients: Bonafide Students Requirements: Duration: 10 minutes Procedure: STEP
STUDENT APPLICANT
1
Fills out and submit request form for subject evaluation and cross registration to the Dean
SERVICE PROVIDER Evaluates subjects and recommends cross register
DURATION OF THE ACTIVITY (Under Normal Circumstances) 10 minutes
PERSON RESPONSIBLE Dean/Unit Head
FORM/S
FEE
Cross Registration Request Form
End of Transaction
- 26 -
Dean’s Office
SHIFTING OF COURSE Service Time: 8:00 AM – 5:00 PM Clients: Bonafide Students Requirements: Duration: 20 minutes Procedure: STEP
STUDENT APPLICANT
1
Submits letter request with attached documents to the Dean Secures a copy of the endorsement from the Dean of the school of origin Submits copy of the endorsement to the Dean of the school he intends to shift* Attaches copy of approved endorsement to the Enrolment Form and follow the procedure of admission (registration)
2 3 4
DURATION OF THE ACTIVITY (Under Normal Circumstances) 10 minutes
SERVICE PROVIDER Evaluates documents and endorse letter request
PERSON RESPONSIBLE
FORM/S
FEE
Dean
Issues endorsement
5 minute
Dean
Evaluates and approves/denies
5 minutes
Dean
End of Transaction
*For Inter-School or College
- 27 -
Dean’s Office
ISSUANCE OF CERTIFICATION OF THE USE OF ENGLISH LANGUAGE AS A MEDIUM OF INSTRUCTION Service Time: 8:00 AM – 5:00 PM Clients: Students and Former Students Requirements: Proof of Identity/Transcript of Records/Diploma/ Authorization Letter Duration: 16 minutes Procedure: STEP
STUDENT APPLICANT
SERVICE PROVIDER
DURATION OF THE ACTIVITY (Under Normal Circumstances)
PERSON RESPONSIBLE
1
Fills out request form
Issues request form
3 minutes
Dean
2
Submits request form
Accepts and processes request
10 minutes
Dean
FORM/S
FEE
Request Form
Php20/page 3
Receives Certification
Issues certification
3 minutes
Dean
End of Transaction
- 28 -
Dean’s Office
CONDUCT OF CLASSES Service Time: Monday - Friday (As scheduled on a Regular Program) 7:00 AM – 12:00 PM 1:00 PM – 5:00 PM Clients: Students Requirements: 1. Class Cards 2. Other Requirements* Duration: 1 hour/Lecture 3 hours/Laboratory Procedure: STEP
STUDENT APPLICANT
1
Reports at room assignment and attends classes Participates in the class discussions/activities Complies subject requirements
2 3
SERVICE PROVIDER Checks the attendance and conducts classes
DURATION OF THE ACTIVITY (Under Normal Circumstances) 1 hour/Lecture 3 hours/Laboratory
Conducts classes and class activities as prescribed
PERSON RESPONSIBLE
FORM/S
Faculty
Class Card
FEE
Syllabus/Course Outline
Monitors and evaluates student performance
End of Transaction
*As the subject/course instructor may require
- 29 -
Library Services
APPLICATION AND ISSUANCE OF LIBRARY CARD Service Time: Monday-Friday (As Scheduled) 8:00 AM – 5:00 PM (No Noon Break) Clients: New Students Requirement: 1. Registration Form 2. 2 pieces1x1 recent ID picture 3. Library Card Application Form Duration: 10 minutes Procedure: STEP
STUDENT APPLICANT
1
Secures application form for library card
2 3
Fills out the library card application form and attaches 2 pieces 1x1 recent ID picture Submits filled out application form
4
Presents registration form
5
Signs the logbook and receives Library Card
DURATION OF THE ACTIVITY (Under Normal Circumstances) 2 minutes
In-Charge
Registration Form Library Card Application Form
Checks/verifies application form *Processing of library cards Checks/verifies clients information
3 minutes 5 days 3 minutes
In-Charge In-Charge In-Charge
Library Card
Issues library card
2 minutes
In-Charge
SERVICE PROVIDER Checks registration form and provides application form
PERSON RESPONSIBLE
FORM/S
FEE
Registration Form
End of Transaction
*Processing of Library Cards will be at most 1 working day after application.
- 30 -
Library Services
APPLICATION AND ISSUANCE OF LIBRARY CARD - BANGA Service Time: Monday-Friday (As Scheduled) 8:00 AM – 5:00 PM Clients: New students Requirements: Registration Form Library Card Application Form Duration: 22 minutes Procedure: STEP
STUDENT APPLICANT
1
Secures application form for library card
2 3
Fills out the library card application form Undergoes ID pictorial and affixes signature on the computer
4
Presents registration form
5
Signs the logbook and receives Library Card
DURATION OF THE ACTIVITY (Under Normal Circumstances) 2 minutes
In-Charge
Checks/verifies application form Encodes information Takes picture of the client *Processing of library cards Checks/verifies clients information
15 minutes
In-Charge
5 days 3 minutes
In-Charge In-Charge
Issues library card
2 minutes
In-Charge
SERVICE PROVIDER Checks registration form and provides application form
PERSON RESPONSIBLE
FORM/S
FEE
Registration Form Library Card Application Form
Registration Form
End of Transaction
*Processing of Library Cards will be ready at least 5 working days after enrolment period.
- 31 -
Library Services
VALIDATION OF LIBRARY CARD Service Time: Monday-Friday (As scheduled) 8:00AM – 5:00 PM Clients: Old students Requirements: Registration Form Library Card Duration: 4 minutes Procedure: STEP
STUDENT APPLICANT
1
Presents old library card
2
Signs in the logbook and receives validated card
SERVICE PROVIDER Checks/verifies documents Validates card by affixing validation sticker Issues validated library card
DURATION OF THE ACTIVITY (Under Normal Circumstances) 2 minutes
In-Charge
2 minutes
In-Charge
PERSON RESPONSIBLE
FORM/S
FEE
Registration Form Old Library Card
End of Transaction
- 32 -
Library Services
APPLICATION AND RE-ISSUANCE* OF NEW LIBRARY CARD Service Time: 8:00AM – 5:00 PM Clients: Students Requirements: 1. Receipt of payment 2. 1piece 1x1 recent ID picture 3. Library Card Application Form 4. Claim Slip Duration: 5 minutes Procedure: STEP
STUDENT APPLICANT
1
Submits required requirements
2
Signs in the logbook and receives new library card
SERVICE PROVIDER Checks/verifies clients information Issues claim slip **Processing of library card Issues new library card
DURATION OF THE ACTIVITY (Under Normal Circumstances) 3 minutes
In-Charge
5 days 2 minutes
In-Charge In-Charge
PERSON RESPONSIBLE
FORM/S
FEE
Library Card Application Form Claim Slip Claim Slip
End of Transaction
* One Week after Reported Lost **Processing of Library Cards will be ready at most 1 working day after application.
- 33 -
Library Services
PHOTOCOPYING OF LIBRARY MATERIALS Service Time: 8:00AM – 5:00 PM Clients: Students, Faculty and Community Requirements: Library Card Valid ID for Non-ASU Duration: 8 minutes Procedure: STEP
STUDENT APPLICANT
1
Presents material for photocopying together with the library card Fills out photocopying slip for the material and signs the book card Photocopies materials Returns the borrowed material
2 3 4
DURATION OF THE ACTIVITY (Under Normal Circumstances) 2 minutes
Section-in-Charge
Photocopying slip
Verifies the slip and issues the material
3 minutes
Section-in-Charge
Book Card
Inspects the borrowed material
3 minutes
Section-in-Charge
SERVICE PROVIDER Provides photocopying slip
PERSON RESPONSIBLE
FORM/S
FEE
End of Transaction
- 34 -
Library Services
LIBRARY READER’S GUIDANCE/REFERENCE ASSISTANCE Service Time: Monday to Saturday 8:00AM – 5:00 PM Clients: Students Requirements: Library Card Duration: 6 minutes Procedure: STEP 1 2
STUDENT APPLICANT Requests assistance on the location of materials, how to use the OPAC or presents query Fills out reader’s guidance slip
SERVICE PROVIDER Issues Reader’s Guidance slip Provides guidance
DURATION OF THE ACTIVITY (Under Normal Circumstances) 1 minute
Section-in-Charge
5 minutes
Section-in-Charge
PERSON RESPONSIBLE
FORM/S
FEE
Reader’s Guidance Slip
End of Transaction
- 35 -
Library Services
CIRCULATION OF BOOKS – LENDING SERVICES (OPEN SHELF POLICY) Service Time: MONDAY-SATURDAY 8:00 AM – 5:00 PM (no noon break) Clients: Students, Faculty and Staff Requirements: Library Card Duration: 5 minutes Procedure: STEP
STUDENT APPLICANT
SERVICE PROVIDER
1
Presents the book to be borrowed together with the library card for bar code scanning at the circulation counter
2
Signs the book card/library book receipt
Checks the book card and verifies the library card Checks out book manually by writing time and date due. Scans the library card bar code and book bar code. Prints library book receipt Verifies signature and releases the book Files the library card together with the book card/library book receipt accordingly
DURATION OF THE ACTIVITY (Under Normal Circumstances) 3 minutes
Section-in-Charge
2 minutes
Section-in-Charge
PERSON RESPONSIBLE
FORM/S
FEE
Library Card Book Card/Library Book Receipt
End of Transaction
- 36 -
Library Services
CIRCULATION – RETURNING OF BOOKS Service Time: MONDAY-SATURDAY 8:00 AM – 5:00 PM (no noon break) Clients: Students Requirements: Books Borrowed Duration: 6 minutes Procedure: STEP
STUDENT APPLICANT
1
Presents borrowed books
2
Pays overdue charges and signs the log book (if applicable) Gets library card
3
SERVICE PROVIDER Pulls out library card from filing box and checks book card/library book receipt for over dues and inspects for book damages Scans bar code to checks in Computes overdue charges (if applicable) Record fines in the log book Issues library receipt Issues library card
DURATION OF THE ACTIVITY (Under Normal Circumstances) 3 minutes
Section-in-Charge
2 minutes
Section-in-Charge
1 minutes
Section-in-Charge
PERSON RESPONSIBLE
FORM/S
Library Receipt
FEE
As computed
End of Transaction
- 37 -
Library Services
ISSUANCE OF REFERRAL LETTERS Service Time: MONDAY-SATURDAY 8:00 AM – 5:00 PM (no noon break) Clients: Students Requirements: Referral Request Slip Duration: 7 minutes Procedure: STEP
STUDENT APPLICANT
SERVICE PROVIDER
1
Secures form from the circulation desk
Issues form
2
Fills out and submits request form
3
Receives referral letter
Receives and prepares referral letter Issues referral letter
DURATION OF THE ACTIVITY (Under Normal Circumstances) 1 minute 5 minutes 1 minute
PERSON RESPONSIBLE In-Charge
FORM/S
FEE
Referral Request Slip
In-Charge Librarian In-Charge
End of Transaction
- 38 -
Library Services
AUDIO-VISUAL SERVICES* Service Time: MONDAY-FRIDAY 8:00AM – 5:00 PM Clients: Students/Faculty *Outsider Requirements: Audio-Visual Reservation Form *Approved Letter Request from the President Duration: 20 minutes Procedure: STEP
STUDENT APPLICANT
1
Secures Audio-Visual Reservation form
2 3
Fills out and processes documents Submits the documents
4
Pays advance payment fee at the Cashier’s Office*
SERVICE PROVIDER Checks the availability of the Audio-Visual Room Issues Audio-Visual request form Instructs the client to return the form after it has been signed by the department head and the Library Director Verifies and approves the reservation schedule Books the reservation Issues Official Receipt
DURATION OF THE ACTIVITY (Under Normal Circumstances) 10 minutes
5 minutes 5 minutes
PERSON RESPONSIBLE In-Charge
Librarian Cashier
FORM/S
FEE
Audio-Visual Reservation Form Approved Letter Request from the President* 2,000.00* 800.00 As computed
End of Transaction
*RESERVATION MUST BE MADE THREE DAYS PRIOR TO SCHEDULED ACTIVITY **Outsider clients must first submit a letter request address to the University President before they can avail of the services.
- 39 -
Library Services
COMPUTER/INTERNET ACCESS Service Time: 8:00AM – 5:00 PM Clients: Students Requirements: Library Card Duration: 1 hour and 5 minutes Procedure: STEP
STUDENT APPLICANT
1
Presents library card and fills out computer/internet log book
2
Conducts research work
SERVICE PROVIDER Assists client in computer use Informs client of maximum time usage
DURATION OF THE ACTIVITY (Under Normal Circumstances) 5 minutes
PERSON RESPONSIBLE
FORM/S
In-Charge
Log Book
FEE
1 hour
End of Transaction
- 40 -
Library Services
LIBRARY SIGNING OF CLEARANCE Service Time: 8:00AM – 5:00 PM Clients: Students, Faculty and Staff Requirements: Library Card Faculty/Employee ID Clearance Form Duration: 15 minutes Procedure: STEP
STUDENT APPLICANT
1
Presents clearance form and library card/ID
2
Pays accounts at the Cashier’s Office (if any) Receives signed clearance form
3
SERVICE PROVIDER Checks entries of form and validity of library card/ID Checks for unreturned books and overdue accounts Computes surcharges (if any) Issues official receipt Issues signed clearance form
DURATION OF THE ACTIVITY (Under Normal Circumstances) 8 minutes
PERSON RESPONSIBLE
FORM/S
Library Personnel
Clearance Form Library Card
5 minutes
Cashier
Official Receipt
2 minutes
Librarian
Clearance Form
FEE
As computed
End of Transaction
- 41 -
Office of Student Affairs
APPLICATION FOR CERTIFICATE GOOD MORAL CHARACTER Service Time: Monday - Friday 8:00 AM – 5:00 PM Clients: Enrolled/Outgoing students/Graduate students Requirements: Duration: 6 minutes Procedure: STEP
STUDENT APPLICANT
1
Goes to the Office of Student Affairs/Guidance Office to secures and fills-out request slip Pays certification fee at the Cashier’s office Presents OR to the OSA/Guidance Office personnel and gets certification.
2 3
DURATION OF THE ACTIVITY (Under Normal Circumstances) 1 minute
SERVICE PROVIDER Issues of request slip
PERSON RESPONSIBLE
FORM/S
OSA/Guidance Personnel
Request Slip
Receives payment and issues official receipt
1 minute
Cashier’s Aide
Official Receipt
Releases the Certificate of Good Moral Character
4 minutes
OSA/Guidance Personnel
Certificate of Good Moral Character
FEE
Php20.00/ certification
End of Transaction
- 42 -
Office of Student Affairs Undergraduate Level
UNIVERSITY ADMISSION TEST* Service Time: Monday - Friday (As scheduled) 8:00 AM – 9:00 AM 10:00 AM – 11:00 AM Clients: New student applicants, transferees and Accreditation & Equivalency (A/ E) Test passers Requirement: Examination permit Duration: 1 hour and 15 minutes Procedure:
STEP
STUDENT APPLICANT
1
Presents examination permit to examiner/proctor
2
Takes University Admission Test (UAT) at testing venue
SERVICE PROVIDER Accepts and checks examination permit, assign seat and give preliminary instructions Administers UAT at testing venue
DURATION OF THE ACTIVITY (Under Normal Circumstances) 15 minutes
PERSON RESPONSIBLE
FORM/S
Examiner/Proctor from Office of Student Affairs (OSA)
Approved Exam Permit
FEE
1 hour
End of Transaction
*Checking of the University Admission Test by the Office of Student Affairs will be done by batch of examinees and results will be ready after three (3) working days.
- 43 -
Office of Student Affairs
APPROVAL OF PERMITS FOR STUDENT ACTIVITIES Service Time: 1 week before the activity Clients: Student Organizations Requirements: 1. Letter Request to conduct Activities 2. Submit waivers if the activity is after 5:00 PM and outside ASU Campus 3. Submit budget plan as the need arises 4. Must have approved letter from the administration to use the school facilities Duration: 8 minutes Procedure: STEP
STUDENT APPLICANT
SERVICE PROVIDER
1
Submits complete papers
Checks papers for previous details and signatures
2
a. For non-academic activities, applicant must secure signature of Office of Student Affairs/Dean/Executive Director. b. For academic activities, applicant must secure signature of the Office of Student Affairs Director/ Dean/Executive Director and the Vice President for Academic Affairs. c. For activity outside the province of Aklan, applicant seeks approval of the University President.
Signs permit to conduct activity
DURATION OF THE ACTIVITY (Under Normal Circumstances) 5 minutes 3 minutes
PERSON RESPONSIBLE Student Organizations’ Coordinator/Clerk a. Dean of Student Affairs/Executive Director b. Dean of Student Affairs/ Executive Director/Vice President for Academic Affairs
FORM/S
FEE
Permit to conduct activity
Permit to conduct activity
c. University Pres. End of Transaction
- 44 -
Office of Student Affairs
ACCREDITATION OF STUDENT ORGANIZATIONS Service Time: University and College Student Councils – last week of April Other Organizations and Interest Groups: 2nd week of July Clients: Officers of student councils and various school organizations Requirements: 1. 2. 3. 4.
Application papers for accreditation Constitution and By Laws Named of Proposed Adviser Other school based organization- 2nd week of July
Duration: 32 minutes Procedure: STEP 1
2 3 4
Organization President Submits complete application forms with requirements
Applicant’s representative follows up status/approval of application Applicant’s representative gets approved/disapproved papers
5
Faculty Adviser seeks designation as adviser of the organization.
6
Waits issuance of designation
7
Receives faculty designation
SERVICE PROVIDER Checks forms and requirements; if deficient, returns papers for completion Reviews documents Approves/Disapproves application Should have 1 approved copy received by the organization’s representative for office file Types and prints faculty designation Facilitates signature of Office of Student Affairs Director and University President Issues the approved faculty designation
DURATION OF THE ACTIVITY (Under Normal Circumstances) 15 minutes
3 days 3 minutes 2 minutes
5 minutes
PERSON RESPONSIBLE Student Organization Coordinator
FORM/S
FEE
Student Organization Forms
OSA personnel Office of Student Affairs Student Organization Coordinator
4 minutes
Student Organization Coordinator OSA Clerk
3 minutes
Office Clerk
End of Transaction
- 45 -
Office of Student Affairs
HOUSING AND DORMITORIES Service Time: Monday -Saturday (As scheduled) 8:00 AM – 5:00 PM Clients: Scholars Requirements: 1. Certificate/Notice of Award 2. Certificate of Grades Duration: 17 minutes Procedure: STEP 1
2
3 4
STUDENT APPLICANT
SERVICE PROVIDER
DURATION OF THE ACTIVITY (Under Normal Circumstances)
PERSON RESPONSIBLE
15 minutes
Dorm Manager
10 minutes
Cashier
Visits the Dorm with parents or guardian
Assists to see the rooms and facilities of the dormitory
Fills out the Reservation Form and Parents Instruction Sheet/ Medical Agreement Form
Facilitates the applicant to pay to the cashier, one month advance upon approval of application
Proceeds for interview and signing of contract Visits the Dorm with parents or guardian
Records/Files signed forms
15 minutes
Dormitory Manager
Assists to see the rooms and facilities of the dormitory
15 minutes
Dorm Manager
FORM/S
FEE
None
None
Reservation Form and Parents Instruction Sheet/ Medical Agreement Form
Php 400.00
Contract
None
None
None
End of Transaction
- 46 -
Office of Student Affairs
PROCESSING OF SCHOLARSHIP APPLICATIONS Service Time: Monday -Saturday 8:00 AM – 5:00 PM Clients: ASU students only Requirements: 1. Registration Form (RF) 2. Certification from the Barangay Captain 3. Income Tax Return of parents Duration: 40 minutes Procedure: PERSON RESPONSIBLE
STEP
STUDENT APPLICANT
1
Shows certificate/notice of award & certificate of grades to Office of Student Affairs attending officer/Scholarship-in-charge Fills out the scholarship form
Reviews papers/credentials
Informs applicant for appropriate action*
10 minutes
Office of Student Affairs/ In-charge
Furnishes photocopy of approved scholarship to Office of Student Affairs.
Records/files approved scholarship
2 minutes
Office of Student Affairs Clerk
2 3
SERVICE PROVIDER
DURATION OF THE ACTIVITY (Under Normal Circumstances) 5 minutes
Office of Student Affairs/ In-charge
FORM/S
FEE
Scholarship Form
End of Transaction
- 47 -
Office of Student Affairs
STUDENT ASSISTANTSHIP Service Time: Monday -Saturday 8:00 AM – 5:00 PM Clients: Bonafide Students Requirements: 1. 2. 3. 4.
Application Letter, Request/Recommendation Letter from the Unit Heads, Student Assistant Personal Data Sheet Schedule of Classes
Duration: 30 minutes Procedure: STEP 1
2
3
4
STUDENT APPLICANT Present and submit application letter, class schedule, ID picture Waits to be contacted if chosen by a particular unit/office
Fills out Personal Data Sheet for Student Assistant Submits Personal Data Sheet for approval of the Director of Student Affairs/Coordinator
SERVICE PROVIDER Receives application letter, class schedule and ID picture Screens applicant and recommends to the Director of Students those who are qualified Informs qualified applicant Advises applicant to seek signatures of immediate supervisor and division head Records/files approved form
DURATION OF THE ACTIVITY (Under Normal Circumstances) 5 minutes
PERSON RESPONSIBLE
FORM/S
FEE
OSA clerk none
10 minutes
Unit Heads none
5 minutes 5 minutes
OSA OSA clerk Personal Data Sheet
5 minutes
OSA clerk none
End of Transaction
- 48 -
Guidance Office
EXCUSE LETTER Service Time: Monday – Friday 8:00 am – 5:00 pm Clients: Bonafide Students Requirements: Duration: 20 minutes Procedure: SERVICE PROVIDER
DURATION OF THE ACTIVITY (Under Normal Circumstances)
PERSON RESPONSIBLE
STEP
STUDENT APPLICANT
1
Submits excuse letter signed by parent or guardian. *
Issues admission slip
5 minutes
Guidance Counselor
2
Secures signatures of subject teacher
Signs excuse letter
10 minutes
Signs excuse letter
3
Return the admission slip for filing
Receives admission slip
5 minutes
Guidance Counselor
FORM/S
FEE
Admission Slip
End of Transaction
*Require the student to attach the medical certificate if the reason for absence is due to sickness.
- 49 -
Guidance Office
PSYCHOLOGICAL TESTING (FOR OUTSIDE CLIENTS) Service Time: Monday – Friday 8:00 am – 5:00 pm Clients: Outside Clients Requirements: Duration: 4 hours and 20 minutes Procedure: STEP
STUDENT APPLICANT
SERVICE PROVIDER
DURATION OF THE ACTIVITY (Under Normal Circumstances) 1hour
PERSON RESPONSIBLE
FORM/S
Guidance Counselor/ psychometrician
Letter of request and referral slip
Cashier
Official Receipt
1
Processes request for Psychological Testing.
Provides schedule for testing and identifies tests to be given
2
Pays the testing fee
Pays testing fee
3
Reports to testing room for testing as scheduled
Administers the test
4 hours
Guidance Counselor/ psychometrician
Test materials
4
Requests for test results and narrative reports
Submits test reports
10 minutes
Guidance Counselor/ psychometrician
Test reports
10 minutes
FEE
Depending on the amount of the test.
End of Transaction
- 50 -
Guidance Office
PSYCHOLOGICAL TESTING (FOR ENROLLED CLIENTS) Service Time: Monday – Friday 8:00 am – 5:00 pm Clients: Bonafide Students Requirements: Duration: 4 hours and 20 minutes Procedure: STEP
STUDENT APPLICANT
SERVICE PROVIDER
DURATION OF THE ACTIVITY (Under Normal Circumstances) 30 minutes
PERSON RESPONSIBLE
FORM/S
FEE
Guidance Counselor/ psychometrician
Testing Schedule
Included in tuition fee during enrolment(proposal) Depending on the amount of the test.
1
Makes inquiry regarding psychological testing schedule
Makes schedule for psychological testing by College/Department
2
Reports to testing room for testing as scheduled
Administers the test and determine scores. -Mental Ability Test -Career Interest Inventory
3 – 6hours
Guidance Counselor/ psychometrician
Answer sheets and test booklets
3
Reports to guidance office for test interpretation
Interprets test results individually or by groups
35 minutes per student or 2 hours by group
Guidance Counselor/ psychometrician
Test results. Personality profile
End of Transaction
- 51 -
Medical Services
CONSULTATION AND TREATMENT Service Time: Monday – Friday 8:00 am – 5:00 pm Clients: ASU Faculty, Staff and Students Requirements: Oral Health Evaluation Form Duration: 35 Minutes (Simple Case) 40 Minutes (Complex Case) Procedure: STEP
1
STUDENT APPLICANT Fills out treatment Form or Logbook Presents School I.D.
2
SERVICE PROVIDER
Takes Vital signs if Necessary (Temp., B.P., H.R., R.R., WT., HT.) Asks the chief complaint and other relevant questions pertaining to the said complaints Examines the patient and explain the findings and the condition of the patient
3
Gets starter dose of Medicine (when available)
PERSON RESPONSIBLE
FORM/S
10 minutes
Medical Personnel.
Medical Records, Treatment Record, and Admission Logbook
15 minutes
Physician
Medical Record
15 minutes
Physician
Prescription pad, laboratory examination request and medical certificate
5 minutes
Nurse, Student Assistant
Treatment Record
Look sfor Medical Record
Submits for consultation
Submits for treatment.
4
DURATION OF THE ACTIVITY (Under Normal Circumstances)
Prescribes necessary medicines, writes laboratory requests and explain why there is a need of such laboratory examination; Issues Medical Certificate if Necessary Provides available medicines if there's any but only as a starter dose and let the patient sign in a sheet of paper
FEE
End of Transaction
- 52 -
Medical Services
PHYSICAL EXAMINATION Service Time: Monday – Friday (Enrollment Time/As scheduled) 8:00 am – 5:00 pm Clients: Freshmen Students, Transferees and A/E Passers Requirements: Laboratory Results Depending on the Course Taken Duration: 40 Minutes Procedure: STEP
STUDENT APPLICANT
Submits laboratory results 1
2 3
Fills out information (Health Information form and submit to personnel concerned) Submits for Physical Examination
SERVICE PROVIDER
DURATION OF THE ACTIVITY (Under Normal Circumstances)
PERSON RESPONSIBLE
FORM/S
15 minutes
Nurse Student Assistant
Health Information Form
15 minutes
Physician
Medical Record
Physician
Prescription pad, enrollment form / medical certificate
FEE
Provides Health Information Form Takes vital signs (B.P., Temp., HT., WT., HR.,RR) Conduct Physical Examination Gives advice, treats patients if needed, prescribes necessary medicines and signs enrollment form / medical certificate if physically fit
10 minutes
End of Transaction
- 53 -
Medical Services
ISSUANCE OF MEDICAL CERTIFICATE Service Time: Monday – Friday 8:00 am – 5:00 pm Clients: ASU Athletes, Participants in Cultural Activities, Military Training and Students Requirements: Official I.D. Issued by the University Duration: 20 Minutes Procedure: STEP
STUDENT APPLICANT Presents prepared medical examination form from OSA office
1
SERVICE PROVIDER
PERSON RESPONSIBLE
FORM/S
10 minutes
Nurse / Student Assistants
Health Examination Form from OSA, Medical Records, Sheet of paper, Logbook
10 minutes
Physician
Medical Record, Health Examination Form
Looks for medical record
Presents School I.D.
Submits for Physical Examination 2
DURATION OF THE ACTIVITY (Under Normal Circumstances)
Takes Vital signs if Necessary (Temp., B.P., H.R., R.R., WT., HT.) Conducts Physical Examination and Records all findings in the Medical Record Signs Health Examination Form if Physically and Mentally Fit
FEE
End of Transaction
- 54 -
Dental Services
ISSUANCE OF CERTIFICATION FOR ENROLMENT TO ALL NEW STUDENTS Service Time: Monday – Friday (Enrollment Time) 8:00 am – 5:00 pm Clients: Freshmen Students, Transferees and A/E Passers Requirements: Medical Certificate Duration: 5 minutes Procedure: STEP
1
STUDENT APPLICANT Presents accomplished Medical Certificate to the Dental Section and signs in a enrollment Logbook
SERVICE PROVIDER Provides Dental Certification for Enrollment and Appointment Slip
DURATION OF THE ACTIVITY (Under Normal Circumstances) 5 minutes
PERSON RESPONSIBLE Any Dental Personnel
FORM/S
FEE
Dental Certification and Blank Appointment Slip
End of Transaction
- 55 -
Dental Services
ORAL HEALTH EVALUATION AND EDUCATION FOR ALL NEW STUDENTS Service Time: Monday – Friday (Enrollment Time) 8:00 am – 5:00 pm Clients: Freshmen Students, Transferees and A/E Passers Requirements: Official I.D. Issued by the University Appointment Slip Duration: 55 minutes Procedure: STEP
1 2
STUDENT APPLICANT Goes to University Dental Clinic, Presents School I.D., Appointment slip and fills up Logbook Fills up Personal Information on Oral Health Evaluation Form
3
Waits for the name to be called
4
Submits for Oral Health Evaluation and Education
5
Receives Instructions, Referral and Appointment Slip
SERVICE PROVIDER Provides Oral Health Evaluation Form Assists the Student / Faculty in filling up Calls the Student / Faculty for Treatment Oral Health Evaluation, Personal Coaching and Education Gives Instructions and Determines Recall Appointments and Issues Appointment Slip
DURATION OF THE ACTIVITY (Under Normal Circumstances)
PERSON RESPONSIBLE
FORM/S
2 minutes
Dental Personnel
Oral Health Evaluation Form
10 minutes
Dental Personnel
1 minute
Dentist
30 minutes
Dentist
10 minutes
Dentist
FEE
Oral Health Evaluation Form Oral Health Evaluation Form Oral Health Evaluation Form Oral Health Education Pamphlets and Appointment Slip
End of Transaction
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Dental Services
TREATMENT OF EMERGENCY CASES Service Time: Monday – Friday 8:00 am – 5:00 pm Clients: Freshmen Students, Transferees and A/E Passers Requirements: Official I.D. Issued by the University Duration: 1 hour and 20 minutes Procedure: STEP
1
STUDENT APPLICANT Goes directly to see the Dentist at the University Dental Clinic
SERVICE PROVIDER Assists the student / faculty and prepares clinic
2
Submits for Oral Treatment
Dentist conducts treatment
3
Receives instructions, referral and appointment slip if follow up is needed
Dentist gives post operative instructions, fills out referral form and appointment slip if necessary
4
Fills up treatment and admission logbook and personal information on oral health evaluation form if not available
Look for Oral Health Evaluation Form
DURATION OF THE ACTIVITY (Under Normal Circumstances)
PERSON RESPONSIBLE
FORM/S
10 minutes
Dentist and Dental Personnel
Oral Health Evaluation Form
45-60 minutes Depending on the severity of the case
Dentist
Oral Health Evaluation Form
10 minutes
Dentist
10 minutes
Any Dental Personnel
Assist the student in filling up
FEE
Oral Health Education Pamphlets and Appointment Slip Oral Health Evaluation Form, Admission Logbook
End of Transaction
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Dental Services
ASSIGNMENT OF DATE AND TIME FOR APPOINTMENT Service Time: Monday – Friday 8:00 am – 5:00 pm Clients: All Students and Faculty Requirements: Official I.D. Issued by the University Duration: 5 minutes Procedure: STEP
STUDENT APPLICANT
1
Sign in the admission logbook, present official ID. to a dental personnel and get assignment of date and time for appointment
SERVICE PROVIDER
Assist the student in getting Date and Time for Appointment
DURATION OF THE ACTIVITY (Under Normal Circumstances)
5 minutes
PERSON RESPONSIBLE
FORM/S
Dentist or Authorized Dental Personnel
Appointment Slip with Date and Time signed by a Dentist or Authorized Dental Personnel
FEE
End of Transaction
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Dental Services
TREATMENT OF APPOINTED CASES (NON EMERGENCY) Service Time: Monday – Friday (As scheduled) 8:00 am – 5:00 pm Clients: All students Requirements: Official I.D. Issued by the University Appointment Slip Duration: 1 hour and 20 minutes Procedure: STEP
1
2
STUDENT APPLICANT Go to University Dental Clinic and present School I.D., appointment slip and fills up Logbook Fill up Personal Information on Oral Health Evaluation Form if no existing Oral Health Evaluation form
SERVICE PROVIDER
DURATION OF THE ACTIVITY (Under Normal Circumstances)
PERSON RESPONSIBLE
FORM/S
Provide oral health evaluation form if the patient has no existing oral health evaluation form
5 minutes
Any Dental Personnel
Oral Health Evaluation Form
Assist the student in filling up
10 minutes
Any Dental Personnel
Oral Health Evaluation Form
1 minute
Dentist
45-60 minutes Depending on the severity of the case
Dentist
Oral Health Evaluation Form
Dentist
Oral Health Education Pamphlets and Appointment Slip
3
Wait to be called in by the Dentist
Call students / faculty for treatment
4
Submit for Oral Treatment
Dentist
5
Receive instructions, referral and appointment slip if follow up is needed
Dentist
5 minutes
FEE
Oral Health Evaluation Form
End of Transaction
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Dental Services
ISSUANCE OF CERTIFICATE OF DENTAL TREATMENT Service Time: Monday – Friday 8:00 am – 5:00 pm Clients: All Students and Faculty Requirements: Oral Health Evaluation Form Duration: 5 minutes Procedure: STEP
STUDENT APPLICANT
1
Signs in an admission logbook and ask for assistance of any dental personnel
SERVICE PROVIDER Checks oral health evaluation form and issue certificate of dental treatment
DURATION OF THE ACTIVITY (Under Normal Circumstances)
PERSON RESPONSIBLE
FORM/S
5 minutes
Dentist
Certificate of Dental Treatment
FEE
End of Transaction
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NSTP Services
REGISTRATION OF STUDENT ENROLEES Service Time: Monday – Friday (As scheduled) 8:00 am – 5:00 pm Clients: NSTP enrolees Requirements: 1. 2.
Duly enrolled and approved Enrolment Form from the Registrar, reflecting the inclusion of NSTP course as an enrolled subject. Proof of tuition fee payment
Duration: 10 - 20 minutes to the least, depending on the clientele if when he / she will submit the forms. Procedure: SERVICE PROVIDER
DURATION OF THE ACTIVITY (Under Normal Circumstances)
PERSON RESPONSIBLE
FORM/S
1
Presents approved Enrollment Form and OR;
Verifies and review approved enrolment form & receipt presented
5 minutes
Component Coordinator / faculty / staff
NSTP registration form (FORM 1)
2
Secures NSTP registration form and related documents (waiver, acknowledgment receipt)
Provides NSTP registration form and other related documents (waiver, acknowledgment receipt).
1 minute
Component Coordinator / faculty / staff
NSTP registration form (FORM 1), waiver & acknowledgement receipt
3
Accomplishes the data required in the NSTP Form 1 and waiver.
Component Coordinator / faculty / staff
NSTP registration form (FORM 1), waiver & acknowledgement receipt
STEP
4
STUDENT APPLICANT
Submits duly accomplished NSTP Form 1 and waiver
FEE
Due before the 1st Reg. Training period Accepts and reviews the data as filed and registers student applicant.
4 minutes
End of Transaction
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NSTP Services
VALIDATION AND ACCREDITATION OF GRADES AND UNITS TAKEN OF TRANSFEREES Service Time: Monday – Friday 8:00 am – 5:00 pm Clients: NSTP enrolees Requirements: 1. 2.
Certified machine copy of TOR. Duly accomplished institutional validation and accreditation form
Duration: 12 minutes Procedure: STEP
STUDENT APPLICANT
1
Presents the required documents.
SERVICE PROVIDER Verifies and reviews documents.
DURATION OF THE ACTIVITY (Under Normal Circumstances) 5 minutes
2
Validates and accredits NSTP grades and units
5 minutes
3
Returns validated documents to clientele and files the TOR with date.
2 minutes
PERSON RESPONSIBLE
Component Coordinator
FORM/S
FEE
Validation, accreditation forms and TOR
End of Transaction
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NSTP Services
ISSUANCE OF ORDERS / SERIAL NUMBER AND CERTIFICATION Service Time: Monday – Friday 8:00 am – 5:00 pm Clients: NSRC and NRC Reservist Requirements: 1. Identification Card; 2. Authorization letter with representative valid ID Duration: 1 hour and 32 minutes, (depending on the volume of request) Procedure: STEP
1
2 3 4
STUDENT APPLICANT
Secures request form at NSTP office, fills-out data and submit.
Paysrequired fees at the cashier and show proof of payment. Presents receipt at the NSTP Office. Receives documents as requested and acknowledges receipt in the logbook.
SERVICE PROVIDER
Issues, receives and reviews request form;
Locates in files of graduate batches and verify data.
Prinst documents as requested
Processes for signature of officials concerned and affix university seal;
DURATION OF THE ACTIVITY (Under Normal Circumstances) 10 minutes
PERSON RESPONSIBLE NSTP Director / Component Coordinator / staff
Request Form
10 minutes
Component Coordinator / staff
File #: A-19
5 minutes
NSTP Director / Component Coordinator / staff
1 hour
Component Coordinator / staff
Advises client to pay at the cashier Reviews/verifies receipt.
FORM/S
Official receipt
FEE
Certification Php20.00/page
2 minutes
Records in the log book and release documents
5 minutes
NSTP Director / Component Coordinator / staff
End of Transaction - 63 -
NSTP Services
ESTABLISHMENT OF LINKAGES AND NETWORK Service Time: Monday – Friday 8:00 am – 5:00 pm Clients: Other University service units, Go's , NGO's/CSO's and other Program stakeholders Requirements: Pertinent statutories, Memorandum order, Directives, Circulars , Program calendar of activities duly approved or noted by the president. Duration: 1 hour and 32 minutes, (depending on the volume of request) Procedure: STEP
STUDENT APPLICANT
SERVICE PROVIDER
1
Prepares and submits letter intent
2
Attends preliminary meeting
Discusses the nature of linkage / partnership
3
Prepares and submits the draft of MOU / MOA
4
Implements / recinds MOU / MOA
Receives preliminary letter of intent; Sets / arranges schedule of preliminary meeting; Informs partner / client of the scheduled preliminary meeting.
Receives and review preliminary negotiation of parties. Consults official concerned and revises the MOU / MOA prior to signature of authorized officials. Submits / presents adapted MOU / MOA to administrative council for endorsement to the BOR.
Inform the client/s of the BOR's decision.
DURATION OF THE ACTIVITY (Under Normal Circumstances)
PERSON RESPONSIBLE
FORM/S
1 day
NSTP Director, Staff, VP for Academic Affairs, University President
Basic Communication
1 day
NSTP Director, University President and authorized representative
FEE
30 minutes
2 days
MOU/MOA NSTP Director
1 day 1 day
End of Transaction
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Research Services
CONDUCT OF TRAINING IN RESEARCH Service Time: Monday - Friday 8:00 AM – 5:00 PM Clients: Faculty/Students/LGUs/NGOs Requirements: Letter request, Training Design Duration: 17 days and 30 minutes Procedure: STEP 1
2
3
4
STUDENT APPLICANT Submits letter request
SERVICE PROVIDER
Receives and assesses request
Prepares training design
Gets approval of training design
Prepares for the conduct of training
Gets endorsement from RDS Director, VPRE and approval of the University President of the training design Request supplies and materials
Attends training
Prepares training materials
Identifies and invites of resource persons Conducts training
DURATION OF THE ACTIVITY (Under Normal Circumstances) 30 minutes
PERSON RESPONSIBLE RDS Chair/ Coordinator
FORM/S
FEE
Training Design Form
3 days 1 hr
RDS Chair/ Coordinator
Training Design Form
10 days
RDS Chair/ Coordinator
Training Design Form
3 days
RDS Chair/ Coordinator
Training Design Form
End of Transaction
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Research Services
REQUEST FOR CAPABILITY BUILDING Service Time: Monday - Friday (as the need arises) 8:00 AM – 5:00 PM Clients: Faculty/Students Requirements: Letter of Request Duration: 11 days and 15 minutes Procedure: STEP
STUDENT APPLICANT
SERVICE PROVIDER
DURATION OF THE ACTIVITY (Under Normal Circumstances)
1
Letter request approved by the President
Checks availability of the resource persons
2 days
2
Submits list of participants
Examines the list for approval
3
Schedules capability building
4
Attends capability building
Gives support for the 1day conduct of capability building 3 days Conducts capability building End of Transaction
15 minutes
PERSON RESPONSIBLE
FORM/S
RDS Chair
Letter request
RDS Chair
FEE
List of participants
RDS /VPRE RDS/VPRE
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Research Services
REQUEST FOR CONSULTANCY SERVICES Service Time: Monday - Friday (as the need arises) 8:00 AM – 5:00 PM Clients: Faculty/Students/LGUs/NGOs Requirements: Letter of Request Duration: 2 hours Procedure: STEP 1 2 3
STUDENT APPLICANT
SERVICE PROVIDER
DURATION OF THE ACTIVITY (Under Normal Circumstances)
Letter request approved by the President Submits list of concerns/needs
Checks availability of technology/expertise
30 min
Examines the list for approval
30 min
Sets meeting with concerned researchers/experts
Coordinates and confirms schedule of meeting 1hour between clients and researchers End of Transaction
PERSON RESPONSIBLE
FORM/S
RDS Chair
Letter request
RDS Chair
List of concerns/needs
FEE
RDS Chair
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Extension Services
CONDUCT OF EXTENSION/ TRAINING ACTIVITY Service Time: Monday – Friday 8:00 am – 5:00 pm Clients: LGUs, POs, GOs, NGOs Requirements: Request Letter, Training Design Duration: 14 days and 1.5 hours Procedure: STEP
STUDENT APPLICANT
1
Gets signatures needed for approval of training/activity design and submit training/activity design
3
4
Receives and assesses request
30 minutes
Submits request letter
2
SERVICE PROVIDER
DURATION OF THE ACTIVITY (Under Normal Circumstances)
Prepares for the conduct of training/activity
Attends training/activity
Prepares training or activity design Gets endorsement from ECS Director, VPRE and approval of the University President of the training/activity design Request supplies and materials
ECS Chairperson
3 days
1 hr
10 days
Prepares training materials and designations of resource persons and facilitators Conducts training/extension activity
PERSON RESPONSIBLE
1 day
FORM/S
FEE
Training Design Form
ECS Chairperson
Training Design Form
ECS Chairperson/ECS Staff
Training Design Form
ECS Chairperson/ECS Staff/Resource Persons
Training Design Form
End of Transaction
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Extension Services
DISSEMINATION OF INFORMATION, EDUCATION AND COMMUNICATION (IEC) MATERIALS Service Time: Monday – Friday (to be scheduled every semester) 8:00 am – 5:00 pm Clients: Farmers/fisher folks, Extension Workers, Faculty members, Students, etc. Requirements: Letter of Request Duration: 20 minutes Procedure: STEP
STUDENT APPLICANT
SERVICE PROVIDER
DURATION OF THE ACTIVITY (Under Normal Circumstances)
1
Requests IEC materials on specific technology need
Checks availability of materials
5 minutes
2
Receives IEC materials and signs the logbook
Explains and releases IEC materials
15 minutes
PERSON RESPONSIBLE ECS Staff ECS Staff
FORM/S
FEE
Letter request List of IEC materials Log book
End of Transaction
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FEEDBACK FORM (Pananaw o Puna) Please let us know how we have served you. You may use this form for compliments, complaints, or suggestions. Simply check the corresponding box. Ipaalam po ninyo sa amin kung paano namin kayo napaglingkuran. Maaring gamitin ito para sa papuri, reklamo, o mungkahi. Mangyaring i-tsek lamang ang kahong naaayon.
COMPLIMENT
COMPLAIN
SUGGESTION
(Papuri)
(Reklamo)
(Mungkahi)
Person(s)/Unit/Office Concerned or Involved: _______________________________________________________________________________ (Mga tao/pangkat/tanggapan na may kinalaman sa papuri, reklamo, o mungkahi)
Facts or Details Surrounding the Incident:
(Kaganapan o detalyeng bumabalot sa pangyayari)
(Please use additional sheet/s if necessary)
(Mangyaring gumamit ng karagdagang papel kung kinakailangan)
Recommendation(s)/Suggestion(s)/Desired Action from our Office (Rekomendasyon/Mungkahi/Nais na aksiyon mula sa aming tanggapan)
(Please use additional sheet/s if necessary) (Mangyaring gumamit ng karagdagang papel kung kinakailangan)
Name [OPTIONAL]: ___________________________________________________ (Pangalan)
Name [OPTIONAL]: ___________________________________________________ (Pangalan)
Name [OPTIONAL]: ___________________________________________________ (Pangalan)
Name [OPTIONAL]: __________________________________________________ (Pangalan)
Office/Agency: ___________________________________ (Tanggapan/Ahensiya)
Office/Agency: ___________________________________ (Tanggapan/Ahensiya)
Office/Agency: ___________________________________ (Tanggapan/Ahensiya)
Office/Agency: ___________________________________ (Tanggapan/Ahensiya)
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