ANNEX D
CAV FORM 4- CERTIFICATION OF ENROLMENT/ COMPLETION/GRADUATION
Republic of the Philippines
Department of Education
Region__________
Division_________
School Name_____
CERTIFICATION OF ENROLMENT / COMPLETION / GRADUATION
TO WHOM IT MAY CONCERN:
This is to certify that, based on available records in this school. The following
information pertaining to Name of Learner Reference Number ___________ appear :
( ) enrolled in Grade ____ during the School Year ______
( ) completed Grade ____ during the School Year ______
( ) satisfactorily graduated from Elementary / Secondary Course for the School Year
________ as prescribed by the Department of Education.
This certification is issued on __________ upon the request of Name of Learner in
Address: Fortich St., Sumpong, Malaybalay City, Bukidnon
Hotline Number: +639178423657
Email Address: bukidnon@deped.gov.ph
Website: https://bukidnon.deped.gov.ph
connection with his/ her application for Certification, Authentication and Verification.
_____________________________
( Signature Over Printed Name )
( School Head /Principal )
‘If graduated from secondary course in private school, indicate Special Order Number and
date.
Address: Fortich St., Sumpong, Malaybalay City, Bukidnon
Telephone No: (088)-813-3634
Email Address: bukidnon@deped.gov.ph
Website: www.depedbukidnon.net.ph