PHILIPPINE NORMAL UNIVERSITY

The Country’s National Center for Teacher Education (R.A. 9647)

http://www.pnu.edu.ph

CITIZEN’S CHARTER

1
TABLE OF CONTENTS

Page

I. Vision & Mission …..………………………….………………… 3

II. Performance Pledge…………………………………………… 4

III. Frontline Services …………………………………………….. 5-47

IV. Feedback Form……………………………………………….. 48

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VISION
The Philippine Normal University designated as the Country’s National Center for
Teacher Education shall be the primary source of high quality teachers and education managers
in the country and the world. As the established producer of “knowledge workers” in the field
of education, it shall likewise continue to inspire and shape the quality of Filipino students and
graduates.

MISSION
The Philippine Normal University is dedicated to developing teachers and educational
leaders as valued contributors in the social transformation of the Filipino for a better world.
This mission is propelled by the institution’s commitments to:

1. Quality education and excellence

2. Knowledge creation and application
3. A culture of sharing and service
4. Growth, efficiency and accountability

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Performance Pledge
We, the officials, faculty and administrative employees of the Philippine Normal University, do
hereby commit to the public, our clientele, a kind of service anchored on the following values and principles:

P – Promptness. We ensure speedy service within reasonable time from 8:00AM to 5:00PM, Mondays to
Saturdays, and when exigency of public service so demands.
N – Nationalism. Imbued with Filipino values, we take pride in rendering professional service to our
fellow citizens with the prime interest of the Filipino nation in mind at all times.
U – Uprightness. We live up to the highest standards of morality in the performance of our duties and
responsibilities as public servants who observe the Code of Conduct and Ethical Standards for
Government Officials and Employees.

N – Novelty. We continue to innovate in order to respond to the changing needs of our clients as we
improve the quality of our service.
C – Commitment. We uphold our dedication and responsibility in pursuing our mission as an institution
of higher learning in all our endeavors and transactions with the public.
T – Transparency. We maintain our business transactions at all levels open to public scrutiny and
oversight as a means of fighting corruption and holding ourselves accountable to the public.
E – Efficiency. We advocate competence and productiveness in dealing with our clients to achieve the
desired services without wasting time, resources and effort.

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 LIST OF FRONTLINE SERVICES
PAGE
A. Admissions 7-14
Center for Teaching and Learning (CTL)
Undergraduate Programs
Post Baccalaureate Programs
• Graduate Programs (Masters & Doctorate)

B. Enrolment 15
Freshmen
Old Students

C. Issuance of Documents 16-20

• Transcript of Records
• Certification
• Diploma (Original/True Copy)
• Evaluation
• Checklist of Courses Taken
• General Weighted Average (GWA)
• Verification
• Authentication
• DFA Endorsement
• Completion of Grade
• Withdrawal of Courses
• Permit to Study

D. Student Services 21-32

• Issuance of Certificate of Good Moral Character
• Validation of IDs
• Replacement of Lost IDs

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• Leave of Absence
• Dropping of Subject/s Enrolled
• Exemption from Wearing Uniform
• Application for Scholarships/Grants
• Application for Student Assistantships
• Handling Complaints Against Students/Teachers
• Issuance of Permit to Hold an Activity

E. Library Services 33-40

• Library Card Application
• Library Card Renewal/Replacement
• Issuance of Permit for Outside Researcher
• Borrowing/ Returning Books from Different Library Sections to Circulation Area
• Library Internet
• Photocopying of Materials

F. Auxiliary Services 41-44

• Admission of Boarders/Dormers
• Accommodation of Transients

A. Reservation of University Facilities 45-47

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 Title of Frontline Services : Application for Admission Test in the Graduate Programs
(Masteral and Doctoral) and Certificate in Teaching Program
(CTP)
Schedule of Availability of Service : Mondays – Saturdays 8:00AM – 5:00PM
Key Person : Director, Office of Admissions
Who may avail of the service?
For Graduate Program
• Graduate of Bachelor’s Degree in Education for Masteral Program
• Graduate of Bachelor’s Degree with 18 units in CTP for Masteral
• Graduate of Master’s Degree for Doctoral Program
For CTP
• AB/BS Graduate of Non-Education course
What are the Requirements?
1. a) Original Transcript of Records (TOR) of Bachelor’s degree in Education and 18 units of Education/CTP (for
Masteral)
and Masteral degree (for Doctoral).
b) Original Transcript of Records of Bachelor’s degree (Non- Education) for CTP
2. Computed Grade Point Average (GPA) of 85% / 2.0 / B or better for Masteral/CTP and 90% / 1.75 / B+ or better
for Doctoral
3. Certification of at least two years teaching experience (for Masteral & Doctoral)
4. Photocopy of the Marriage Contract if TOR bears maiden name
5. P400 for the Admission Test fee to be paid to the University Cashier
6. Two (2) copies of 1”x1” recent colored picture
Total Time Duration : 100 minutes

How to Avail of the Service:

Fee Form/
Step Please Follow the Steps Service Provider Duration Person In charge
document
Present admission requirements for Evaluate admission requirements of 5 minutes/applicant Director No fee *Transcript of
1
evaluation applicant Administrative Aid Records
2 Secure Computation Form and Issue Computation Form and recheck 60 minutes Director No fee Computation
compute for Grade Point Average results of GPA if qualified Administrative Aid Form for Grade

7
 (GPA) Point Average
If qualified, secure and accomplish Issue Application Form and check 15 minutes Director No fee Application
3 Application Form for Admission entries of applicant’s information Administrative Aid Form for
Test Admission Test
Proceed to the office of the Advice applicant to proceed to the 10 minutes Department Chair No Fee Accomplished
4 Department Chair for Interview and office of the Department Chair and Administrative Aid Application
signature / approval of application note approval Form
Pay the Admission Test fee of Accept payment of Admission Test 5 minutes Cashier P400.00 Official Receipt
5 P400.00 to the University Cashier’s fee c/o Cashier’s Office of payment
Office
Submit OR of payment and attach in Encode data of applicant in the 3 minutes Administrative Aid No Fee Test Permit
6 the Application Form Enrollment System and print Test
Permit
Claim Test Permit and sign in the Issue Test Permit and compile 2 minutes Administrative Aid No fee Test Permit
7
logbook accomplished form Logbook
END OF TRANSCATION

Title of Frontline Services : Application for Admission Test in the Undergraduate

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 (Incoming Freshmen)
Schedule of Availability of Service : Mondays – Saturdays 8:00AM – 5:00PM
Key Person : Director, Office of Admissions
Who may avail of the service? : Incoming Freshman Students / Transferees
What are the Requirements?
• High School Report Card (original & photocopy) -- no grade lower than 80% in all subjects in fourth year

*Transcript of Records with no grade lower than 2.0 and Honorable Dismissal (for Transferees)
• Certificate of Good Moral Character from High School Principal/Guidance Counselor
• Certified True Copy of Birth Certificate
• Two (2) copies of 1”x1” picture
• P350.00 Admission Test Fee to be paid to the University Cashier
Total Time Duration: 42 minutes

How to Avail of the Service:

Fee Form/
Step Please Follow the Steps Service Provider Duration Person In charge
document
Present admission requirements for Evaluate admission requirements of 5 minutes/applicant Director No fee High School Card /
1 evaluation applicants Administrative Aid Transcript of
Records
Secure and accomplish Application Issue Application Form, check 20 minute Director No fee Application Form
2 Form for Admission Test entries of applicant’s information and Administrative Aid for Admission Test
attach photocopy of requirements
Pay the Admission Test fee of Accept payment of admission fee 5 minutes Cashier P350.00 Official Receipt of
3 P350.00 to the University Cashier’s c/o Cashier’s Office payment
Office
Submit OR of payment and attach Encode data of applicants in the 10 minutes Administrative Aid No fee Test Permit
4 with Application Form Enrollment System and print Test
Permit
Claim Test Permit and sign in the Issue Test Permit and file 2 minutes Administrative Aid No fee Test Permit
5
logbook accomplished form Logbook
END OF TRANSCATION
Title of Frontline Services : Application for Admission Test in the Center for Teaching and

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 Learning (CTL)
Schedule of Availability of Service : Mondays – Saturdays 8:00AM – 5:00PM
Key Person : Director, Office of Admissions
Who may avail of the service? : Incoming First Year High School Students and Kindergarten 1 Pupils (Entry
Grade Levels)
What are the Requirements?
FIRST YEAR HIGH SCHOOL
1. Grade 6 Report Card – no grade lower than 85 in all subjects during the third quarter of the present school year
(no grades below 80 in all subjects in all quarters/grading periods)
2. Certificate of Good Moral Character from the Principal/Guidance Counselor (with school seal)
3. Certified True Copy of Birth Certificate
4. Barangay Captain’s Certification of Residence
5. Two copies of 1”x1” recent colored picture
6. P350.00. for the Entrance Examination Fee
Total Time Duration : 42 minutes

How to Avail of the Service:

Fee Form/
Step Please Follow the Steps Service Provider Duration Person In charge
document
Present admission Evaluate admission 5 Director No fee High School
requirements for evaluation requirements of applicants minutes/applic Administrative Card /
1
ant Aid Transcript of
Records
Secure and accomplish Issue Application Form, check 20 minute Director No fee Application
Application Form for entries of applicant’s Administrative Form for
2
Admission Test information and attach Aid Admission
photocopy of requirements Test
Pay the Admission Test fee Accept payment of admission 5 minutes Cashier P350. Official
3 to the University Cashier’s fee 00 Receipt
Office c/o Cashier’s Office
Submit OR of payment and Encode data of applicants in 10 minutes Administrative No fee Test Permit
4 attach with Application the Enrollment System and Aid
Form print Test Permit
5 Claim Test Permit and sign Issue Test Permit and file 2 minutes Administrative No fee Test Permit

10
 in the logbook accomplished form Aid Logbook
END OF TRANSACTION

KINDERGARTEN 1
1. Certified True Copy of Birth Certificate - Age – 41/2 to 5 years old (Must have been born between June 2005 –
June 2006)
2. Barangay Captain’s Certification of Residence
3. Two copies of 1”x1” recent colored picture
4. P350.00. for the Entrance Examination Fee
Total Time Duration: 42 minutes

How to Avail of the Service:

Fee Form/
Step Please Follow the Steps Service Provider Duration Person In charge
document
Present admission Evaluate admission 5 Director No fee Admission
1 requirements for evaluation requirements of applicants minutes/applica Administrative Requireme
nt Aid nts
Secure and accomplish Issue Application Form, 20 minute Director No fee Application
Application Form for check entries of applicant’s Administrative Form for
2
Admission Test information and attach Aid Admission
photocopy of requirements Test
Pay the Admission Test fee Accept payment of 5 minutes Cashier P350. Official
3 of P350.00 to the University admission fee 00 Receipt of
Cashier’s Office c/o Cashier’s Office payment
Submit OR of payment and Encode data of applicants in 10 minutes Administrative No fee Test Permit
4 attach with Application the Enrollment System and Aid
Form print Test Permit
Claim Test Permit and sign Issue Test Permit and file 3 minutes Administrative No fee Test Permit
5
in the logbook accomplished form Aid Logbook
END OF TRANSACTION

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 Title of Frontline Services : Administration of Admission Tests
• Graduate College Admission Test (GCAT)
• Certificate in Teaching Program (CTP) and Post Baccalaureate Specializations Admission Test
• Philippine Normal University Admission Test (PNUAT)
• Center for Teaching and Learning Admission Test
Schedule of Availability of Service : Sundays 8:00AM – 5:00PM (Except for walk-in examination to be
scheduled)
Key Person : Director, Office of Admissions
Who may avail of the service? : Qualified applicants in the Programs/Levels
What are the Requirements?
• Test Permit with picture and official receipt of payment
• Valid ID of examinee
Time Duration of Examination: 2 hours
Test Results Release: 10 working days after the scheduled test
Total Time Duration: 2 hours and 40 minutes

How to Avail of the Service:

Fee Form/
Step Please Follow the Steps Service Provider Duration Person In charge
document
Locate examinee’s name on the Check Test Permit and valid ID for 30 minutes / Director No fee Test Permit
master list posted and present Test verification and orient examinees examinee Proctor Valid ID
1
Permit with ID to the Proctor Lists of
Examinees
Take the Admission Test Administer Admission Test as 2 hours Proctor No fee Test Booklet
2
scheduled Answer Sheet
Return test materials to the Proctor Retrieve test materials and 5 minutes Proctor No fee Test Booklet
3
after the test countersign Test Permit Answer Sheet
Get schedule of release of test results Release test result and inform 5 minutes Director No fee Admission
4
(10 working days after the test) schedule of Enrollment Administrative Aid Test Results
END OF TRANSACTION

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 Title of Frontline Services : Interview Procedure for
• Incoming Freshmen – Undergraduate
• CTL First Year High School and Kindergarten 1
Schedule of Availability of Service : To be scheduled 10 days after the release of test 8:00AM – 5:00PM

Key Person : Director, Office of Admissions

Who may avail of the service? : Passers in the PNU Admission Test (Incoming Freshman Students/Transferees)
What are the Requirements for Interview?
• Fourth Year High School Report Card
*Transcript of Records and Honorable Dismissal (for Transferees)
• Certificate of Good Moral Character from High School Principal/Guidance Counselor
• School ID
• Interview Sheet to be accomplished by the applicant
• Test Permit
Total Time Duration: 2 hours and 55 minutes

How to Avail of the Service:

Fee Form/
Step Please Follow the Steps Service Provider Duration Person In charge
document
Present interview Verify Interview requirements 5 minutes / Director No Interview
1 requirements for verification of applicant interviewee Administrative fee requirements
Aid
Secure and accomplish Issue Interview Form, call 15 minutes Administrative No Interview
Interview Form number Aid fee Sheet
2
and check entries Student Call number
Assistant
When number is called, Interview applicant 10 minutes Interviewer No Accomplished
present all requirements to fee Interview
3
the Interviewer form and
requirements
4 If passed the Interview, Issue Recommendation for 5 minutes Interviewer No Recommenda
receive Recom mendation Medical, for passers. fee tion for
for Medical. If not, get all Return all requirements for Medical
requirements except non-passers

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 Interview Form
Proceed to Medical Clinic for Conduct physical examination 2 hours c/o Medical & c/o Medical &
5 physical and dental c/o Medical & Dental Dental Medic Dental
examinations Personnel Personnel al Record
Claim and submit Medical Receive and record submitted 15 minutes Director Medical and
6 Clearance after 5 working Medical Clearance Administrative Dental
days Aid Clearance
Get Confirmation Form for Release Confirmation Form 5 minutes Director Confirmation
7 Enrollment for Enrollment Administrative Form
Aid
END OF TRANSACTION

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 Title of Frontline Services : Pre-Enrollment Procedure (Incoming Freshmen)
Schedule of Availability of Service : Mondays – Saturdays 8:00AM – 5:00PM
Key Person : Director, Office of Admissions
Who may avail of the service? : Qualifiers in the Interview (Incoming Freshman Students / Transferees)
What are the Requirements for Pre-Enrollment?
• Original Fourth Year High School Report Card
*Original Transcript of Records and Honorable Dismissal (for Transferees)
• Certificate of Good Moral Character from High School Principal/Guidance Counselor
• Certified True Copy of Birth Certificate
Total Time Duration : 1 hour
How to Avail of the Service:
Fee Form/
Step Please Follow the Steps Service Provider Duration Person In charge
document
Get call number and Pre-Enrollment Issue call number and Pre-Enrollment 10 minutes/enrollee Director No fee Call number
Form to be accomplished Form Administrative Aid Pre-
1
Enrollment
Form
Submit Enrollment requirements for Verify entry requirements of student 10 minutes Director No fee Entry
2 verification and call number and encode in the Enrollment System Administrative Aid requirements

Claim Notice of Admission for Issue automated Notice of Admission 7 minutes Director No fee Notice of
3 Enrollment and designated section of student Administrative Aid Admission

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 Log in to the List of Students by Record list of students for 3 minutes Administrative Aid No fee List of
4 section consolidation Student Assistant Students by
section
Submit Notice of Admission on the Enroll students in the Enrollment 30 minutes c/o Office of the Notice of
day of the Enrollment System c/o Office of the Registrar Registrar Admission
5
First Year Adviser Master List of
Students

Title of Frontline Services : Accepting Application & Issuance of the following Documents:
1. Transcript of Records
• Graduate (G)
• Post-Baccalaureate
• Undergraduate (UG)
• Undergraduate Specialization
2. Certification
• Completion of Academic Requirements (CAR)
• Detailed Description of Courses
• English as the Medium of Instruction
• Enrolment
• Exemption from Special Order of Graduation (S.O.)
• General Weighted Average (GWA)
• Grades
• Graduation
• Units earned
3. Diploma (Original/Duplicate)
• English Translation
• Evaluation of Grades (Graduate Level)
4. Checklist (Undergraduate Level)
5. Completion of Grades
6. Certified True Copy of Entrance Data

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 7. Honorable Dismissal/Transfer Credential
8. Permit to Study
9. Withdrawal of Courses
10. CAV (Certification, Authentication and Verification of Documents)
11. DFA Endorsement
Duration: Undergraduate Transcript of Records – MIS (Available on the Database) - 10 working days (Year 2000 onwards)*
Undergraduate Transcript of Records - Old (For re-encoding and rechecking) - 15 working days (Year 1999
downwards)*
Graduate Level Transcript of Records-- 15 working days*
Post-Baccalaureate/Undergraduate Specialization Transcript of Records – 10 working days*
*If second request – 5 working days
Certification – 10 working days
*Detailed Description of Courses – 15 working days
Checklist – 5 working days
Evaluation of Grades (Graduate Level) - 15 working days
Study Permit – 5 working days
Duplicate Diploma – 15 working days
Authentication – 2 working days
Honorable Dismissal/Transfer Credential – 1 working day
Schedule of Availability of Service: Mondays through Fridays 7:00 am - 5:00 pm ; Saturdays - 8:00 am – 5:00 pm
Who may avail of the service:
• Graduate and Undergraduate Students, Alumni, Foreign Students, Schools, Companies, Foreign and Local Evaluators
What are the requirements?
• Affidavit of Loss for Securing Duplicate Diploma
• Affidavit for Correction of Name / Birthday
• Original (to be returned)/ Photocopy of Marriage Contract for Married Students
• Documentary Stamps (for TOR and Diploma)
• Permit to Study from the Division Office concerned
Total Time Duration: 70 minutes

How to Avail of the Service:

Fee Form/
Step Please Follow the Steps Service Provider Duration Person In charge
document

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 Application
Secure and fill-out Application Issues and checks Application Form Information Desk
1 10 minutes None for
Form for Document/s for Document/s Clerk
Document/s

Depends on
the kind of
Document Official
(Refer to Receipt
Accepts payment for document/s the
2 Pay at the Cashier’s Office 10 minutes Cashier
requested Schedule of Application
Fees from for
the Document/s
Accounting
Office)
Proceed to the Accounting Office
for General Clearance, if applicable.
A general Clearance is required if Accounting Staff,
General
the application is filed for the first Library Staff, and
3 Issues General Clearance Form 30 minutes None Clearance
time, particularly the TOR, Diploma Office of Student
Form
and the Evaluation of Grades in the Affairs Staff
Graduate Level. If not applicable,
proceed to Step 4
Checks entries in the Application
Form, making sure that the O.R. and
Application
the General Clearance Form duly
for
signed by all authorities concerned
Document/s
File the Application Form at are attached and that documentary
with General
4 Window 5, Office of the University stamps are provided for TOR and 20 minutes Registrar Staff None
Clearance
Registrar and secure Claim Stub Diploma applications
Form and
O.R.

Claim Stub

END OF TRANSACTION

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Title of Frontline Services : Releasing of the following documents:
1. Transcript of Records
2. Graduate (G)
• Post-Baccalaureate
• Undergraduate (UG)
• Undergraduate Specialization
3. Certification
• Completion of Academic Requirements (CAR)
• Detailed Description of Courses
• English as the Medium of Instruction
• Enrolment
• Exemption from Special Order of Graduation (S.O.)
• General Weighted Average (GWA)
• Grades
• Graduation
• Units earned
4. Diploma (Original/Duplicate)
• English Translation
5. Evaluation of Grades (Graduate Level)
6. Checklist (Undergraduate Level)
7. Completion of Grades
8. Certified True Copy of Entrance Data
9. Honorable Dismissal/Transfer Credential
10. Permit to Study
11. Withdrawal of Courses
12. CAV (Certification, Authentication and Verification of Documents)
13. DFA Endorsement
Duration: Undergraduate Transcript of Records – MIS (Available on the Database) - 10 working days (Year 2000 onwards)*
Undergraduate Transcript of Records -- Old (For re-encoding and rechecking) - 15 working days (Year 1999
downwards)*
Graduate Level Transcript of Records-- 15 working days*
Post-Baccalaureate/Undergraduate Specialization Transcript of Records – 10 working days*

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 *If second request – 5 working days
Certification – 10 working days
• Detailed Description of Courses – 15 working days
Checklist – 5 working days
Evaluation of Grades (Graduate Level) - 15 working days
Study Permit – 5 working days
Duplicate Diploma – 15 working days
Authentication – 2 working days
Honorable Dismissal/Transfer Credential – 1 working day
Schedule of Availability of Service:Mondays through Fridays 7:00 am - 5:00 pm ; Saturdays - 8:00 am – 5:00 pm
Who may avail of the service:
Graduate and Undergraduate Students, Alumni, Foreign Students, Schools, Companies, Foreign and Local
Evaluators who filed an Application for Document
What are the requirements? Claim Stub
Total Time Duration: 10 minutes

How to Avail of the Service:

Person In Fee Form/
Step Please Follow the Steps Service Provider Duration
charge document
Releases the document/s being
Present Claim Stub at Window 5,
requested Claim Stub
1 Office of the University Registrar 10 minutes Registrar Staff None
Asks the applicant to sign on the Document/s
on the scheduled date of release
Logbook applied for
2 END OF TRANSACTION

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 Title of Frontline Service : Issuance of Certificate of Good Moral Character
Schedule of Availability : Monday - Friday, 8:00 a.m. - 5:00 p.m.
Key Person : Dean, Office of Student Affairs and Student Services
Who May Avail of the Service : Students/ Alumni
What are the requirements :
 ID/Transcript of Records
Duration : 2 working days
Fee/Charge : P 50.00
How to Avail of the Service :
Person In Fee Form/
Step Please Follow the Steps Service Provider Duration
charge document
Accomplish & submit Request Form Receives and evaluates the request 15 mins.
1 for Certificate of Good Moral OSASS Secretary Request Form
Character
Proceed to Cashier’s Office to pay Accepts payment and issues Official 15 mins. Cashier’s Office
2
for Certificate Receipt (OR) Staff
Present the Official Receipt to the Verifies records of student behavior 1 day OSASS
3 OSASS Secures signature of OSASS Dean Secretary/OSASS
Dean
Secure the Certificate of Good Moral Issues Certificate of Good Moral 30 mins. Certificate of
OSASS Secretary
4 Character Character Good Moral
Character
END OF TRANSACTION

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 Title of Frontline Service : Validation of IDs
Schedule of Availability : Monday – Friday, 8:00 a.m. - 5:00 p.m.
Key Person : Dean, Office of Student Affairs and Student Services
Who May Avail of the Service : Students
What are the Requirements :
 ID
 Registration Form
Duration : 2 hours
Fee Charged : None
How to Avail of the Service:
Person In Fee Form/
Step Please Follow the Steps Service Provider Duration
charge document
Present ID together with Registration Receives ID and Registration Card
1 1 hour OSASS Secretary Logbook
Card and sign on the Logbook for validation of enrolment
2 Signs the ID 30 mins. OSASS Dean
Claim the validated ID and sign on
3 30 mins. OSASS Secretary Logbook
the Logbook
END OF TRANSACTION

Title of Frontline Service : Issuance of Affidavit for Lost ID

22
 Schedule of Availability : Monday – Friday, 8:00 a.m. - 5:00 p.m.
Key Person : Dean, Office of Student Affairs and Student Services
Who May Avail of the Service : Students
What are the Requirements :
 Affidavit of Loss
Duration : 3 ½ hours
Fee Charged : P50.00
How to Avail of the Service:
Person In Fee Form/
Step Please Follow the Steps Service Provider Duration
charge document
Present to OSASS letter explaining
1 Evaluates the letter 1 hour OSASS Dean
how ID got lost
Secure a duly notarized Affidavit of
Affidavit of
2 Loss from the City Hall and present Files Affidavit of Loss 1 hour OSASS Secretary
Loss
it to the OSASS
Gives Logbook to requesting party
Secure and accomplish Temporary Temporary
3 for documentation of his/her 30 mins. OSASS Secretary
Pass Slip and Request for New ID Pass Slip
transaction
Receives Request for New ID and
asks requesting party to pay at the
Personal
Present Request for New ID to Cashier’s Office and present Official University Press
4 1 hour Information
University Press for processing Receipt before accomplishing Director/Staff
Slip
Personal Information Slip and
having his/her picture taken
END OF TRANSACTION

Title of Frontline Service : Filing of Leave of Absence

Schedule of Availability : Monday – Friday, 8:00 a.m. - 5:00 p.m.

23
 Key Person : Dean, Office of Student Affairs and Student Services
Who May Avail of the Service : Students
What are the Requirements :
 Leave of Absence Form
Duration : 3 hours
Fee Charged : None
How to Avail of the Service:
Person In Fee Form/
Step Please Follow the Steps Service Provider Duration
charge document
Consult the Guidance Counselor and Leave of
Confers with the student about
1 request for and accomplish a Leave 1 hour OSASS Counselor Absence
his/her desire to go on leave
of Absence (LOA) Form in triplicate Form
Leave of
Receives the accomplished Leave of
2 30 mins. OSASS Dean Absence
Absence (LOA) Form and signs it
Form
Leave of
OSASS
3 Claim the signed LOA Form Returns signed LOA Form to student 30 mins. Absence
Secretary/Staff
Form
Leave of
Submit the signed LOA Form to the Receives the signed LOA Form for Registrar’ Office
4 30 mins. Absence
Registrar Office approval of the Registrar Staff
Form
Leave of
Claim his/her copy and give another OSASS
Receives OSASS Copy 30 mins. Absence
copy to OSASS Secretary/Staff
Form
END OF TRANSACTION

Title of Frontline Service : Dropping of Subjects

Schedule of Availability : Monday – Friday, 8:00 a.m. - 5:00 p.m.
Key Person : Dean, Office of Student Affairs and Student Services

24
 Who May Avail of the Service : Students
What are the Requirements :
 Dropping Form
Duration : 1 ½ days
Fee Charged : None
How to Avail of the Service:
Person In Fee Form/
Step Please Follow the Steps Service Provider Duration
charge document
Consult the Guidance Counselor and
request for and accomplish Request Confers with the student about Dropping
1 1 hour OSASS Counselor
to Drop Undergraduate Courses his/her desire to drop his/her courses Form
Form in triplicate
Secure signature of professors for
official dropping of courses and
submit copies of the signed Receives the accomplished Dropping OSASS
Dropping Form in triplicate to the Form duly signed by the professors Counselor/Dean Dropping
2 1 day
OSASS for the signature of the concerned for approval of the Registrar’ Office Form
Guidance Counselor and the Dean Registrar Staff
before submitting them to the
Registrar’s Office
Returns two copies to student: one Registrar’ Office Dropping
3
for him/her, one for OSASS Staff Form
Claim his/her copy and submit OSASS Dropping
4 Receives OSASS Copy 1 hour
another copy to OSASS Secretary/Staff Form
END OF TRANSACTION

Title of Frontline Service : Request for Exemption from Wearing the School Uniform
Schedule of Availability : Monday – Friday, 8:00 a.m. - 5:00 p.m.
Key Person : Dean, Office of Student Affairs and Student Services

25
 Who May Avail of the Service : Students
What are the Requirements :
 ID
 Excuse Letter
Duration : 1 hour
Fee Charged : None
How to Avail of the Service:
Person In Fee Form/
Step Please Follow the Steps Service Provider Duration
charge document
Submit request letter on non-wearing Evaluates excuse letter and issues Exemption
1 1 hour OSASS Secretary
of school uniform Exemption Slip Slip
Show exemption slip Teacher/guard examines authenticity Exemption
2 Teacher/Guard
to teacher/security guard of Exemption Slip Slip
END OF TRANSACTION

Title of Frontline Service : Processing of Application for Scholarships/Grants

26
 Schedule of Availability : Monday – Friday, 8:00 a.m. – 5:00 p.m.
Key Person : Scholarship Coordinator of OSASS
Who May Avail of the Service : Scholars/Grantees
What are the Requirements :
 GWA
 Autobiography
 ITR
 Certificate of Indigency
 Personal Data Sheet
 Sketch of Residence
Duration : 7 working days
Fee/Charge : None

How to Avail of the Service

Person In Fee Form/
Step Please Follow the Steps Service Provider Duration
charge document
Submit requirements Evaluates completeness of documents 1 day Scholarship Personal Data
1
Coordinator Sheet
Recommends qualified applicants to 1 day
Scholarship
donors
Coordinator/
2 Submits list of chosen scholars to
OSASS for the OSASS Dean’s
OSASS Dean
approval
Await posting of names of scholars Informs who were chosen as 2 working days Scholarship
3 at OSASS Bulletin Board recipients of scholarships Coordinator/
OSASS Secretary
Inquire at the Cashier’s Office Prepares request for Special 3 working days
OSASS
4 if stipends are available or Order of payment of stipend
Secretary
have been released
END OF TRANSACTION

Title of Frontline Service : Processing of Application for Student Assistantships

27
 Schedule of Availability : Monday – Friday, 8:00 a.m. - 5:00 p.m.
Key Person : Dean, Office of Student Affairs and Student Services
Who May Avail of the Service : Students
What are the Requirements :
 Student Application Form
 Copy of grades
 Registration Form
Duration : 3 ½ days
Fee Charged : None
How to Avail of the Service:
Person In Fee Form/
Step Please Follow the Steps Service Provider Duration
charge document
Application
Secure and accomplish Application Issues an Application Form for
OSASS Form for
1 Form for Student Assistantship at Student Assistantship to student 1 hour
Secretary/Staff Student
OSASS applicant
Assistantship
Application
Undergo interview with Head of
Receives recommendation form from OSASS Form for
2 Office/Department where student is 1 day
Department/Office Head Secretary/Staff Student
applying as Student Assistant
Assistantship
Application
Determines if applicant meets all
Form for
3 qualifications and signs on the 1 day
Student
application form
OSASS Dean Assistantship
Prepares a list of successful OSASS List of
Await posting of list of successful applicants and submits it to the Secretary/Staff Student
4 1 day
applicants University President through the Assistants
HRMO for his approval
Wait for Special Order issued by the
5 Prepares Special Order
HRMO HRMO Head/Staff
END OF TRANSACTION
Title of Frontline Service : Handling of Complaints Against Students/Faculty
Schedule of Availability : Monday – Friday, 8:00 a.m. - 5:00 p.m.
Key Person : Dean, Office of Student Affairs and Student Services

28
 Who May Avail of the Service : Anyone aggrieved or offended by a student/faculty member
What are the Requirements :
 Accomplished Incident Report Form also referred to as complaint form;
 Full name of the student/teacher complained about & full name of person complaining;
 A narration of relevant facts that show the offense allegedly committed by the student/faculty
member complained about;
 Evidence and testimonies of witnesses
Duration : 1 ½ working days
How to Avail of the Service:
Person In Fee Form/
Step Please Follow the Steps Service Provider Duration
charge document
Discusses complaint with
Orally report complaint to the Office
1 complainant and gives Logbook to 1 hour Counselor/s Logbook
of Student Affairs & Services
document complaint
Accomplish & submit Incident Receives accomplished Incident Incident
2 1 hour Counselor/s
Report Form Report Form Report Form
Notice of
Informs complainant on venue, date 1 hour Counselor/s
Confirm venue, date & time of fact- Dialogue/
and time of dialogue/hearing
finding dialogue/hearing to be Hearing
conducted
3
Conducts dialogue/hearing and 1 day OSASS Dean
Attend conduct of dialogue/ hearing Logbook
works for resolution of case

END OF TRANSACTION

Title of Frontline Service : Issuance of Permit to Hold an Activity

Schedule of Availability : Monday – Friday, 8:00 a.m. - 5:00 p.m.
Key Person : Dean, Office of Student Affairs and Student Services

29
 Who May Avail of the Service : Students
What are the Requirements :
 Permit to Hold an Activity Form
Duration : 2 hours
Fee Charged : None
How to Avail of the Service:
Person In Fee Form/
Step Please Follow the Steps Service Provider Duration
charge document
Secure and accomplish Permit to Permit to Hold
Receives accomplished form and OSASS
1 Hold an Activity Form and attach 1 hour an Activity
reads entries therein. Secretary/Staff
project/program proposal Form
Permit to Hold
2 Affixes signature on the form 30 mins. an Activity
OSASS Dean Form
Permit to Hold
3 Return signed form to student 30 mins. an Activity
OSASS Secretary Form
Get signed form and submit it to the Permit to Hold
4 Office of the VP for Administration, Receives form signed by OSASS VP for AFD Staff an Activity
Finance and Development Form
Permit to Hold
5 Claim signed form Signs on the form an Activity
VP for AFD Form
END OF TRANSACTION

Title of Frontline Service : Dental Checkup & Treatment

Schedule of Availability of Service : Monday – Saturdays, 8:00am-5:00pm
Who may avail of the service : students
What are the requirements:
Student’s ID
Duration:

30
 How to avail of the service?

Fee Form/
Step Please Follow the Steps Service Provider Duration Person In charge
document
Verifies identity and dental treatment
Present ID, explains purpose, Dental Aide
1 needs of patient. 10 minutes Dental Form
Undergo interview Dentist

Evaluates the entries in the dental

Accomplish dental service service
2 2 minutes Dentist Dental Form
form (DSF) form.

Conducts oral-dental examination

Undergo oral-dental examination and 10-30 minutes
3 and/ or Dentist
/or treatment *or longer
treatment
Gives Advise on proper care and/or Dentist
4 *Secure prescription of medicine 5 minutes Prescription
prescribes medicine, if necessary
5 *Claims referral to Specialist Refers patients with special cases Dentist Prescription
END OF TRANSACTION
*depending on case

Title of Frontline Services Medical Checkup and Treatment

Schedule of Availability of Service: Monday – Friday, 8:00am-5:00pm ; Saturday 8am-12 noon
Who may avail of the service : students
What are the requirements:
Enrollment printout (for new students);
ID (for old students)
Duration : 30-40 minutes

31
 How to avail of the service?

Fee Form/
Step Please Follow the Steps Service Provider Duration Person In charge
document
For Physical Exam
Go to clinic, present enrollment Inspects validity of presented
1 2-3 minutes Registered Nurse
printout, signs physical examination document/ID
log book
Accomplishes medical Guides patient in accomplishing MIS Registered Nurse
2 5-10 minutes
information sheet (MIS)
Undergo measurement of height,
weight, BP, respiration, pulse rate, Conducts accurate measurements
3 10-15 minutes
visual acuity & pertinent past and Registered Nurse
present medical history taken
4 Secure X-Ray referral Issues X-Ray request form 1 minute Registered Nurse
Submits to physical examination Conducts physical examination
5 10-15 minutes Physician

For Medical Consultation

1 Go to clinic, present ID & present
chief complaint
2 Have vital signs taken
Submits to physical examination Conducts physical examination
3 10-15 minutes Physician

END OF TRANSACTION

LIBRARY SERVICES
Title of Frontline Services : New Library Card Application
Schedule of Availability of Service : First Three Months of the Semester (Monday-Saturday 8:00-12:00; 1:00-5:00)
Key Person : Librarian/ Library Staff In-charge of the Circulation Section
Who may avail of the service? Bonafide New Students, Faculty and Staff
What are the Requirements?

32
 New Students
Validated University ID
Current Registration Form
1 x 1 I.D. Picture
Faculty and Staff
University ID
x 1 ID Picture
Duration:
Fees/Charges : NONE

How to avail of the service?

Fee Form/
Step Please Follow the Steps Service Provider Duration Person In charge
document
Present requirements Evaluates requirements of applicants 3 minutes Library Staff Validated
University ID
Current
1 Registration
Form
1 x 1 I.D.
Picture
Secure Library Membership Form Issues Library Membership Form to 1min/ client Library Staff Library
new applicant Membership
2
Form/ Library
Card
Accomplish Library Membership Checks entries of applicant’s 10 minutes Library Staff Library
Form/ Library Card information Membership
3
Form/ Library
Card
Validation of Library Card Stamps Students Registration Form 5 minutes Librarian Registration
4 and Date of Application Form and
Library Card
Registers applicant’s name in the Encodes data of applicant in the 10 minutes Library Staff Library
5 library database Library Software Program Membership
Form

33
 Claim Validated Library Card for the Releases Validated Library Card 5 minutes Librarian Validated
6
Current Term Library Card
END OF TRANSACTION

Title of Frontline Services : Library Card Application for Renewal / Replacement

Schedule of Availability of Service : First Three Months of the Semester (Monday-Saturday 8:00-12:00; 1:00-5:00)
Key Person : Librarian/ Library Staff In-charge of the Circulation Section
Who may avail of the service? : Bonafide New Students, Faculty and Staff
What are the Requirements?
Validated University ID
Current Registration Form
Old Library Card for Renewal /*Application Letter of Lost Library Card
Duration:

34
 Fees/Charges: NONE

How to avail of the service?

Fee Form/
Step Please Follow the Steps Service Provider Duration Person In charge
document
Presents requirements Evaluates requirements of applicants 3 minutes Library Staff -Validated
University ID
-Current
Registration
1
Form
*Application
Letter of Lost
library Card
*Secure Library Card Issues Library Membership Form to 1min/ client Library Staff Accomplished
2
(for Lost Card Only) new applicant Library Card
Validate Library Card Stamps Students Registration Form 5 minutes Librarian Registration
3 and Date of Application Form and
Library Card
Registers applicant’s name in the Encodes data of applicant in the 10 minutes Library Staff Accomplished
library database Library Software Program Library
4
Membership
Form
Claim the Validated Library Card for Releases Validated Library Card 5 minutes Librarian Validated
5
the Current Term Library Card
END OF TRANSACTION
Title of Frontline Services : Visitor Permit of Outside Researcher
Schedule of Availability of Service : Monday-Friday 8:00-5:00
Key Person : Library Staff In-charge at the Circulation Section and Librarians of Readers
Services Sections
Who may avail of the service? Outside Researcher
What are the Requirements?
Referral Letter
Validated ID
Duration:

35
 Fee/ Charges : P 100.00 per day per visit (Exclusive for SMI-IC Members)

How to avail of the service?

Fee Form/
Step Please Follow the Steps Service Provider Duration Person In charge
document
Present requirements Evaluates requirements of 3 minutes Library Staff Referral
applicants Letter
1

Secure Order of Payment Issues Order of Payment 5 minutes Librarian Order of

2
Payment
Pay to the University Cashier’s Accepts payment of outside 5 minutes Cashier Receipt of
3
Office researcher’s fee Payment
Submit Original Receipt of Stamps OR and records the OR 5 minutes Librarian Visitors
4 payment number to the record book Permit
Accomplishes Visitor Permit
Claim Visitors Permit Issues Visitor Permit and files the 5 minutes Librarian Visitors
5
referral letter Permit
Present Visitors Permit to Assists outside user to the reading One day Librarian In-charge Visitor Permit
6 Designated Reading Area area of the Reading / Validated ID
Area
END OF TRANSACTION

Title of Frontline Services : Borrowing/ Returning Books from Different Library Section
to Circulation Area
Schedule of Availability of Service : Monday-Friday 4:30-6:30 PM; Saturday – 3:00-4:30 PM
Key Person : Librarian of Each Section and Circulation In-charge
Who may avail of the service? : Faculty/ Staff and Students
What are the Requirements?
Validated ID
Borrowers Library Card
Duration:

36
 Fees/ Charges:
P 2.00 per day for non-reserve overdue books
P 5.00 per day for reserve overdue books
(Exclusive on Saturday, Sundays and Holidays)

How to avail of the service?

Fee Form/
Step Please Follow the Steps Service Provider Duration Person In charge
document
Presents requirements Evaluates requirements of 3 minutes Library Staff Borrowers
applicants Library Card
1

Registers in the library section Accommodates clients 5 minutes Librarian of Each Logbook
2 logbook Section

Gets library materials to be Facilitates the retrieval of library 15 minutes Librarian of Each Library
borrowed for photocopying/ materials Section Borrowers
3
classroom use/ overnight loan Card
Book Card
Accomplishes the needed Issues book for overnight loan 5 minutes Librarian of Each Pass Card
4 information found in the book card with respected control card for Section
the Circulation Section transaction
Proceeds to the Circulation Encodes the transaction in the 5 minutes Library Staff of Validated
5 Section for charging out and library software Circulation Section University ID
deactivation of books
Claims book borrowed for Issues loan receipt to client 5 minutes Library Staff of Loan Receipt
6
overnight loan Circulation Section
Returns the use book for re- Activates books return 5 minutes Library Staff of Loan Receipt
activation Entered loan book in the data Circulation Section Library
7
base if overdue see below Borrowers
processes Card
8 Pays overdue fee to the librarian Records amount paid in the 5 minutes Library Staff of Loan Receipt
if less than logbook to be forwarded to the Circulation Section Logbook
P 30.00 University Cashier at the end of

37
 the week
Receives order of payment if Bills payment 5 minutes Library Staff of Order of
9
more than P 30.00 Circulation Section Payment
Pays the amount to Cashier Accepts payment for overdue 15 minutes Cashier Official
10
books Receipt
Presents OR to the Librarian for Records OR number to logbook 15 minutes Library Staff of Library
11 the Issuance of Library Card and Issued one’s Borrowers Circulation Section Borrowers
Library Card Card
Claims Borrower’s Library Card Releases one’s Borrowers Library 5 minutes Library Staff of Library
12 Card Circulation Section Borrowers
Card
END OF TRANSACTION

Title of Frontline Services : Library Internet is for surfing and gathering of information for
research purposes and for e-mailing. Use of facilities for
internet games and for encoding term papers, reports and other
similar materials are not allowed.
Schedule of Availability of Service : Mondays – Fridays, 8:00AM – 6:00PM
Key Person :
Who may avail of the service? : Bonafide Students; Faculty; Administrative Staff
What are the Requirements:
Student’s ID duly validated for the current semester
Duration:
Fees/Charges:
Internet: P15.00/hour
Printing: P 3.00/page

38
 How to avail of the service?

Fee Form/
Step Please Follow the Steps Service Provider Duration Person In charge
document
Inquire about Computer
1
Availability
2 Register in the Logbook
3 Proceed to computer Area
4 Payment of Fees
5
6
7
END OF TRANSACTION

Title of Frontline Services : Photocopying of Materials. The PNU does not allow materials
in the _____________ Section to be brought home. They may,
however, be photocopied upon request. The library does not have
photocopying equipment. The client will have to
Schedule of Availability of Service : Mondays – Fridays, 8:00AM – 6:00PM ; Saturdays 8:00 AM - 5:00 PM
Contact Person:
Who may avail of the service?
What are the Requirements:
Library ID Card
Photocopying Pass

How to avail of the service?

39
 Fee Form/
Step Please Follow the Steps Service Provider Duration Person In charge
document
1 Fill-up Book Card
2 Request for Photocopying Pass
3 Photocopying of Materials
4 Claim Photocopying Pass
5 Checking of Book
6 Claim Library ID Card
7
END OF TRANSACTION

NORMAL HALL AND CONVENTION CENTER SERVICES

Title of Frontline Services
Schedule of Availability of Service
Contact Person
Who may avail of the service?
What are the Requirements:
Current Registration Form
Two copies of 1x1 recent picture
Current Official Receipt
Duration
Fees/Charges
: Admission of Student Dormers (Undergraduate)
: Mondays – Saturday, 8:00AM to 5:00PM (enrollment period per semester)
: Dormitory Manager, Office of the Auxiliary Services
: Regular Students of the Philippine Normal University
: 1 hour & 20 minutes
: P900.00 / month

How to avail of the service?

40
 Fee Form/
Step Please Follow the Steps Service Provider Duration Person In charge
document
Present current registration form Verifies the registration form of
1 3 minutes Staff on duty
for verification the student
Secure application form for
2 Issues application form 2 minutes Staff on duty
admission at the dormitory
Checks entrees of applicant’s
3 Accomplish the application form
information 10 minutes
Staff on duty
4 Take the interview Conducts interview 15 minutes Staff on duty
Sign contract together with Staff on duty
5
parent/guardian
Issues contract to the qualified student 20 minutes
Issues order of payment (2mos Staff on duty
6 Secure order of payment 2 minutes
advance & 1 mo deposit)
7 Pay fees Accepts payments 5 minutes Staff on duty
Records the official receipt to Staff on duty
8 Present Official Receipt 3 minutes
individual Ledger Card
Pastes on the individual records Staff on duty
9 Present current ID pictures 5 minutes
(ID Card & permission Card)
10 Secure room assignment Gives room assignment 10 minutes Staff on duty
Proceed to the assigned Assists the dormers going to the Staff on duty
11 15 minutes
room/bed assigned room
END OF TRANSACTION

41
Title of Frontline Services : Accommodation of Transient/s
Schedule of Availability of Service : Mondays – Saturday, 8:00AM to 5:00PM (enrollment period per semester)
Contact Person : Dormitory Manager, Office of the Auxiliary Services
Who may avail of the service? : Transient/s or Customer/s from local and international sectors
What are the Requirements:
ID/Passport
Duration : 77 minutes
Fees/Charges:
P600/head ( aircon)
P450/head (non-aircon)

42
 How to avail of the service?

Fee Form/
Step Please Follow the Steps Service Provider Duration Person In charge
document
Make phone call or personal Handles queries of client/s 10 minutes/ Logbook for
1 Staff on duty
inquiry Records messages client reservation
5 minutes/
Asks the ID of the client for verification client
Assists the client in filling up the forms 5 minutes/ Transient’s
2 Register at the front desk Staff on duty Registry Logbook
Issues the key for the assigned room client
Guides the client to the assigned room 5 minutes
10 minutes
Checks the rooms to determine problem/s
Report the problem/s observed in 20 minutes
3*
the rooms, if any
Calls and asks the concerned staff to settle the Staff on duty
problem/s 30 minutes
Logbook
Inform the staff on duty that Computes the payable amount
4 15 minutes Staff on duty Billing
he/she is checking out Issues billing statement
Statement
P600/head
aircon
5 Give payment to the staff on duty Receives payment 2 minutes Staff on duty
P450/head
non-aircon
Issues official receipt, records & remits Official
6 Claim official receipt 5 minutes Staff on duty
to the University Cashier Receipt
Log out and leave at the Assists the client in logging out Logbook
7 15 minutes Staff on duty
hostel
Claim gate pass Issues gate pass 5 minutes Staff on duty Gate Pass
END OF TRANSACTION
*

43
Title of Frontline Services : Use of Facilities
Schedule of Availability of Service : Mondays – Fridays; 8:00 AM – 5:00 P.M.
Key Person : Executive Assistant II

Who may avail of the service? : Faculty, Staff, students, Outside Organizations
What are the Requirements for the use of facilities?
 For Students
 Department Based Organizations :
o Activity Form signed by the Adviser, Department Head, College Dean, OSASS Dean
o Form for use of facilities signed by the Adviser, Department Head, College Dean,
OSASS Dean, VPAFD
 Interest Clubs:

44
 o Activity Form signed by the Adviser, Student Government, Coordinator of Student
Activities, OSASS Dean
o Form for use of facilities signed by signed by the Adviser, Department Head, College
Dean, OSASS Dean, VPAFD
 For Faculty
o Form for use of facilities signed by the Department Head, College Dean, VPPRE/VPA (if
applicable), VPAFD
 For Employees
o Form for use of facilities signed by the Department Head, Division’s Director, VPAFD
 Outside Organizations
 Letter of Request for use of facilities addressed to the University President
 Approved letter of request will be forwarded to the PPCD for physical arrangements/items needed and
to the Security Office
 Order of Payment to be issued by the Accounting Office
 Copy of Official Receipt for recording at VPAFD
Fees Charges:
 AV Theater P10,000
 Main Auditorium P10,000
 HRD Auditorium P10,000
 Maceda Auditorium P 7,000
 Library Conference Room P 4,000
 Alumni & Public Relations Hall P 10,000
 Classroom P 1,500

How to avail of the service?

 For Faculty/Staff/Students
Fee Form/
Step Please Follow the Steps Service Provider Duration Person In charge
document
*Present approved activity form Check the authorized signatory 5 minutes Executive *Present
1 of the activity form Assistant approved
activity form
2 Secure and fill-out Form for the Issues form for use of facilities 2 working days Executive Secure and

45
 Use of Facilities Assistant fill-out Form
for the Use of
Facilities
Submit accomplished Form for Check the authorized signatory 10 minutes Executive Submit
use of facilities of the form for use of facilities Assistant accomplished
3
Form for use
of facilities
END OF TRANSACTION
*Not applicable for Faculty/Staff Activities

 For Outside Organizations

Fee Form/
Step Please Follow the Steps Service Provider Duration Person In charge
document
Letter of Request for use of Letter of request to be forwarded 2 working days VPAFD Letter
facilities addressed to the to the Office of the President request for
1 University President Office of the use of
President facilities

Approved letter of request Approved Letter of Request will 1 working day Executive Approved
be forwarded to the PPCD for Assistant Request
2 preparation of facilities/items Letter
needed and to the Security PPCD
Office for the entry of visitors Security
Pay rental charges Accepts payment of fees 5 minutes Cashier Receipt of
3
Payment
Give copy of Official Receipt Gets copy of Official receipt for 5 minutes Executive Copy of
4 recording purposes Assistant Official
Receipt
END OF TRANSACTION

46
 FEEDBACK FORM
(Pananaw o Puna)

Please let us know how we have served you. You may use this form for compliment, complaints, or suggestions. Simply check the corresponding box.
Ipaalam po ninyo sa amin kung paano naming kayo napaglingkuran. Maaaring gamitin ito para sa papuri, reklamo o mungkahi. Mangyaring i-tsek lamang ang
kahong naaayon.

COMPLIMENT COMPLAINT SUGGESTION

(Papuri) (Reklamo) (Mungkahi)

47
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}_______________________________________________ Office/Agency:___________________________________________________
(Pangalan) (Tanggapan/Ahensya)

Address:________________________________________________________________________________________________________________________________
(Tirahan)

Contact Number(s) ( if any): ________________________________________ E-mail Address (if any) ___________________________________________

(Telepono)

Signature: _______________________________________________________ Date: __________________________________________________________

(Lagda) (Petsa)

48