Progress Report and Report for Duty on the LSL and LFF Note: Please fill out all required fields (*). Go to Tutorials > HiddenParent Form Entry ID*HiddenForm* Local Faculty Fellowship Local Study Leave Local Study Leave and Local Faculty Fellowship Employee InformationType of Employee* Admin Faculty REPS Employee* First Name Middle Name/Initial Last Name Suffix UP E-mail Address* College/Unit* Department/Institute/Sub-Unit Rank* HiddenDo you have an administrative position? Yes No Administrative Unit/Office* Designation* Are you planning to renew/extend your study leave/fellowship?* Yes No Progress ReportType of Degree Program* Bachelors Masters Doctorate Degree Program* Institution/University* Major Field of Study* Minor Field of Study / Cognate Date Graduate Work Started MM slash DD slash YYYY Have you passed the qualifying exam? Yes No Not Applicable Have you passed the comprehensive exam? Yes No Not Applicable Did you enroll for residency this semester?* Yes No List of Courses Taken this Semester*Please note that all fields under the columns marked with an asterisk (*) are required.CourseCourse CreditCourse Description Add RemoveList of Academic Requirements Not Yet FulfilledIf applicable, please provide the data under the columns marked with an asterisk (*).CourseCourse CreditCourse Description Add RemoveIs the language requirement completed? Yes No Not Applicable Has the thesis/dissertation started?* Yes No Title of Thesis/Dissertation* Thesis/Dissertation Adviser First Name Middle Initial Last Name Suffix Thesis/Dissertation Adviser E-mail Address* Estimated Time Needed to Finish Thesis/Dissertation* Additional InformationPlease provide any other comments, requests, problems, or difficulties.Report for DutyMonthly Salary*Date of Actual Report for Duty* MM slash DD slash YYYY Purpose* Local Study Leave Local Faculty Fellowship Local Study Leave and Local Faculty Fellowship Supporting DocumentsCertified/True Copy of Grades*Accepted file types: pdf, Max. file size: 3 MB.Proof of Enrollment in Residency*Accepted file types: pdf, Max. file size: 3 MB.Others Drop files here or Select files Accepted file types: pdf, Max. file size: 3 MB. Privacy and ConfidentialityPrivacy and Confidentiality Consent* Yes, I grant my consent to and recognize the authority of the University to process my personal and sensitive personal information.*This document and any attachments are privileged and confidential. I understand that for the UP System to carry out its mandate under the 1987 Constitution, the UP Charter, and other laws, that the University must necessarily process my personal and sensitive personal information. Therefore, I grant my consent to and recognize the authority of the University to process my personal and sensitive personal information pursuant to the Data Privacy Act of 2012. This is to certify the correctness of the information presented above.For SubmissionImmediate Supervisor First Name Middle Initial Last Name Suffix Immediate Supervisor UP E-mail Address HiddenImmediate Supervisor Date Endorsed MM slash DD slash YYYY Dean/Unit Head First Name Middle Initial Last Name Suffix Dean/Unit Head UP E-mail Address HiddenDean/Unit Head Date Endorsed MM slash DD slash YYYY HiddenThesis/Dissertation Adviser CertificationHiddenCertification I certify that the requestor is my thesis/dissertation advisee in the specified program for this term.HiddenThesis/Dissertation Adviser RemarksHiddenThesis/Dissertation Adviser Date Certified MM slash DD slash YYYY NameThis field is for validation purposes and should be left unchanged.
