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PAGE 1 OF 2

REPUBLIC OF THE PHILIPPINES

PUPCET 2015

POLYTECHNIC UNIVERSITY OF THE PHILIPPINES
STA. MESA, MANILA

FOR THE FIRST SEMESTER
ACADEMIC YEAR 2015-2016

SAM ADRIAN DE PAZ BARSAGA
2015-0004-3637

APPLICATION INFORMATION
Reference Number:
Application Date:
Campus:

APPLICANT’S COPY
This is your copy. Keep this in a safe place.

2015-0004-3637
November 02, 2014
Sta. Mesa, Manila

This voucher is valid only until NOVEMBER 29, 2014
ALL FEES ARE NONREFUNDABLE AND NONTRANSFERABLE; hence, only those who qualify shall apply. You are allowed to apply and take the PUPCET in only one (1) campus and only once this school year. Double application will make your
PUPCET result null and void.

STATEMENT SUMMARY
Application Fee
Bank Service Fee

PHP 500.00
25.00

TOTAL AMOUNT

PHP 525.00

I agree to the Terms of Use, have read and understood the
Privacy Policy, and confirm that the information I have provided to the University are true and correct. The submission of my PUPCET application form constitutes my consent to the collection and use by the Polytechnic
University of the Philippines (PUP) of the information I have provided as well as the transfer for processing and storage at
PUP.
Furthermore, I agree and understand that I am legally responsible for the information I entered in the PUP iApply
System, and if I violate its Terms of Service, my information shall be removed and shall lead to the termination, without prior notice of my application and everything associated with it. I also understand that my admission in the University shall be based on passing the PUPCET cut-off score, the interview, and meeting the University/College requirements on a FIRSTCOME-FIRST-SERVED basis, subject to the availability of slots. Applicant’s Signature
This voucher is valid until:

(Please refer to Page 2 of this voucher for the next set of procedures) NOVEMBER 29, 2014

REPUBLIC OF THE PHILIPPINES

BANK’S
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