Total Amount Due (PUP):
Bank Service Fee:
Republic of the Philippines
POLYTECHNIC UNIVERSITY OF THE PHILIPPINES
Sta. Mesa, Manila
School Year 1999-2000
This is your copy. Keep this part in a safe
place. Allow 2 working days after payment at the bank.
This document is valid until
March 31, 2010.
information that I have provided to the University are true and
correct to the best of my knowledge. My submission of this
form will constitute my consent to the collection and use of my
information and the transfer of information for processing and
storage by the Polytechnic
University of the Philippines. Furthermore, I agree and understand
that I am legally responsible for the information I entered in the
PUP Student Information System and if I violate its Terms of Service
my enrollment may be revoked or I will be subjected to Disciplinary Action.