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REPUBLIC OF THE PHILIPPINES PAGE 1 OF 2

POLYTECHNIC UNIVERSITY OF THE PHILIPPINES


SENIOR HIGH SCHOOL DEPARTMENT Senior HS 2017
STA. MESA, MANILA FOR SCHOOL YEAR
2017-2018

BAYLEN SULTAN PUNDATO


2017-0004-0815
APPLICANTS COPY
APPLICATION INFORMATION This is your copy. Keep this in a safe place.
Reference Number: 2017-0004-0815 This voucher is valid only until APRIL 29, 2017
Application Date: January 09, 2017
Campus: Sta. Mesa, Manila THIS APPLICATION IS NONTRANSFERABLE. Only those who
qualify shall be accepted for admission. Submission of false
information and fake documents will void your admission to
STATEMENT SUMMARY PUP.
I agree to the Terms of Use, have read and understood the
Privacy Policy, and confirm that the information I have
Application Fee PHP 0.00 provided to the University are true and correct. The
Bank Service Fee 0.00 submission of my PUPSHS application form constitutes my
consent to the collection and use by the Polytechnic
University of the Philippines (PUP) of the information I have
TOTAL AMOUNT PHP 0.00 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 PUPSHS assessment, the interview, and
meeting the University requirements on a FIRST-COME-
FIRST-SERVED basis, subject to the availability of slots.

Applicants Signature
(Please refer to Page 2 of this voucher for the guidelines and
procedures)
This voucher is valid until: APRIL 29, 2017


REPUBLIC OF THE PHILIPPINES
POLYTECHNIC UNIVERSITY OF THE PHILIPPINES
STA. MESA, MANILA PUPSHS COPY
BAYLEN SULTAN PUNDATO
Application Fee PHP 0.00
Bank Service Fee 0.00 THIS IS FOR THE PUP SENIOR HIGH SCHOOL DEPT.

Detach this part and present it to the PUPSHS


APPLICATION CODE REFERENCE NUMBER VALIDITY Admission Officer together with other required
documents during Assessment and Registration.
PUPSHS 2017-0004-0815 APRIL 29, 2017
THIS REGISTRATION VOUCHER THIS IS THE APPLICANTS THIS DOCUMENT IS VALID
IS FOR THE REFERENCE NUMBER ONLY UNTIL THIS DATE
PUP SENIOR HIGH SCHOOL

This is an auto-generated copy of your Registration Voucher


PAGE 2 OF 2

Thank you for registering to the PUP Senior High School

This is for Incoming Specific Requirements Grade Requirements


Please prepare the following documents ENGLISH, MATH AND SCIENCE must
Grade 11 Applicants for before your scheduled date of interview: be 86.00 and above
General Average must be 85.00 and
School Year 2017-2018 a. Accomplished APPLICATION SLIP (to

above
Information on this page may change as be downloaded via No grade below 82.00 in other
new guidelines and procedures become www.pup.edu.ph/shs after the subjects
available.
assessment of your online
For the latest information, go to: registration) Admission Policy
www.pup.edu.ph/shs b. Two (2) pieces of 2x2 inch. recent The following are University policies
picture with white background and regarding admission into the PUPSHS
You can always generate an updated copy applicants name tag at the chest
of this voucher by going to: 1. Applicants seeking admission must
c. Original:
iapply.pup.edu.ph/requestvoucher.aspx comply with the GENERAL, SPECIFIC
Form 138 (Grade 10) and GRADE requirements given by
PSA Birth Certificate the University.
What to do next? 2. Applicants shall be subjected to
NCAE
Please read and prepare the requirements
Certificate of Good Moral assessment and interview to be
indicated on this page. Your application
administered by the University.
will be assessed by the PUPSHS Character
3. Admission to PUPSHS is granted to
Department and will release the date of d. Photocopy: qualified applicants with definite
interview via www.pup.edu.ph/shs Certificate of Completion understanding that the student and
Baptismal Certificate his parents/guardian agree to comply
General Requirements Grade 10 School ID with the rules and regulations of the
Students who are currently in the DepEd e. Place in clean, long brown envelope University.
K-to-12 program and is expected to pass 4. Admission Requirements
with Surname, Given Name and
and finish Grade 10 this School Year 2016-
Middle Initial written at the upper
2017 may be admitted in the Polytechnic
left hand corner of the envelope.
University of the Philippines Senior High
School (PUPSHS) based on the following: f. LRN (Learners Reference Number)
must be indicated in the Report card.
1. Grade 10 grades g. ESC (Educational Service
2. Required documents to be submitted Contracting) or QVR (Qualified
(see specific requirements) Voucher Recipient) is strictly
3. Result of the assessment and
required to those coming from the
interview
private school.

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