Form No.

FM-USeP-RSC-03
Republic of the Philippines

University of Southeastern Philippines Issue Status 02

Iñigo St., Bo. Obrero, Davao City 8000 Revision No. 01
Telephone: (082) 227-8192
Website: www.usep.edu.ph Date Effective 01 March 2018
Email: president@usep.edu.ph
Approved by President

ORDER PAYMENT SLIP

(Please Pay To The CASHIER) 06/19/2020
Date: _________________

JAINAR, TRISHA ROELLE R.

Student’s Name: ______________________________________________________________________
(Last Name) (First Name) (Middle/Maiden Name)
2013-99012
ID Number: ___________________________ COE
College: _________________________________

Description Amount
[ ] Transcript of Records ___________________
[ ] Honorable Dismissal ___________________
[ ] Certification ___________________
[ ] CAV ___________________
[ ] Authentication ___________________
[ ] Completion of INC Grade ___________________
14.00
[ ] Registration Fee ___________________
[ ] Correction of Records ___________________
[ ] Diploma (reissuance) ___________________
[ ] Alumni Annual Due ___________________
[ ] Adding/Dropping Fee ___________________
[ ] Foreign student’s application fee ___________________
[ ] Others (specify) __________________ ___________________
14.00
TOTAL ___________________

Issued by: EMMIE ROSE MANSUETO

_______________________________
OUR Staff

Office of the University Registrar (OUR) Page 1 of 1

Form No. FM-USeP-RSC-03

Republic of the Philippines

University of Southeastern Philippines Issue Status 02

Iñigo St., Bo. Obrero, Davao City 8000 Revision No. 01
Telephone: (082) 227-8192
Website: www.usep.edu.ph Date Effective 01 March 2018
Email: president@usep.edu.ph
Approved by President

ORDER PAYMENT SLIP

(Please Pay To The CASHIER) Date: _________________

Student’s Name: ______________________________________________________________________

(Last Name) (First Name) (Middle/Maiden Name)
ID Number: ___________________________ College: _________________________________

Description Amount
[ ] Transcript of Records ___________________
[ ] Honorable Dismissal ___________________
[ ] Certification ___________________
[ ] CAV ___________________
[ ] Authentication ___________________
[ ] Completion of INC Grade ___________________
[ ] Registration Fee ___________________
[ ] Correction of Records ___________________
[ ] Diploma (reissuance) ___________________
[ ] Alumni Annual Due ___________________
[ ] Adding/Dropping Fee ___________________
[ ] Foreign student’s application fee ___________________
[ ] Others (specify) __________________ ___________________
TOTAL ___________________

Issued by: _______________________________

OUR Staff

Office of the University Registrar (OUR) Page 1 of 1