OFFICE OF THE UNIVERSITY REGISTRAR

PAYMENT SLIP
_________________________________________________________________
To be filled-out by the applicant/payor
FULL NAME: ____________________________________________________
SEMESTER: ____________________
AY: ____________________

TRANSACTION TYPE: SECOND-DEGREE APPLICATION FEE (LOCAL/FILIPINOS STUDYING ABROAD)

AMOUNT: Php 100.00
ACCOUNT NAME: UPD REVOLVING FUND
ACCOUNT NO: 3072-1006-96

DATE OF PAYMENT: ____________________

TRANSACTION REFERENCE NO/ DEPOSIT VALIDATION NO: ____________________
PAYMENT WAS DONE VIA LINK.BIZPORTAL ONLINE POSTAL MONEY ORDER
FUND TRANSFER (Please indicate bank):_________________ MANAGER’S/CASHIER’S CHECK
OTC BRANCH: ____________________