REPUBLIC OF THE PHILIPPINES PAGE 1 OF 2

POLYTECHNIC UNIVERSITY OF THE PHILIPPINES

SENIOR HIGH SCHOOL DEPARTMENT Senior HS 2018
STA. MESA, MANILA FOR SCHOOL YEAR
2018-2019

JERICO PERIA PACIS

2018-0014-2088
APPLICANT’S COPY
APPLICATION INFORMATION This is your copy. Keep this in a safe place.
Reference Number: 2018-0014-2088 This document is valid only until
FEBRUARY 15, 2018
Application Date: January 22, 2018
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.

Applicant’s Signature
(Please refer to Page 2 of this voucher for the guidelines and
procedures)
This document is valid until: FEBRUARY 15, 2018


REPUBLIC OF THE PHILIPPINES
POLYTECHNIC UNIVERSITY OF THE PHILIPPINES
STA. MESA, MANILA PUPSHS COPY
JERICO PERIA PACIS
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
PUPSHS
THIS REGISTRATION VOUCHER
IS FOR THE
PUP SENIOR HIGH SCHOOL
REFERENCE NUMBER VALIDITY Admission Officer together with other required
documents during Assessment and Registration.
2018-0014-2088 FEBRUARY 15, 2018
THIS IS THE APPLICANT’S THIS DOCUMENT IS VALID
REFERENCE NUMBER ONLY UNTIL THIS DATE

This is an auto-generated copy of your proof of online registration


Thank you for registering to the PUP Senior High School
For the latest information,
guidelines and procedures, go
to
www.pup.edu.ph/iapply/
seniorhs.aspx
PAGE 2 OF 2
You can always generate an What to do next?
updated copy of this proof of Read and prepare the
registration by going to requirements stated in
iapply.pup.edu.ph www.pup.edu.ph/shs
Your application will be
assessed by the PUPSHS
Department and will release
the date of interview via
www.pup.edu.ph/shs