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Date Submitted: 11/15/2014 05:30 AM

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11/2/2014

PUP Enrollment Payment Voucher

Republic of the Philippines POLYTECHNIC UNIVERSITY OF THE PHILIPPINES Sta. Mesa, Manila School Year 2014-2015 Second Semester

201301267MN0 Total Amount Due (PUP): Bank Service Fee:

STUDENT’S COPY

Name: Reference Number: Academic Program:

PHP 875.00 25.00

QUINTANS, CHRISTINE KATE DELA CRUZ 2013-01267-MN-0 BACHELOR OF SCIENCE IN ACCOUNTANCY

This is your copy. Keep this part in a safe place. This document is valid until NOVEMBER 19, 2014. VERIFY YOUR PAYMENT: Open your SIS Account two (2) working days after paying in Landbank to check if your payment has been uploaded to your account

Students whose payment is already credited in their SIS account for the current semester can process their Application for Change of Enrollment (ACE) Form I expressly agree to the Terms of Use, have read and understand the Privacy Policy, and confirm that the 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.

Student’s Signature:

IMPORTANT ADVISORY - If enrolled subject during this Second Semester was dissolved and you did not change your enrollment, report immediately to the PUP ICT Office Helpdesk and bring the following documents: Certification Letter from your College Dean that the subject has been dissolved To avoid problems in your next semester's enrollment, all changes in enrollment should be entered in the SIS by your College/Branch/Campus.

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