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REPUBLIC OF THE PHILIPPINES
GSEE 2016
POLYTECHNIC UNIVERSITY OF THE PHILIPPINES
STA. MESA, MANILA
FOR THE SUMMER TERM
ACADEMIC YEAR 2016
MELJUN PATATAG CORTES
APPLICANT’S COPY
2016-0001-9286
APPLICATION INFORMATION
Reference Number:
Application Date:
Campus:
This is your copy. Keep this in a safe place.
2016-0001-9286
February 18, 2016
Sta. Mesa, Manila
This voucher is valid only until MARCH 20, 2016
ALL FEES ARE NONREFUNDABLE AND NONTRANSFERABLE;
hence, only those who qualify shall apply. You are allowed to
apply and take the PUPGSEE only once this school year.
Double application will make your PUPGSEE result null and
void.
STATEMENT SUMMARY
Application Fee
PHP 500.00
I agree to the Terms of Use, have read and understood the
Privacy Policy, and confirm that the information I have
provided to the University are true and correct. The
submission of my PUPGSEE application form constitutes my
consent to the collection and use by the Polytechnic
University of the Philippines (PUP) of the information I have
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 the PUPGSEE cut-off score, the
interview, and meeting the University requirements on a
FIRST-COME-FIRST-SERVED basis, subject to the availability
of slots.
Applicant’s Signature
This voucher is valid until:
(Please refer to Page 2 of this voucher for the next set of
procedures)
MARCH 20, 2016
REPUBLIC OF THE PHILIPPINES
PUP GS CASHIER’S COPY
POLYTECHNIC UNIVERSITY OF THE PHILIPPINES
STA. MESA, MANILA
MELJUN PATATAG CORTES
Application Fee
PHP 500.00
The PUP GRADUATE SCHOOL Cashier is authorized to
receive payments for PUPGSEE.
ACCOUNT NUMBER
REFERENCE NUMBER
DUE DATE
N/A
2016-0001-9286
MARCH 20, 2016
THIS IS YOUR REFERENCE
NUMBER
PLEASE PAY ON OR
BEFORE THIS DATE
This is the PUP Cashier's copy. Detach this part and
present it to the Cashier (together with the official
receipt) when you pay the Application Fee.
Not Applicable
This is an auto-generated copy of your Payment Voucher
What to do next
Claim ePermit
Submit Application
Requirements
If payment was made through the PUP CASHIER, go
to the GS Admission and Registration Office to tag
your payment in the system before claiming your
ePermit online.
After obtaining a copy of your payment voucher, go to
the PUP Graduate School (Valencia St. cor. R.
Magsaysay Blvd., Sta. Mesa, Manila) to submit the
following application requirements:
•
Original and Photocopy/CTC of Transcript of
Records (from the school last attended)
•
Photocopy of Birth Certificate (NSO
Authenticated)
•
Photocopy of Certificate of Marriage (for
married female applicant)
Original copy of the following:
•
Certificate of Employment or Service Record (if
employed)
•
Certificate of Good Moral Character (from
employer) or Barangay Certificate/Clearance
•
Medical Certificate
Pay Fee
Payment can be made through PUP GRADUATE
SCHOOL CASHIER:
1.
2.
3.
4.
5.
Go to the PUP GRADUATE SCHOOL Cashier's
Office (Monday to Friday 8:00 AM to 4:30 PM)
Detach the PUP Cashier's Copy of the Payment
Voucher.
Present to the PUP Cashier the PUP
Bank/Cashier's Copy and your payment (PhP
500.00 Entrance Exam Fee).
After processing your payment, claim your
Official Receipt (OR). Keep OR together with the
Applicant's Copy of the Printed Payment
Voucher.
Read your Payment Voucher carefully.
1.
2.
Go to the PUP iApply Claim ePermit page
http://iapply.pup.edu.ph/ClaimPermit.aspx and
type the required information. Please make sure
you type the same information during your
online registration. Then click the Submit
button.
After clicking the Submit button, you may
encounter either of the following message from
the system:
Application Successful
If you see this message, click the Download
ePermit button. Click Save or Open when your
Web browser asks you. This will download your
ePermit. Print your ePermit in color.
Problem with your Payment
If you see this message, the information
encoded in your LANDBANK payment did not
match your online registration details. Please
scan a CLEAR COPY of your validated LANDBANK
LBP Payment Slip and save it as JPG/JPEG. Select
the file and click the Upload LBP Payment Slip
button. This will upload your digital copy of the
LBP Payment Slip to the system, which will be
reviewed by a PUPCET Payment Officer. Please
allow one to two (1-2) working days for
payment verification. After 1-2 days, proceed to
Step 1 of the Claim ePermit step.
Note: To avoid inconvenience and further
delays, please immediately upload a scanned
clear copy of your LBP Payment Slip.
Problem with your Photo
If you see this message, the photo you uploaded
did not meet the proper and required format
(please read the Guidelines for ePermit Photo
for more information). Scan a new photo with
the correct format and click the Upload Photo
button. This will upload your new photo to the
system, which will be reviewed by an Admission
Officer. Please allow one to two (1-2) working
days for photo validation. After 1-2 days,
proceed to Step 1 of the Claim ePermit step.
Note: To avoid inconvenience and further
delays, please upload a scanned clear copy of
your photo in the correct format as stated in the
Guidelines for ePermit Photo.
PUP will not be held responsible for the loss of these
documents that will arise from the applicant’s
negligence.
NO VALID DOCUMENTS, NO PROCESSING.
POLYTECHNIC UNIVERSITY OF THE PHILIPPINES
GRADUATE SCHOOL
M. H. DEL PILAR CAMPUS
STA. MESA, MANILA
Attach 2” x 2” Photo
APPLICATION FOR ENTRANCE EXAMINATION
FIRST SEMESTER SECOND SEMESTER SUMMER
ACADEMIC YEAR 20____-20____
Same photo used in online
registration
PERSONAL INFORMATION: REF# 2016-0001-9286
Complete Name: MELJUN PATATAG CORTES
Gender:
MALE
Birth Date:
10/2/1975
Civil Status:
SINGLE
Nationality:
FILIPINO
CONTACT INFORMATION:
Email Address:
[email protected]
Address:
Contact No/s.: 09309705704,
#0344 PUROK MARANG, PAG-LAUM II, TUBURAN DISTRICT, PAGADIAN CITY, ZAMBOANGA DEL SUR
IN CASE OF EMERGENCY, Please Notify:
Contact Person: ARNEL A. PONIO
Address:
Contact No/s.: 0929835441
#055 JABSON STREET, BAMBANG, , MANILA, CITY OF, METROPOLITAN MANILA, PHILIPPINES
ACADEMIC INFORMATION (LAST SCHOOL ATTENDED):
Degree Title & Major: BACHELOR OF SCIENCE IN COMPUTER SCIENCE
School Name:
SAINT COLUMBAN COLLEGE
School Address: SAN FRANCISCO DISTRICT,PAGADIAN CITY, ZAMBOANGA DEL SUR
Year Graduated: 1997
EMPLOYMENT INFORMATION:
Job Title:
Assistant Professor 1
Employer:
TCU (TAGUIG CITY UNIVERSITY)
Employer Address:
Contact No/s.: 0909 890 4987
GENERAL AVENUE, CENTRAL BICUTAN, TAGUIG CITY
ACADEMIC PROGRAM PREFERENCE:
Program/Course:
MASTER OF SCIENCE IN INFORMATION TECHNOLOGY
DOCUMENTS PRESENTED AND/OR SUBMITTED:
Original or certified true copy, if lost, and photocopy of
Transcript of Records (TOR)
Employment Certificate or Service Record (if employed)
Medical Certificate
Original and photocopy of NSO authenticated Birth Certificate
Original and photocopy of Marriage Certificate
Certificate of Good Moral Character (for Master’s Degree Program
(for female married applicant)
Applicants only, from employer) or Barangay Certificate/Clearance
One (1) Long Brown Envelope and Official Receipt
recent and formal attire with white background)
One copy ID photo, 2" x 2" (same photo used in online registration,
Additional Requirements for DOCTORATE DEGREE PROGRAMS:
Letter of Intent
Recommendation Letter
Go to http://www.pup.edu.ph/iapply/gsee.aspx and download file from there
APPLICANT’S SIGNATURE OVER PRINTED NAME
DATE