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REPUBLIC OF THE PHILIPPINES

GSEE 2015

POLYTECHNIC UNIVERSITY OF THE PHILIPPINES

STA. MESA, MANILA

FOR THE FIRST SEMESTER

ACADEMIC YEAR 2015-2016

SHEENA SEGARRA BEDIS

APPLICANTS COPY

2015-0008-6617

APPLICATION INFORMATION
Reference Number:
Application Date:
Campus:

This is your copy. Keep this in a safe place.

2015-0008-6617
March 10, 2015
Sta. Mesa, Manila

This voucher is valid only until JUNE 03, 2015

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
Bank Service Fee (LBP)

PHP 500.00
25.00

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.

Applicants Signature
This voucher is valid until:

(Please refer to Page 2 of this voucher for the next set of

procedures)

JUNE 03, 2015

REPUBLIC OF THE PHILIPPINES

PUP CASHIER/BANKS COPY

POLYTECHNIC UNIVERSITY OF THE PHILIPPINES

STA. MESA, MANILA

SHEENA SEGARRA BEDIS

Application Fee
Bank Service Fee (LBP)

PHP 500.00
25.00

The PUP Cashier is authorized to receive payments for

PUPGSEE.

ACCOUNT NUMBER

REFERENCE NUMBER

DUE DATE

0682-2220-00

2015-0008-6617

JUNE 03, 2015

PLEASE USE THIS NUMBER

WHEN PAYING YOUR
APPLICATION FEE THROUGH
LANDBANK

THIS IS YOUR REFERENCE

NUMBER

PLEASE PAY ON OR
BEFORE THIS DATE

Any branch of LANDBANK OF THE PHILIPPINES (LBP) is

authorized to receive payments for PUPGSEE.

This is the PUP Cashier/Bank's copy. Detach this part

and present it to the Cashier/Bank Teller (together with
the official receipt/LBP Payment Slip) when you pay the
Application Fee.

This is an auto-generated copy of your Payment Voucher

What to do next
SUBMIT APPLICATION REQUIREMENTS
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/Latest X-ray film with result

Through LANDBANK (optional):

1.

2.

3.
4.

5.

Pay Fee
Payment can be made through PUP CASHIER or LAND
BANK OF THE PHILIPPINES (LANDBANK / LBP):
Through PUP CASHIER:
1.

2.
3.

4.

5.

Go to the PUP Cashier's Office:

PUP GS (Monday to Friday 9:00 AM to

4:00 PM)

PUP A. Mabini Campus, Ground Floor

South Wing Main Building (Monday to
Friday 9:00 AM to 7:00 PM; Saturday 9:00
AM to 4:00 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.

Go to the any LANDBANK Branch to remit

payment via ONLINE COLLECTION.
(https://www.landbank.com/branch.asp)
Fill up three (3) copies of LBP OnColl Payment
Slip (LBP Payment Slip) with the APPLICANT'S
COMPLETE NAME (NOT the NAME of the
PARENT, GUARDIAN, or any REPRESENTATIVE),
Reference Number, PUPCET Account Number,
and Amount to be paid (as indicated in the
provided payment voucher). Distribution of LBP
Payment Slip shall be as follows:

6.

Original - Accepting Branch

Duplicate and Triplicate - Payer's Copy

Detach the Bank Copy of your printed Payment
Voucher.
Present to the LANDBANK teller the duly
accomplished LBP Payment Slip with your
payment.
After processing your payment, the LANDBANK
teller will give you the duplicate and triplicate
copies of the LBP Payment Slip. Keep them
together with the Applicant's Copy of your
printed Payment Voucher.
Before leaving the bank, please read the printed
validation on your LBP Payment Slip and ensure
that it contains the CORRECT information
(Applicant's complete name, Reference Number,
PUPCET Account Number)
Read your printed Payment Voucher carefully.

Claim ePermit
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.
If payment was made through LANDBANK, please
allow three (3) working days after payment before
claiming your ePermit online.
1.

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.

2.

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 applicants
negligence.
NO VALID DOCUMENTS, NO PROCESSING.

POLYTECHNIC UNIVERSITY OF THE PHILIPPINES

GRADUATE SCHOOL
M. H. DEL PILAR CAMPUS
STA. MESA, MANILA

A<ach 2 x 2 Photo

APPLICATION FOR ENTRANCE EXAMINATION

FIRST SEMESTER
SECOND SEMESTER
SUMMER

ACADEMIC YEAR 20____20____

Same photo used in online

registra$on

PERSONAL INFORMATION: REF# 2015-0008-6617

Complete Name: SHEENA SEGARRA BEDIS
Gender:

FEMALE

Birth Date:

10/4/1989

Civil Status:

MARRIED

Na$onality:

FILIPINO

CONTACT INFORMATION:
Email Address: sheenasegarra@gmail.com
Address:

Contact No/s.: 09228507782,09077199677,

PUROK 4, UPPER BONGA, BACACAY BACACAY, ALBAY

IN CASE OF EMERGENCY, Please No fy:

Contact Person: RICKY B. BEDIS
Address:

Contact No/s.: 0925850778

PUROK 4, UPPER BONGA, BACACAY, BACACAY, ALBAY, PHILIPPINES

ACADEMIC INFORMATION (LAST SCHOOL ATTENDED):

Degree Title & Major: BACHELOR OF ARTS IN SOCIOLOGY
School Name:

BICOL UNIVERSITY

School Address: BRGY. SAGPON, DARAGA, ALBAY

Year Graduated: 2010

EMPLOYMENT INFORMATION:
Job Title:

ADMINISTRATIVE OFFICER IV

Employer:

METALS INDUSTRY RESEARCH AND DEVELOPMENT CENTER

Employer Address:

Contact No/s.: 8370431

MIRDC COMPOUND, GEN. SANTOS AVE. BICUTAN, TAGUIG

ACADEMIC PROGRAM PREFERENCE:

Program/Course:

MASTER OF ARTS IN ECONOMICS

DOCUMENTS PRESENTED AND/OR SUBMITTED:

Original or cer$ed true copy, if lost, and photocopy of

Transcript of Records (TOR)

Medical Cer$cate

Employment Cer$cate or Service Record (if employed)

Original and photocopy of NSO authen$cated Birth Cer$cate

Original and photocopy of Marriage Cer$cate

(for female married applicant)

One (1) Long Brown Envelope and Ocial Receipt

Cer$cate of Good Moral Character (for Masters Degree Program

Applicants only, from employer) or Barangay Cer$cate/Clearance
One copy ID photo, 2" x 2" (same photo used in online registra$on,


recent and formal a:re with white background)

Addi"onal Requirements for DOCTORATE DEGREE PROGRAMS:

Le<er of Intent

Le<er

Recommenda$on
Go to hp://www.pup.edu.ph/iapply/gsee.aspx and download le from there

APPLICANTS SIGNATURE OVER PRINTED NAME

DATE