Republic of the Philippines Online Document Request

POLYTECHNIC UNIVERSITY OF THE PHILIPPINES

Sta. Mesa, Manila CASHIERS COPY
Reference Number: 20170719-0048

PACIFICO III SALAO TOLENTINO

Request Fee: 300.00

This is the Cashier's copy. Present it to the PUP Main Campus Cashier when you pay the Request Fee.

PUP Cashier
1. Pay at the Cashier's Office (Main Building, Ground Floor South Wing)
2. Go to the Student Records Office for the Processing of Request/s (Main Building, Ground Floor South
Wing)

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Republic of the Philippines Online Document Request

POLYTECHNIC UNIVERSITY OF THE PHILIPPINES
Sta. Mesa, Manila REGISTRARS COPY
Reference Number: 20170719-0048

PACIFICO III SALAO TOLENTINO

Request Fee: 300.00

GENERAL CLEARANCE: _________________

If payment was made to the Cashier's Office, Submit this copy to the Registrar's Office after payment.
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This is to certify that PACIFICO III SALAO TOLENTINO is CLEARED OF ALL THE PROPERTY AND MONEY
ACCOUNTABILITIES in this Office:

General Clearance
Clearance
Submit to Student Records when accomplished

LIBRARY
(NALLRC Building)

COLLEGE LABORATORY(For eng'g courses)

(Eng'g. Bldg./East Wing Main Bldg.)

C.H.K. (P.E.)
(Gymnasium)

ACCOUNTING OFFICE
CLEARED
(Ground Floor, South Wing, Main Bldg.)

INTERNAL AUDIT
CLEARED
(Third Floor, South Wing, Main Bldg.)

LEGAL OFFICE
CLEARED
(Third Floor, South Wing, Main Bldg.)
 Online Document Request
Republic of the Philippines
POLYTECHNIC UNIVERSITY OF THE PHILIPPINES CLIENTS COPY
Sta. Mesa, Manila
Tentative Date of Release:

Reference Number: 20170719-0048

PACIFICO III SALAO TOLENTINO

BACHELOR IN PHYSICAL EDUCATION
Admitted: 1991
Request Fee: 300.00

Breakdown of Fees
Item Qty Amount

Transcript of Records
(Undergraduate) 3rd and 4th Year 1 300.00
(For evaluation/reference)

Total 300.00

BRING DOCUMENTARY STAMP (1 Doc Stamp per document) & TWO (2) RECENT VALID ID WITH
PHOTO WHEN CLAIMING

Note: Release of document may be delayed due to some technical problem.

Check your Online Document Request Account from time to time for request updates OR you may call 3 days
before the DUE DATE at 335-1787 loc. 285/335-1781 during office hour, Mon.-Fri. from 8AM-7PM to know the
status of your request.

If document is to be claimed by Parent, submit an Authorization Letter signed by the owner and photocopy of
his/her any two (2) recently issued ID. If to be claimed by a representative, submit a SPECIAL POWER OF
ATTORNEY NOTARIZED IN THE COUNTRY/PLACE OF RESIDENCE OF THE OWNER OF DOCUMENT
AND TWO (2) VALID IDENTIFICATION WITH PICTURE
All documents request NOT claimed within 90 days from the due date shall be forfeited.