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REPUBLIC OF THE PHILIPPINES

POLYTECHNIC UNIVERSITY OF THE PHILIPPINES GSEE-CBA 2022
STA. MESA, MANILA For the First Semester
Academic Year 2022-2023

MA SHEILA EQUITAN ESCURO

2021-0022-1706 APPLICANT’S COPY
APPLICATION INFORMATION This is your copy. Keep this in a safe place.
Reference Number: 2021-0022-1706 This voucher is valid only until SEPTEMBER 23, 2022
Application Date: October 16, 2022
Campus: Sta. Mesa, Manila ALL FEES ARE NONREFUNDABLE AND NONTRANSFERABLE;
hence, only those who qualify shall apply. You are allowed to
apply and take the PUPGSEE-CBA only once this school year.
STATEMENT SUMMARY Double application will make your PUPGSEE-CBA result null
and void.
I agree to the Terms of Use, have read and understood the
Application Fee PHP 500.00 Privacy Policy, and confirm that the information I have
provided to the University are true and correct. The
submission of my PUPGSEE-CBA 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-CBA 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
(Please refer to Page 2 of this voucher for the next set of
procedures)
This voucher is valid until: SEPTEMBER 23, 2022
(Also the last day of online application)


REPUBLIC OF THE PHILIPPINES
POLYTECHNIC UNIVERSITY OF THE PHILIPPINES
STA. MESA, MANILA
PUP CASHIER’S COPY
MA SHEILA EQUITAN ESCURO
Application Fee PHP 500.00 The PUP CASHIER is authorized to receive payments
for PUPGSEE-CBA.

This is PUP CASHIER’s copy. Detach this part and

present it to the Cahier when you pay the Application
ACCOUNT NUMBER REFERENCE NUMBER DUE DATE Fee.

Not Applicable 2021-0022-1706 SEPTEMBER 23, 2022 THESE DOCUMENTS CONTAIN PERSONALLY
THIS IS YOUR REFERENCE PLEASE PAY ON OR
IDENTIFIABLE INFORMATION. TO PROTECT THE
NUMBER BEFORE THIS DATE CLIENT’S DATA PRIVACY, PLEASE KEEP AND FILE THIS
Use this Account Information IN A SAFE LOCATION.
This is also the last day of
during payment onsite application
This is an auto-generated copy of your Payment Voucher
 What to do next

Visit http://www.pup.edu.ph/iapply/gseecba for more information.

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
COLLEGE OF BUSINESS ADMINISTRATION
PUP MAIN BUILDING, A. MABINI CAMPUS
STA. MESA, MANILA Attach 2” x 2” Photo

PUP CBA GSEE APPLICATION FORM Same photo used in online

FOR THE FIRST SEMESTER, ACADEMIC YEAR 2022-2023 registration

PERSONAL INFORMATION:Reference No. 2021-0022-1706

Complete Name: MA SHEILA EQUITAN ESCURO

Sex: FEMALE Birth Date: 2/21/1983

Civil Status: SINGLE Disability: MENTAL DISABILITY

CONTACT INFORMATION:

Email Address: mseescuro@pup.edu.ph Contact No/s.:09673085333,

Address: 1942 B C. ARELLANO ST. STA MESA MANILA, TONDO I/II, CITY OF MANILA, PHILIPPINES (THE)

IN CASE OF EMERGENCY, Please Notify:

Contact Person:ANA ESCURO Contact No/s.:82575042

Address: 1942 B C. ARELLANO ST. STA MESA MANILA, TONDO I/II, CITY OF MANILA, PHILIPPINES (THE)

ACADEMIC INFORMATION (LAST SCHOOL ATTENDED):

Degree Title & Major:BS ENTREPRENEURSHIP

School Name: POLYTECHNIC UNIVERSITY OF THE PHILIPPINES

School Address:ANONAS ST. STA MESA MANILA Year Graduated:2021

EMPLOYMENT INFORMATION:

Job Title: Administrative Staff

Employer: POLYTECHNIC UNIVERSITY OF THE PHILIPPINES Contact No/s.:53351787

Employer Address: ANONAS ST. STA MESA MANILA

ACADEMIC PROGRAM PREFERENCE:

Program/Course:
DOCUMENTS PRESENTED AND/OR SUBMITTED:
Original or certified true copy, if lost, and photocopy of
  Employment Certificate or Service Record (if employed)
Transcript of Records (TOR)
 Medical Certificate  Original and photocopy of PSA authenticated Birth Certificate
Certificate of Good Moral Character (for Master’s Degree Program
Original and photocopy of Marriage Certificate
  Applicants only, from employer or school) or Barangay
(for female married applicant)
Certificate/Clearance
One copy ID photo, 2" x 2" (same photo used in online registration,
 Official Receipt and one (1) Long Brown Envelope 
recent and formal attire with white background)
Additional Requirements for DOCTORATE DEGREE PROGRAMS:
 Letter of Intent  Recommendation Letter
Go to http://www.pup.edu.ph/iapply/gseecba and download file from there
These documents contain personal-identifiable information that is subject to Data Privacy. Please keep these documents protected and in a safe place.
Transact and submit only to an Authorized PUP Admission Officer.

APPLICANT’S SIGNATURE OVER PRINTED NAME DATE