POLYTECHNIC UNIVERSITY OF THE PHILIPPINES

ADMISSION AND REGISTRATION SERVICES

CAEPUP 2023 QUEZON CITY

CAEPUP 2022 APPLICATION FORM

REFERENCE NUMBER: 2023-0077-6310 DATE OF APPLICATION: 05/21/2023
PERSONAL INFORMATION:
Complete Name: Terol, Frienjkaye
Sex: FEMALE Height: 158 cm. Date of Birth: 04/07/2005

Civil Status: SINGLE Weight: 42 kg

CONTACT INFORMATION:
Contact Number/s: 09058389600
Email Address: frienjkayeterol@gmail.com
Address: Phase 7b Package 1 Block 57 Bagong Silang Caloocan City, Brgy. Barangay 176, CITY OF CALOOCAN,
Philippines (the)
IN CASE OF EMERGENCY, Please No fy:
Contact Number/s: 09553427140
Contact Person: Jinky Terol
Address: Phase 7b Package 1 Block 57 Bagong Silang Caloocan City, Brgy. Barangay 176, CITY OF CALOOCAN,
Philippines (the)
ACADEMIC INFORMATION (LAST SCHOOL ATTENDED):
Mode of Learning: Senior High School LRN 136647101115

School Name: Mystical Rose School of Caloocan Inc

School Address: Block 6 Lot 23 Sampaguita St. Almar Subd. Caloocan City
Year Graduated: 2023

EMPLOYMENT INFORMATION (OPTIONAL):

Company: Not Employed Contact Number/s: Not Applicable

Address: Not Applicable

ACADEMIC PROGRAM PREFERENCES:

1. BSBA-MM-CM-BACHELOR OF SCIENCE IN BUSINESS ADMINISTRATION MAJOR IN MARKETING MANAGEMENT (QUEZON CITY CAMPUS)

2. BPAPFM-CM-BACHELOR IN PUBLIC ADMINISTRATION MAJOR IN PUBLIC FINANCIAL MANAGEMENT (QUEZON CITY)

3. BSBAHRM-CM-BACHELOR OF SCIENCE IN BUSINESS ADMINISTRATION MAJOR IN HUMAN RESOURCE MANAGEMENT (QUEZON CITY)

4. BSENT-CM-BACHELOR OF SCIENCE IN ENTREPRENEURSHIP (QUEZON CITY CAMPUS)

5. BTLEDHE-CM- BACHELOR OF TECHNOLOGY AND LIVELIHOOD EDUCATIONS MAJOR IN HOME ECONOMICS (QUEZON CITY CAMPUS)

CONFORME:

APPLICANT’S SIGNATURE DATE

- - - - - - - - - TO BE FILLED UP BY AN AUTHORIZED PUP ADMISSION OFFICER - - - - - - - - -
REMARKS:

THIS IS AN AUTO-GENERATED COPY OF YOUR CAEPUP 2022 APPLICATION FORM • VOID IF TAMPERED • VALID ONLY For the First Semester, Academic Year 2023-2024
THIS FORM CONTAINS PERSONALLY IDENTIFIABLE INFORMATION. TO PROTECT YOUR DATA PRIVACY, PLEASE KEEP AND FILE THIS IN A SAFE LOCATION.
TRANSACT AND SUBMIT ONLY TO AN AUTHORIZED PUP ADMISSION OFFICER.

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