UPV CRSIS

STUDENT NUMBER:

- e.g. 2024-12345

NAME:

Based on birth certificate; If married, family name should be the one used during your last enrollment in U.P.V,

FIRSTNAME: *

LASTNAME: *

MIDDLENAME:

LATEST COLLEGE ATTENDED IN UPV: *

CAS CFOS CM SOTECH CEBU TACLOBAN

LATEST DEGREE IN UPV: *

YEAR GRADUATED/LAST ATTENDED UPV: *

CONTACT NUMBER: *

E-MAIL ADDRESS: *

DATE OF BIRTH: *

PURPOSE OF APPLICATION:

Employment (Local)

Employment (Abroad)

Scholarship (Local)

Scholarship (Abroad)

Enrollment (Local)

Enrollment (Abroad)

UP Visayas/UP System

Transfer to other school

PRC Licensure Exam

Certification, Authentication & Verification for DFA

Migration

Records Purpose

Copy for (please send email of school request to our.upvisayas@up.edu.ph)

Others

APPLICATION FOR:

Copies
	Official transcript of records (OTR) - local application (PhP 50.00/page)
	OTR Authenticated Copies (PhP 20.00/page)
	OTR Application from abroad per address (via registered mail) ($ 30.00/copy)
	OTR Application from Asia and US per address (via courier) ($ 50.00/copy)
	OTR Application from Europe and Africa per address (via courier) ($ 60.00/copy)
	Letter of No Objection (PhP 50.00/page)
	English Translation of Diploma (PhP 50.00/copy)
	Certificate of Graduation (PhP 50.00/page)
	English as medium of instruction (PhP 50.00/page)
	CAV (Authentication & Verification) (PhP 100.00/page)
	Course Description (PhP 50.00/page)
	General weighted average (GWA) computation (PhP 100.00/degree)
	Certificate of GWA (PhP 50.00/page)
	Certificate of Honorable Dismissal/Transfer Credential (PhP 50.00/page)
	Bonafide student (PhP 50.00/page)
	Grading system (PhP 50.00/page)
	Certificate of Units Earned (PhP 50.00/page)
	Record verification (Local) (PhP 100.00/student)
	Record verification (Abroad) ($ 30.00/application)
	Other Certification (PhP 50.00/page)
	Authentication of document (PhP 20.00/page)
	Original diploma (PhP 0.00/request)
	Graduation Fee (PhP 300.00/application)
	Certification of Student ID (PhP 50.00/page)

PLEASE SELECT:

To be Picked-Up (11:00am-12nn, 4pm-5pm) To be Mailed

If a representative will claim the document, please fill-out needed information below:

REPRESENTATIVE'S NAME:

REPRESENTATIVE'S CONTACT NUMBER:

REPRESENTATIVE'S E-MAIL:

Documents requested will be sent through courier to the address below:

MAIL RECIPIENT'S NAME:

MAIL RECIPIENT'S CONTACT NUMBER:

MAIL RECIPIENT'S ADDRESS:

Documents requested will be sent through the e-mail address specified below:

E-MAIL RECIPIENT'S NAME:

E-MAIL RECIPIENT'S E-MAIL ADDRESS:

NOTES:

UP is committed to comply with the Philippine Data Privacy Act of 2012 (DPA) https://privacy.gov.ph/data-privacy-act/ in order to protect your right to data privacy.

Upon submitting this request form, you are granting your consent to and recognize the authority of the University to process your personal and sensitive personal information pursuant to the abovementioned DPA and other applicable laws.