Form 002-College Admission Slip
Revised As Of 10 October 2013
UNIVERSITY OF THE PHILIPPINES DILIMAN
Diliman, Quezon City
School of Urban and Regional Planning
Day/Month/Year
The University Registrar
University of the Philippines
Diliman, Quezon City
This is to inform you that with Student
Last Give Middle
No. is eligible for admission / re-admission to the starting
Semester , A.Y. - as :
New transfer from another school New Graduate Student
Transferee from a UP Constituent Unit Non – degree student ( Graduate /CPE )
Certificate Program Old-Returning from LOA
VAAS LOA OR# Date
Non-Major Old-Returning from AWOL
UP Graduate to Enroll for a Second Degree AWOL OR # Date
By:
DR. KAREN ANN B. JAGO-ON
Director of Graduate Studies
Admission is subject to compliance and verification of entrance credentials. I understand that if credentials submitted are
confirmed to be spurious, admission will be revoked.
(Printed Name/ Signature of Student and Date)