PAMANTASAN NG LUNGSOD NG MARIKINA
Office of the University Registrar
Concepcion Uno, Marikina City
https://plmar.edu.ph Email Address:
[email protected]REQUEST FOR DOCUMENTS (OUR F-09) Date Applied 07 March, 2022 REQUEST RATES
No. of No. of
Document/s Requested Request Type Amount
Copies Pages Transfer Credentials Non-Graduate P 150 CTC P 50/document
Transcript of Records 1 pages Request Amount
Transfer Credentials Graduated College P 200 GWA P 50/copy
type
Please choose an item from copies pages Request Amount
Transfer Credentials Graduate School P 500 Course Description P 50/course
the list. type
Please choose an item from copies pages Request Amount
TCG College P 100/page Second Copy Diploma P 300/copy
the list. type
Please choose an item from copies pages Request Amount
TCG Graduate School P 200/page Grad School Cert P 150/copy
the list. type
Please choose an item from copies pages Request Amount
Enrollment Certificate P 50/copy CAV Endorsement P 200/copy
the list. type
Please choose an item from copies pages Request Amount
Graduation Certificate P 50/copy Transcript of Records P 100/page
the list. type
PURPOSE OF REQUEST (please click on the drop-down arrow key and choose from the list of probable responses; tick the appropriate box)
Purpose of request Transcript of Records Local ☒ Abroad ☐
PRC Licensure Examination Enter details here Medicine School Enter details here
Law Aptitude Examination School Enter details here Transfer to Enter details here
Copy for Enter details here Others Enter details here
RELEASE DETAILS (please choose which mode do you prefer for the release of the requested document(s))
☐ For pick-up personally
☒ Please mail to this address 7 yellow street purok 5 malanday Marikina City
Contact No(s). of the recipient 09071063198 Email Address [email protected]
STUDENT INFORMATION (Based on birth certificate)
PM-16-01132-A Bardaje Ma. Katherine Rivera
Student Number* Surname* First Name* Middle Name, if any
Enter details here October 5, 1989 Marikina 09071063198
Maiden Name, if married Date of Birth Place of Birth Contact No(s)*
7 Yellow St. Purok 5 Malanday Marikina
House No. Street Name/Subdivision/Village Barangay City
ACADEMIC INFORMATION
Colleges Attended in PLMar Degree / Major Inclusive Date(s) Date of Graduation
College of Education English 2016-2020 April 30, 2020
Enter details here Enter details here Enter details here Click or tap to enter a date.
Admitted in PLMar as* Please choose an item from Student Status upon request* Please choose an item from
the list. the list.
CLEARANCE DETAILS
Office of the University Registrar Enter details here Accounting Department Enter details here
Authentication Code Enter details here Authentication Code Enter details here
Date Cleared Click or tap to enter a date. Date Cleared Click or tap to enter a date.
Remarks Enter details here Remarks Enter details here
ASSESSMENT DETAILS
Assessed by Enter details here Total Amount Assessed Enter details here
Authentication Code Enter details here Date Assessed Click or tap to enter a date.
PAYMENT DETAILS
Recorded/Posted by Enter details here Date Paid Click or tap to enter a date.
Amount Paid Enter details here Official Receipt No. Enter details here
PROCESSING DETAILS
Processed by Enter details here Processing Status Please choose an item from
the list.
Authentication Code Enter details here Remarks Enter details here
PAMANTASAN NG LUNGSOD NG MARIKINA
Office of the University Registrar
Concepcion Uno, Marikina City
https://plmar.edu.ph Email Address: [email protected]
Date Processed Click or tap to enter a date.
Important Notes:
1. Once filled out, please send this form as an attachment to your email to [email protected]
2. For Certified True Copy (CTC) and Certification, Authentication, and Verification (CAV) requests, please fill-out the on-line booking schedule form for the submission of documents and payment
of requests. See Guidelines on How to Request Certified True Copy (CTC) or Certification, Authentication, and Verification (CAV) on the university website, http://plmar.edu.ph.
3. After paying the assessed amount, please proceed to this link, https://bit.ly/2AxB8eX, for the posting of your payment.
4. In compliance with R.A. No. 10173 (DATA PRIVACY ACT OF 2012), representative must submit a signed authorization letter with original valid ID of both owner/student and representative upon
claiming of the requested document(s).
5. Requester will pay the amount of courier services.
REV. afvillodres 06.21.2021
For Accounting use only. Please fill-out the required information.
Once the student receives this forms, he/she needs to print and cut all four (4) Orders of Payment and must present this to
the Cashier’s Office.
PAMANTASAN NG LUNGSOD NG MARIKINA PAMANTASAN NG LUNGSOD NG MARIKINA
Accounting Office Accounting Office
Concepcion Uno, Marikina City Concepcion Uno, Marikina City
ORDER OF PAYMENT ORDER OF PAYMENT
Student No. PM-16-01132-A Student No. P
Surname Enter details here Surname Enter details here
First Name Enter details here First Name Enter details here
Middle Name, if any Enter details here Middle Name, if any Enter details here
Degree Enter details here Degree Enter details here
Major Enter details here Major Enter details here
Payment for Please choose an item from the list. Payment for Please choose an item from the list.
Amount Paid Enter details here Amount Paid Enter details here
Official Receipt No. Official Receipt No.
Date Paid Date Paid
Authorized by Arvin Villodres Authorized by Arvin Villodres
PAMANTASAN NG LUNGSOD NG MARIKINA PAMANTASAN NG LUNGSOD NG MARIKINA
Accounting Office Accounting Office
Concepcion Uno, Marikina City Concepcion Uno, Marikina City
ORDER OF PAYMENT ORDER OF PAYMENT
Student No. Enter details here Student No. Enter details here
Surname Enter details here Surname Enter details here
First Name Enter details here First Name Enter details here
Middle Name, if any Enter details here Middle Name, if any Enter details here
Degree Enter details here Degree Enter details here
Major Enter details here Major Enter details here
Payment for Please choose an item from the list. Payment for Please choose an item from the list.
Amount Paid Enter details here Amount Paid Enter details here
Official Receipt No. Official Receipt No.
Date Paid Date Paid
Authorized by Arvin Villodres Authorized by Arvin Villodres
Please pay on or before Click or tap to enter a date. Accounting Authentication Code Enter details here
Important Notes:
1. After paying the assessed amount, please proceed to this link, https://bit.ly/2AxB8eX, for the posting of your payment.
2. In compliance with R.A. No. 10173 (DATA PRIVACY ACT OF 2012), representative must submit a signed authorization letter with original valid ID of both
owner/student and representative upon claiming of the requested document(s).
3. Requester will pay the amount of courier services.
4. Students need to wait for the email about the date of release of the requested documents from the Office of the University Registrar.
