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PROCEDURE
1.
Download and fill out the application form from www.uho.uplb.edu.ph. Provide pertinent information
legibly and accurately especially your email address and phone number/s. Attach supporting documents
and send to UHO ONLY. Our address is:
3.
4.
The processing of your application is on a First-Come, First-Served basis. The selection process will be
done every Friday starting February 1 to May 15, 2014. Additional instructions on payment and check-in
will be provided in the email. Kindly reply promptly to these very important emails to secure your slots in
the dormitories.
Payments may be paid at the UHO office or sent through LBC or JRS (For Delivery Only). Once we
received your payments, we will also notify you through email.
Applicants living in nearby towns, such as Los Baos, Sta. Rosa, San Pablo, Sta. Cruz in Laguna and
Tanauan, Batangas, may also submit their applications as early as February 1, 2014. However, only very
limited slots are provided for these students.
APPLICATION REQUIREMENTS
Duly filled up and signed Application Form (page 3)
2 copies of most recent 2x2 photo with name tag
Clear copy of UP Admission Slip
ACCOMMODATION REQUIREMENTS (Once accommodation is confirmed)
Confirmation Number (Sent through email)
Reservation Slip (Get this from UHO directly upon check-in)
Official Receipt for the payment of dorm fees
If accommodated in
Dormitory Fees
Key Deposit P 50
New Dorm
Key Deposit P 50
Key Deposit P 50
ACCI Dorm
Key Deposit P 50
one week of general
registration)
You pay:
P 1,850
P 1,950
P 1,850
P 3,650
*Additional fees for the installation of appliances will be included in the succeeding bill
Residence Hall Agreement (duly signed by the parents/guardians and student in every page)
Notarized Waiver & Quitclaims (signed by parents/guardians and students in every page and duly
notarized)
Copy of Form 5
Roommate Requirements (to be
Copy of Schedule of classes
shared among roommates)
Copy of UP Admission Slip
3 medium-sized trashcans duly
Personal Belongings
Staple only.
Do not cut or paste.
DORMITORY ACCOMMODATION
2 x 2 picture
with nametag
APPLICATION FORM
School Year 2014-2015
Please write legibly in blank ink. Provide complete information. Put NONE or NA if not applicable.
Basic Information
Applicants Name:
_______________________________
_____________________________________________
_________________________________
Last Name
First Name
Middle Name
Student No.:
__________________________
Sex:
Course:
__________________________
College: CA
CAS
CFNR CHE
Permanent Address:
Contact Details:
__________________
Male
Female
CDC
CVM
___________________________
______________________________
Apartment/Village
Street/Road
House/Unit No.
CEAT CEM
GS
_________________________
Barangay
__________________________________________
_____________________________________________
_________________
Municipality/Town/City
Province
Zip Code
Students Cellphone:
Provider: _____________
Provider: _____________
No. ____________________
No. ____________________
Landline:
_____________
Area Code
Cellphone:
Mothers Name: ____________________________
Landline :
Attachments:
____________________
Phone Number
Email:
___________________
__________________________________
Cellphone:
Students Email:
Phone Number
Provider: _________________
Dormitory Choice
(Choose only 1)
For female NF:
No. ____________________
Dormitory Choice
(Choose only 1)
For male NF:
Decision Box: