Clearance Request Form


Please fill in the required information below to request clearance.
Personal Information
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First name is required (2–50 characters).
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Last name is required (2–50 characters).
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Provide an extension (2–15 chars) or select “No”.
Select “Yes” only if you use suffixes like Jr., Sr., II, III, etc.
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Valid email required.
Format OK.
Format must be exactly: +63 XXXXXXXXXX (10 digits after a space).
Academic Information

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Use TUPC-XX-XXXXXXXX (XX letters/digits; 4–10 digits at end).
Examples: TUPC-CS-2025 (4 digits) • TUPC-CS-2025000012 (10 digits)
Please select your program.
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Please select a year level.
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Please select a client type.
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Please select a stakeholder.
Purpose of Visit

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Please select a purpose.