Clearance Request Form

Please fill in the required information below to request clearance.
INCORRECT INFORMATION WILL RESULT IN DELAY OR NON-ISSUANCE OF THE REQUESTED DOCUMENT.
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.
Use +63 XXX-XXX-XXXX.
Please enter your full address (min 5 characters).
Required. Allowed: 16–120.
Age must be 16–120.
Academic Information
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Format: TUPC-XX-YYYY where XX = two digits and YYYY = 4–15 letters/digits.
Examples: TUPC-22-1234 • TUPC-14-1234567891012MC
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Please select a year level.
Optional. Pick a year between 1979 and the current year.
Enter a valid year (1979–current).
Program must be 2–10 characters, letters and hyphens only (e.g., BET-COET).
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Please select a client type.
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Please select a stakeholder.
Purpose
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Please select a purpose.