Certification form online

Student Information:
Name and Last Name*
First Last
Student ID:
Social Security Number:
Email:
Phone:
(###)###-####
Postal Address:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Method of Payment:
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Address 2:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Address 3:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Method of Payment ($3.00 each)
- Money Order
- Credit Card
Credit Card Type:
- Visa
- Master Card
Name as it appears on credit card:
If credit card, Download the Autorization Form (ZIP Format) or (PDF format)
and send by fax (787) 651-2045 authorization of charges, or for your convenience, attach the form and a copy of the credit card for both sides. Use the next field to attach the files:
Authorization of charges form:
Accepted file types: pdf, jpg, jpeg.
Only PDF,JPG or JPEG File Only.
Id with Photo:
Accepted file types: pdf, jpg, jpeg.
Only PDF,JPG or JPEG File Only.
Important Information:
Student will receive official documents only after they have settled financial obligations with the Institution.
Verify that the address is correct according to the Post Office.
If you pay with a Money order, please make it payable to PCUPR.

PONTIFICIA UNIVERSIDAD CATÓLICA
2250 BLVD LUIS A FERRE AGUAYO SUITE 583
PONCE PR 00717-9997
For more information, please call: (787) 841-2000 Ext. 1006,1026,1028, 1030,1031, 1034,1035, 1036, 1038, 1039, 1040, 1042
Fax. (787) 651-2045
Hour: Monday – Friday 8:00-4:00pm
Email: ealbino@pucpr.edu

Student Information: