Readmission Form

Name and Last Name:*
Name Nombre Apellidos
Student ID:
Social Security Number:
Date of Birth:
Formato de fecha:MM barra DD barra AAAA
Phone:
Email:
Mailing Address:
Dirección Dirección 2 Ciudad Estado / Provincia / Región ZIP / Código Postal País
Physical Address:
Dirección Ciudad Estado / Provincia / Región ZIP / Código Postal País

If you are changing degree, you must complete the following:
Select if you are interest in changing Degree and/or Major:
- Yes
- No
If you selected yes, please complete form in the Registrar's Office.
Change in Degree and/or Major:
- Degree - Major
- Major
If credit card Download the Autorization Forms (ZIP Format) or (PDF format)
and send by fax (787) 651-2045 authorization of charges, or for your convenience attach the form and copy of credit card for both sides, use the next fild to attach the files:
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 Post Office.
.

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 Monday – Friday 8:00-4:00pm email: maria_velazquez@pucpr.edu

Information of Studies: