Create New Locker Request

Please complete the form below to submit your locker reservation application.

Full Name

ID Number

Locker Number

Semester

Contact Number

Upload Study Load & Registration

Allowed formats: PDF, DOC, DOCX, JPG, JPEG, PNG (Max size: 5MB)

I confirm that the study load and registration document is attached.

I agree to the Terms of Service.

Your request will be automatically reviewed and approved by the designated officer below.

Engr. Jessie Flores

Campus/Town Office

Status: ✓ APPROVED

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