AUB PDC System

Please fill in the form below.
(*) are required fields.

USER ACCOUNT INFORMATION

* Username:

Username should be 6-12 alphanumeric characters.

* Password:

Password should be 8-15 alphanumeric.

* Confirm Password:

PERSONAL INFORMATION

* First Name:

Middle Name:

* Last Name:

CONTACT INFORMATION

* Email Address:

Telephone #:

* Mobile Phone #:

BRANCH INFORMATION

* Branch:

INITIAL ACCOUNT TO BE ENROLLED

* Credit Account: