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Application Form Slsu

This document is an application for a college entrance examination at Southern Luzon State University. It collects personal information from the applicant such as name, age, address, high school attended, intended course of study, and high school grades. It also schedules the applicant for an entrance exam at a specific date, time, and venue. Requirements for the exam are listed, including recent photos, high school records, and an examination fee.

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268 views

Application Form Slsu

This document is an application for a college entrance examination at Southern Luzon State University. It collects personal information from the applicant such as name, age, address, high school attended, intended course of study, and high school grades. It also schedules the applicant for an entrance exam at a specific date, time, and venue. Requirements for the exam are listed, including recent photos, high school records, and an examination fee.

Uploaded by

butata02
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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O.R. No.

_____________
Date: ________________

Republic of the Philippines Southern Luzon State University GUIDANCE & TESTING CENTER Lucban, Quezon

__________________ Control No.

APPLICATION FOR COLLEGE ENTRANCE EXAMINATION


( To be submitted together with H.S. Form 137) (To be filled up by Guidance Personnel)

Date of Exam:

Time:

Gomburza Bldg. 3rd Flr. Hamlet Hall, Jose Rizal Bldg.4th Flr. AVR, MHDel Pilar Bldg.3rd Flr.

INTENDED COURSE: (Pls. copy the correct course code, i.e. BSN, BSAcc., BSA, BSCpE)
1st CHOICE 2nd CHOICE 3rd CHOICE
1" X 1" RECENT ID PICTURE

1. APPLICANTS NAME SURNAME FIRST NAME MIDDLE NAME 2. AGE 3. DATE OF BIRTH (mm/dd/yyy) 4. PLACE OF BIRTH 5. GENDER 6. CIVIL STATUS 7. CITIZENSHIP 8. HEIGHT(ft) 9. WEIGHT (Kg) 13. NAME OF HIGH SCHOOL 14. YEAR GRADUATED 12. TELEPHONE / CELLPHONE NO. (if any) 11. E-MAIL ADDRESS NAME EXTENSION (e.g. Jr., Sr. ) 10. COMPLETE HOME MAILING ADDRESS

15. SCHOOL ADDRESS

16. TYPE OF HIGH SCHOOL ( Please check) Public

Private - Sectarian

Private - Non-sectarian

Others
Pls. specify

to be filled up by SLSU Guidance Personnel

FOR TRANSFEREES ONLY: 12.COLLEGE/UNIVERSITY LAST ATTENDED:

HIGH SCHOOL GRADES FINAL GRADE ENGLISH MATH SCIENCE GEN. AVERAGE 1st Year 2nd Year 3rd Year

Reason for transfer:

APPROVED: College Dean

DATE SIGNATURE OF APPLICANT xxx ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- xxx O.R. No. _____________ ______________________
Date: ________________

APPLICATION RECEIPT

Control No.

INTENDED COURSE: (Pls. copy the correct course code, i.e. BSN, BSAcc., BSA, BSCpE)
1st CHOICE 2nd CHOICE 3rd CHOICE
1" X 1" RECENT ID PICTURE

APPLICANT NAME DATE OF BIRTH PLACE OF BIRTH SIGNATURE:


SCHEDULE OF EXAM. (To be filled up by guidance Personnel) DATE: _________________________________ TIME: ____________ VENUE: Gomburza Bldg. 3rd Flr. Guidance Office : Hamlet Hall , Jose Rizal Bldg.4th Flr. (042)540-3775 / AVR , MHDel Pilar Bldg., 3rd Flr. (042)540-4087 Loc. No.135 www.slsu.edu.ph

GENDER DATE
REQUIREMENTS FOR ENTRANCE EXAMINATION: 1.2 (two) pcs. 1X1 recent photo 2.High School Form 137(Grade from 1st year to 3rd year H.S.) (Clear Xerox Copy) 3.Examination Fee Php 150.00
Bring the following on examination day:

1.Application receipt 2.Pencil ( Mongol No. 2 ) 3.Eraser

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