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Laguna State Polytechnic University: Republic of The Philippines

Violeta Ezekiel De Guzman is applying to take the college entrance exam at Laguna State Polytechnic University. She is 18 years old and a Filipino citizen. She graduated from Cabuyao Central Elementary School and Cabuyao Integrated National High School, both public schools, and attended Queen Anne School of Sta. Rosa and Dasmariñas, a private senior high school. Her intended course is Bachelor of Science in Business Administration, with her backup choice being Bachelor of Science in Entrepreneurship. She must fill out this application form completely and correctly in order to take the entrance exam.

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0% found this document useful (0 votes)
329 views

Laguna State Polytechnic University: Republic of The Philippines

Violeta Ezekiel De Guzman is applying to take the college entrance exam at Laguna State Polytechnic University. She is 18 years old and a Filipino citizen. She graduated from Cabuyao Central Elementary School and Cabuyao Integrated National High School, both public schools, and attended Queen Anne School of Sta. Rosa and Dasmariñas, a private senior high school. Her intended course is Bachelor of Science in Business Administration, with her backup choice being Bachelor of Science in Entrepreneurship. She must fill out this application form completely and correctly in order to take the entrance exam.

Uploaded by

Drea Andrew
Copyright
© © All Rights Reserved
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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Republic of the Philippines

Laguna State Polytechnic University


Province of Laguna

APPLICATION FOR COLLEGE ENTRANCE TEST

Instructions: READ ADMISSION AND APPLICATION REQUIREMENTS AT THE BACK PAGE


Fill in all the required information. DO NOT leave an item blank. if item is not applicable, indicate "N/A".

STATUS OF APPLICANT

☑Freshmen □Transferee □Returnee □ Shifter □ Continuer

PERSONAL INFORMATION
Name Violeta Ezekiel De Guzman D
AGE DATE OF BIRTH SEX CIVIL STATUS CITIZENSHIP
18 2004-02-18 ☑ Male ☑ Single ☑ Filipino
COMPLETE PERMANENT MAILING ADDRESS
(HOUSE NUMBER) (Street/Subdivision) (Barangay) (Municipality/City) (Province) (Zipcode)

Blk 1 lot 12 Jesus Aking Panginoon Ville Pook Sta Rosa City Laguna 4026

MOBILE NUMBER TRACK/STRAND INTENDED First Choice: Bachelor of EMAIL ADDRESS


COURSE Science in Business
Administration

09219933179 Second Choice: Bachelor of [email protected]


Science in Entrepreneurship
EDUCATIONAL ATTAINMENT
NAME OF SCHOOL SCHOOL ADDRESS TYPE OF SCHOOL YEAR ATTENDED
ELEMENTARY: 259 Sergio Osmeña St. ☑ Public 2016
Cabuyao Central Elementary Cabuyao, Laguna
School
HIGHSCHOOL: Limcaoco Subd. Brgy Tres, 4025 ☑ Public 2020
Cabuyao Integrated National High Cabuyao
School
SENIOR HIGH SCHOOL: Sta. Rosa Homes Subdivision, ☑ Private 2022
Queen Anne School Of Sta. Rosa Brgy. Dita, Santa Rosa Laguna
And Dasmariñas
COLLEGE: (For Transferee) □ Public From:
□ Private To:

Course REASON FOR TRANSFERRING:


RAW SCORE: GWA: GUIDANCE COUNSELOR/GUIDANCE PERSONNEL: DATE FILED:
June 22, 2022
LRN: 108239090352 SIGNATURE OF THE APPLICANT:

Application Number: LSPU ENTRANCE TEST PERMIT


To be filled-out by applicant
Applicant's Name: Ezekiel de Guzman Violeta
Intended Course: Bachelor of Science in Business Administration
SCHEDULE OF EXAMINATION
Date: ____________ Approved:
Time: ____________ ___________________________________
Room No: ____________ Examiner's/Proctor's Signature

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