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Pamantasan NG Lungsod NG Muntinlupa Online Admission

This document contains a student enrollment form that collects personal information such as name, contact details, family details, educational background, program preferences, and requires uploading of identification documents like photo, grades/transcript, birth certificate, ID. The form is to enroll as a freshman, transferee or returnee student.

Uploaded by

ROMY ELORO
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
37 views4 pages

Pamantasan NG Lungsod NG Muntinlupa Online Admission

This document contains a student enrollment form that collects personal information such as name, contact details, family details, educational background, program preferences, and requires uploading of identification documents like photo, grades/transcript, birth certificate, ID. The form is to enroll as a freshman, transferee or returnee student.

Uploaded by

ROMY ELORO
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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Are you a Freshmen, Learner's Reference No: School Classification:

Transferee or Returnee
Student? 118572150039 Public
Enter your Learner's Reference No. Required
Freshman here (Eg. 101201912345)
Choose your Identity (Eg.
Transferee)

First Name: Middle Name: Last Name: Extension Name:

Romy JR none Eloro none


Enter your First Name Enter your Middle Enter your Last Name Enter your Extension
here (Eg. Marlou) Name here (Eg. Ford) here (Eg. Arizala) Name here (Eg. Jr, Sr,
III, IV, V)

Sex: Civil Status: Citizenship:

Male Single Filipino


Choose your Sex here (Eg. Male) Choose your Civil Status here (Eg. Enter your Citizenship here (Eg.
Single) Filipino)

Date of Birth (YYYY-MM- Place of Birth: Age:


DD):
Davao city bajada purok 19
2003-10-20 Enter your Place of Birth here (Eg. Enter your Age here (Eg. 26)
Enter your Date of Birth here (Eg. Alabang)
1991-12-25)

Mobile Number: Email Address:

09304067493 [email protected]
Enter your 11-digit Mobile Number here (Eg. IMPORTANT Enter your Valid Email Address here (Eg.

09123456789) [email protected])

Are you a PWD? PWD ID Number: Type of Disablity:

No none none
Choose your PWD Status here (Eg. Enter your PWD ID Number here. Enter your Type of Disablity here.
No)

Barangay / Street: City: Province:

alabang ,purok 8 joaquin Muntinlupa city Metro Manila


Enter your Barangay / Street here Enter your City here (Eg. Enter your Province here (Eg.
(Eg. Blk-1 Lot-2 Wawa St. Alabang) Muntinlupa) Metro Manila)

District: Congressional District: Region:

1 1 NCR (National Capital Re


Enter your District here (Eg. District Enter your Congressional District Enter your Region here (Eg. NCR)
I, District II) here (Eg. Lone District, District I,
District II)

ZIP Code: DSWD Household Number: Household per Capita


Income (Per Month):
1772 none
5000
Enter your ZIP Code here (Eg. Enter your DSWD Household Enter your Household per Capita
1772) Number here (Eg. Alabang) Income (Per Month) here (Eg.
15,000)

Father's First Father's Middle Father's Last Father's Extension


Name: Name: Name: Name:

Romy Dusal Maranga Sr


Enter your Father's First Enter your Father's Enter your Father's Last Enter your Father's
Name here (Eg. Middle Name here (Eg. Name here (Eg. Arizala) Extension Name here
Marlou) Ford) (Eg. Jr, Sr, III, IV, V)

Mother's First Mother's Middle Mother's Last


Name: Name: Name:

Alita Eloro Maranga


Enter your Mother's Enter your Mother's Enter your Mother's
First Name here (Eg. Middle Name here (Eg. Last Name here (Eg.
Marlou) Ford) Arizala)

Last School Attended (Full Year Graduated / Last SHS Strand:


Name of School): School Year Attended:
HE
cupang shs 2022 Enter the strand you took from
Enter your Last School Attended Enter your Last School Year your SHS
here (Eg. Lyceum of Alabang) Attended here (Eg. 2013)

School Barangay / Street: School City: School Province:

Brgy Cupang Muntinlupa city Metro Manila


Enter your School Barangay / Enter your School City here (Eg. Enter your School Province here
Street here (Eg. Blk-1 Lot-2 Wawa Muntinlupa) (Eg. Metro Manila)
St. Alabang)

Program Preference (First Choice): Program Preference (Second Choice):

BSE - Bachelor of Secondary Education BSIT - Bachelor of Science in Information Te


Choose your First Choice of Program (Eg. BSIT) Enter your Second Choice of Program here (Eg. BSCS)

Scanned Copy of 2x2 Picture

Basic Instructions:
• Your photo must be a clear image of ONLY you
(not blurry, grainy, or fuzzy) against a plain
background.
• The photo must be a full face-and-shoulders
shot, squarely facing the camera.
• You must use a portrait (not landscape) photo
that is correctly oriented
• You must be facing the camera.
• You cannot wear dark glasses.
• Your photo cannot be enhanced in any way (for
example, no lenses, filters, text, emoji, stickers,
etc.)

Uploading Instructions of Photo:


• You can upload a JPG, JPEG image file.
• The maximum file size is 2MB.
• If you scan your photo, the resulting file must
print as a 2" x 2" image or larger.
• The photo must be at least 1024 x 1080 pixels.
• If you have scanned your photo, crop the image
to show only your head and shoulders before you
upload it.

Scanned Copy of Certificate of Grades / Transcript of Records

Basic Instructions: Upload your scanned copy of grades by pages (back to back) if K12 student 1st
semester or 2nd semester class card and for the transferee Transcript of Records (per pages). The
procedure of uploading of grades or Transcript of Records (TOR) are the same with the process of
uploading of scanned picture.

Page 1 Page 2 Page 3 Page 4 Page 5 Page 6

(Optional) (Optional) (Optional) (Optional) (Optional)

Scanned Copy of PSA Birth Certificate

Uploading Instructions of Photo:


• You can upload a JPG, JPEG image file.
• The maximum file size is 2MB.

Scanned Copy of Valid ID / School ID


Uploading Instructions of Photo:
• You can upload a JPG, JPEG image file.
• The maximum file size is 2MB.

Scanned Copy of Voters ID/Certification

Uploading Instructions of Photo:


• You can upload a JPG, JPEG image file.
• The maximum file size is 2MB.

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