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DLSU Application Form

1. Christopher Gabriel Celzo is applying for grade 7 for the 2023-2024 academic year. He was born in 2013 in San Pedro, Laguna and lives with his parents and siblings in Cavite. 2. His father Morris Denver Celzo works as a sales manager and his mother Kathryna Yssabel Quiambao Celzo is a homemaker. They want Christopher to attend De La Salle University - Integrated School. 3. Christopher attended Saint Michael Montessori de Carmona for kindergarten through grade 6 and has no known academic, behavioral, or health issues according to the application form.

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Yssa Celzo
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78 views

DLSU Application Form

1. Christopher Gabriel Celzo is applying for grade 7 for the 2023-2024 academic year. He was born in 2013 in San Pedro, Laguna and lives with his parents and siblings in Cavite. 2. His father Morris Denver Celzo works as a sales manager and his mother Kathryna Yssabel Quiambao Celzo is a homemaker. They want Christopher to attend De La Salle University - Integrated School. 3. Christopher attended Saint Michael Montessori de Carmona for kindergarten through grade 6 and has no known academic, behavioral, or health issues according to the application form.

Uploaded by

Yssa Celzo
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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APPLICATION FORM

2023-2024
ACADEMIC YEAR:________________________

L AST NAME FIRST NAME

CELZO CHRISTOPHER GABRIEL


Staple (3)
MIDDLE NAME NICKNAME 2X2 SIZE
pictures here
QUIAMBAO GAB

7
GRADE LEVEL APPLIED FOR:

PERSONAL INFORMATION:
DATE OF BIRTH AGE PL ACE OF BIRTH GENDER NATIONALIT Y CITIZENSHIP RELIGION

02 07 2010 13 SAN PEDRO, LAGUNA M FILIPINO FILIPINO CATHOLIC


month day year

COMPLETE HOME ADDRESS

290 SAN JOSE STREET BRGY 2 CARMONA CAVITE 4116


No. Street Name Village / Subdivision Barangay Town City Zip Code

FOR NON-FILIPINO CITIZENS:


N/A
I-CARD NO.: N/A DATE ISSUED: N/A PL ACE ISSUED:

REMARKS

FAMILY INFORMATION
FATHER MOTHER

Name
(Last Name, First Name, Middle Name) MORRIS DENVER M. CELZO KATHRYNA YSSABEL Q. CELZO

Nationality & Religion FILIPINO, ROMAN CATHOLIC FILIPINO, ROMAN CATHOLIC


Home Address 290 SAN JOSE ST. BRGY. 2 CARMONA, CAVITE
290 SAN JOSE ST. BRGY. 2 CARMONA, CAVITE
Home Number N/A N/A
Mobile Number 09560835406 09175518425
Email Address [email protected] [email protected]
Highest Educational Attainment COLLEGE UNDERGRADUATE COLLEGE GRADUATE
Last School Attended MALAYAN COLLEGES LAGUNA ATENEO DE MANILA UNIVERSITY
Company Name N/A
EAST ELECTRIC ENGINEERING SALES & SERVICES
Position SALES MANAGER N/A
Office Address N/A
UNIT 206 THOMPSON SQUARE, TOMAS MORATO COR. DON A. ROCES AVE., QUEZON CITY
Office Number 09989998979 N/A
NAME OF SIBLINGS
NAME GR./YR. LEVEL / OCCUPATION SCHOOL / EMPLOYER
MARCUS DEMITRI Q. CELZO GRADE 1 SAINT MICHAEL MONTESSORI DE CARMONA
ALEXANDRA ISABELLE Q. CELZO KINDER SAINT MICHAEL MONTESSORI DE CARMONA

Is the child’s father or mother an alumnus/alumna of any De La Salle school? YES ✔ NO


If yes, which La Salle school?
N/A
N/A Year Graduated
CHILD ACADEMIC AND HEALTH INFORMATION

EDUCATIONAL HISTORY
ACADEMIC YEAR
PRE-SCHOOL NAME AND ADDRESS OF SCHOOL
AT TENDED
Nursery SAINT MICHAEL MONTESSORI DE CARMONA 2015-2016
Kinder SAINT MICHAEL MONTESSORI DE CARMONA 2016-2017
GRADE SCHOOL

Grade 1 SAINT MICHAEL MONTESSORI DE CARMONA 2017-2018


2 SAINT MICHAEL MONTESSORI DE CARMONA 2018-2019
3 SAINT MICHAEL MONTESSORI DE CARMONA 2019-2020
4 HEADWAY SCHOOL FOR GIFTEDNESS 2020-2021
5 SAINT MICHAEL MONTESSORI DE CARMONA 2021-2022
6 SAINT MICHAEL MONTESSORI DE CARMONA 2022-2023
JUNIOR HIGH SCHOOL
Grade 7
8
9

1. Has the child been placed under academic probation or given any sanction for poor academics? (If yes, please provide details)
NO
2. Has the child been placed under disciplinary probation or given any sanction for misbehavior? (If yes, please provide details)
NO
3. Has the child been diagnosed with any of the following? (Please check and specify)
Vision Impairment Please specify N/A
Speech / Language Delay Please specify N/A
Learning Disability Please specify N/A
Behavioral Disorder Please specify N/A

4. Are there other concerns with the child’s health? (Please provide details)
NONE

FINANCIAL DETAILS
1. Who will be responsible for the payment of tuition and fees?

Parents ✔ Other family members (grandparents, uncle, aunt, brothers, sisters, etc.)
✔

Educational plan, please specify Parent’s company benefit


Scholarship

2. Please check your gross annual family income P1M and above P999,000-P700,000
✔
P699,000-P400,000 P399,000-P100,000
P99,000 and below
IN CASE OF AN EMERGENCY, IF UNABLE TO CONTACT PARENT, CONTACT:

Relative/Guardian
KATHRYNA YSSABEL Q. CELZO Home Address 290 SAN JOSE ST. BRGY. 2 CARMONA, CAVITE

Relationship to Applicant PARENT Home Phone Number N/A

Mobile Number 09175518425 E-mail Address


[email protected]

OTHER INFORMATION
How did you find out about the school?

Referral Streamers Print Ads Website Others


By whom? ROWENA R. MOLINA

I certify that the information provided herein are true and correct, and do hereby give consent
to DLSU-IS to collect and process all our personal data for purposes of admission/enrollment
to said school/institution.
KATHRYNA YSSABEL Q. CELZO
Signature over printed name

Relationship to applicant PARENT Date filed

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