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The document is an application form for the College Entrance Test at Laguna State Polytechnic University, filled out by Joyce Ann Ruby Coronado Beruela. It includes personal information, educational background, and intended course of study. The application is for a freshman status, with a focus on Bachelor of Science in Business Administration.

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13 views

Print Application Form

The document is an application form for the College Entrance Test at Laguna State Polytechnic University, filled out by Joyce Ann Ruby Coronado Beruela. It includes personal information, educational background, and intended course of study. The application is for a freshman status, with a focus on Bachelor of Science in Business Administration.

Uploaded by

ryensjai
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 Beruela Joyce Ann Ruby Coronado C
AGE DATE OF BIRTH SEX CIVIL STATUS CITIZENSHIP
2007-11-06
17 ☐ Male ☑ Female ☑ Single ☑ Filipino
COMPLETE PERMANENT MAILING ADDRESS
(HOUSE NUMBER) (Street/Subdivision) (Barangay) (Municipality/City) (Province) (Zipcode)

Bangkong Kahoy Kinabuhayan Dolores Quezon 4326


MOBILE NUMBER TRACK/STRAND INTENDED First Choice: Bachelor of EMAIL ADDRESS
COURSE Science in Business
Administration

09637061073 [email protected]

EDUCATIONAL ATTAINMENT
NAME OF SCHOOL SCHOOL ADDRESS TYPE OF SCHOOL YEAR ATTENDED
ELEMENTARY:
Kinabuhayan Elementary School
Brgy. Kinabuhayan, Dolores,
Quezon
☑ Public ☐ Private 2013

HIGHSCHOOL:
Sta. Lucia National High School
Brgy. Sta. Lucia, Dolores, Quezon ☑ Public ☐ Private 2019

SENIOR HIGH SCHOOL:


Sta. Lucia National High School
Brgy. Sta. Lucia, Dolores, Quezon ☑ Public ☐ Private 2023

COLLEGE: (For Transferee)


☐ Public From:
To:
☐ Private

Course REASON FOR TRANSFERRING:


RAW SCORE: GWA: 91 GUIDANCE COUNSELOR/GUIDANCE PERSONNEL: DATE FILED:
February 12, 2025
LRN: 108681130001 SIGNATURE OF THE APPLICANT:

Application Number: 174735 LSPU ENTRANCE TEST PERMIT


To be filled-out by applicant
Applicant's Name: Joyce Ann Ruby Coronado Beruela
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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