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Student Admission Application

Student Category *


Learner Reference Number (LRN)


Your 12-digit Learner Reference Number from DepEd

Personal Info.


Permanent Address



Contact Info.


Equity Target Student (ETS) Indicators


Please check all categories that apply to you. You may check more than one.











Emergency Contact Information


Instructions

  1. Fill up the online form.
  2. Type or select the required information in the form and click Next.
  3. This will take you to a page where you can verify the information you have just entered.
  4. Be sure that the information (particularly your name and date of birth) in the application must be the same as indicated in your NSO copy of birth certificate.
  5. Make sure that the e-mail address you will provide in the application is active and correct.

NOTE: Any misrepresentations (or giving false/incorrect information) in your online application will automatically invalidate your admission in the University.

Terms and Conditions

By checking "I Agree." below, I certify that all information that I am going to enter in this application form is correct and true and that I give my consent to the collection and processing of my personal data in accordance with the needs and requirements of the university.

Father's Information

Mother's Maiden Name Information

Guardian's Information (if applicable)

Other Information

GRADE SCHOOL


HIGH SCHOOL


SENIOR HIGH SCHOOL


COLLEGE


Photo


Note:
  1. The uploaded photo will be used as your ID in your Application Form.
  2. Please use a photo with a white background.
  3. Please use a decent/clear Photo.
  4. Minimum resolution/size of allowed image is 400x400 pixels.

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Grade 12 Card / TOR


Front


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Back


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Grade 11 Card / TOR


Front


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Back


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UPLOAD GOOD MORAL



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UPLOAD SCHOOL ID


Front


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Back


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Campus and Course Applying