Professional Documents
Culture Documents
Reminders:
✓ Applicants with de ciency in the requirements will not be processed.
✓ On your examination day, present the exam permit to the examiner/proctor
together with the signed Data Privacy Act Consent Form.
✓ No permit, no exam.
Application Form
Personal Information
Last Name *
Pelayo
First Name *
Criselle Ann
Middle Name *
Saban
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11/13/2019 Pamantasan ng Lungsod ng Maynila - Freshmen Admission
Birth Date *
05/19/2002
Birth Place *
Quezon City
Contact No. *
0946927470
criselleann.pelayo@gmail.com
Sex *
Female
Disability
Mailing/Permanent Address
House No./St./Vill./Subd./Compound *
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11/13/2019 Pamantasan ng Lungsod ng Maynila - Freshmen Admission
Province * RIZAL
Zip Code *
1860
School Information
136542070745
LRN is indicated in the student’s Permanent Record, (Form 137), Report Card (Form 138), ALS Certificate
School Address *
Grade 7 *
91.08
Grade 8 *
90.50
Grade 9 *
91
Grade 10 *
92
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Grade 11 *
92
Family
FATHER
Last Name *
Pelayo
First Name *
Jessie
Middle Name *
Barrientos
Address *
Contact No. *
09469569623
Occupation *
Driver
Last Name *
Pelayo
First Name *
Analeza
Middle Name *
Saban
Address *
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11/13/2019 Pamantasan ng Lungsod ng Maynila - Freshmen Admission
Contact No. *
Occupation *
124170
Course Preference
First Choice *
Second Choice *
Third Choice *
Requirements
Note: For uploading multiple files, hold 'CTRL' while selecting files.
The total size of files to be uploaded must not exceed 15 MB (megabytes).
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11/13/2019 Pamantasan ng Lungsod ng Maynila - Freshmen Admission
Form 137: Transcript of Records from Grades 7 to 10 & Form 138 for Grade 11
Form 138 from Grades 7 to 11
Certi cation
I hereby certify that the information provided above is true and correct based on my personal
knowledge and available records. Providing false and inaccurate information may be ground
for disquali cation from the University.
I Submit
By clicking the 'Submit Application' button, you have fully understood and agreed to the
Data Privacy Act Consent (Data_Privacy_Consent_Form.pdf).
Submit Application
For any inquiry, email at registrar@plm.edu.ph
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