PhiLSAT

Philippine Law School Admission Test

IDENTIFICATION (ID) FORM
(Must be SUBMITTED to the Watcher on the day of the test)

Application No.: 2041909450 PAQUEO, NOEL GEORGE TORRECAMPO

Bank Reference No.: 1288088266 Name of Applicant (Name that will appear on your Answer Sheet and Certificate of Eligibility or Certificate of Grades)
1991-12-11 Male Philippines Single
Birthdate Sex Nationality Civil Status
Mindanao State University - Iligan Institute of Technology, Iligan City, Lanao Del Norte
Name of College/University Graduated From
Lanao del Norte Philippines
Province/State of College/University Graduated From Country of College/University Graduated From
BS in Electrical Engineering 2014-2015 N/A
2 X 2 ID Picture College Course (Bachelor’s Degree) School Year Graduated Postgraduate Status
P-9 BRGY. SAN JUAN NAVARRO SETTLEMENT NAVALCA, SAN JUAN, SURIGAO CITY, SURIGAO DEL NORTE 8400 Philippines
Permanent Address
P-9 BRGY. SAN JUAN NAVARRO SETTLEMENT NAVALCA, SAN JUAN, SURIGAO CITY, SURIGAO DEL NORTE 8400 Philippines
Mailing Address
N/A +63-9475904654 better_noel@yahoo.com
Landline No. Mobile No. Email Address
Test Location: Cagayan de Oro City SURIGAO DEL NORTE ELECTRIC COOPERATIVE Private
Test Date: April 07, 2019 Name of Employer/Company Type of Employer/Company
Results to be: Sent via postal mail SURIGAO CITY, SURIGAO DEL NORTE, Philippines Full-time
Address of Employer/Company Type of Employment
Test results and ID information released to
FOREIGN APPLICANT
requesting law schools? Yes
N/A N/A N/A
Law School Choices: Passport No. Expiry Date Place of Issue
1st: San Sebastian College-Recoletos PERSON WITH DISABILITY (PWD)
2nd: Father Saturnino Urios University N/A N/A
PWD Card No. Type of Disability/Impairment
3rd: Mindanao State University - Iligan City
N/A
What special assistance/arrangement do you require on the day of the test?
MEDICAL CONDITION
None N/A
Do you have a medical condition? Describe the medical condition
N/A
What special assistance/arrangement do you require on the day of the test?
FOR THE PhiLSAT APPLICANT
1.  Affix your signature on the certification below.

I hereby certify that I have read and accepted all the information, terms and conditions specified on the PhiLSAT website www.philsat.com.ph, including,
among others, the PhiLSAT policies on allowed and prohibited items, on cheating or improper test-taking behaviour in any manner or form, and on failure to take
or complete the test on the test date and testing location indicated on this Form. I further certify that all information I gave on this Form is true and correct to the
best of my knowledge and that any misinformation shall constitute grounds for my disqualification from taking the PhiLSAT or invalidation of my PhiLSAT results.
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Applicant’s Signature Date Signed

2.  Visit the PhiLSAT website to verify the status of your PhiLSAT application.
Downloaded on: Apr 05, 2019 07:59am

3.  Visit the PhiLSAT website two weeks before the test date to know your room assignment and to download your Examination Pass.

On the day of the test, you must bring and submit to your Watcher this PhiLSAT ID Form. Your PhiLSAT results
shall be withheld indefinitely if you fail to submit this requirement.

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