FEUA-FO-ACSR-AERO-

005/080119/Rev0

STUDENT NUMBER: _________________

Admissions and External Relations Office STUDENT NUMBER: _________________

Credential Submission Agreement Form
SENIOR HIGH SCHOOL
NEW STUDENT
Applicant’s Name:________________________________________________
Last First Middle
Address: ________________________________________________________
Mobile No.: _______________________ Tel. No.: _______________________
Email Address: ___________________________________________________
Recommend Applicant as a CONFIRMED CANDIDATE FOR ADMISSION on the basis of
the following credential/s submitted:
Checkbox Requirements:
Application Form (including 2pcs. 2x2 I.D. photos)
Result of Entrance Exam
Original Junior High School Report Card (F138)
ESC Certificate or QVR Certificate
Original Good Moral Certificate
Original and Photocopy of PSA Birth Certificate
Data Privacy Form
* To be filled-out by the Applicant
Admissions and External Relations Office
Credential Submission Agreement Form
SENIOR HIGH SCHOOL
NEW STUDENT
Applicant’s Name:________________________________________________
Last First Middle
Address: ________________________________________________________
Mobile No.: _______________________ Tel. No.: _______________________
Email Address: ___________________________________________________
Recommend Applicant as a CONFIRMED CANDIDATE FOR ADMISSION on the basis of
the following credential/s submitted:
Checkbox Requirements:
Application Form (including 2pcs. 2x2 I.D. photos)
Result of Entrance Exam
Original Junior High School Report Card (F138)
ESC Certificate or QVR Certificate
Original Good Moral Certificate
Original and Photocopy of PSA Birth Certificate
Data Privacy Form

I promise to submit the remaining document/s or credential/s on or * To be filled-out by the Applicant

before:
_________________________________________________ I promise to submit the remaining document/s or credential/s on or
Date Signature over printed name before:
_________________________________________________
I understand that non-compliance will invalidate my admission and enrolment. Date Signature over printed name

I have complied the necessary requirements for admission filed on: I understand that non-compliance will invalidate my admission and enrolment.
_________________________________________________
Date Signature over printed name I have complied the necessary requirements for admission filed on:
_________________________________________________
Date Signature over printed name
REMARKS: ______________________________________________________
Recommended by: _______________________ Date: ___________________
REMARKS: ______________________________________________________
Recommended by: _______________________ Date: ___________________
 FEUA-FO-ACSR-AERO-
005/080119/Rev0