Generated: June 17, 2020 - 02:21:11 pm

Admission Information - 37253 - No sched

Entry: Transferee Applicant Type: Filipino
Preferred Courses
1st Choice: 2nd Choice: 3rd Choice:
Bachelor of Science in Information Bachelor of Science in Computer Bachelor of Science in Industrial
Technology (BSIT) Science (BS CS) Technology major in Electronics
(BS IndT – ELEX)

Personal Information
Name: Iglesia, John Zedrick Sex: Male
Address: 9452 Rosal, Maduya Carmona Cavite,Maduya,Carmona,Cavite,9452
Email: deguzmanzed58@gmail.com Mobile#: 09070167320
Birthdate: 2002-03-03 Nationality: Filipino Civil Status: Single
Family Background
Contact Occupation
Father: Alvin M. De Guzman 09096641432 Tricycle Driver
Mother: Sharlane I. De 09096641432 House Wife
Guzman
Guardian: Alvin M. De Guzman 09096641432 Tricycle Driver
Educational Background
Elementary
Maduya Elementary School 4116 Bulangan, Maduya 2014 Public
Carmona Cavite
High School
Carmona National High School 4116 Rosario, Carmona Cavite 2018 Public
Senior High School
Angelo Levardo Loyola Senior High School Alfonso Macha Street, Carmona 2020 Public
Cavite
College-Transferee
N/A N/A N/A Public
Medical History Information
Medications: N/A To be filled up by the OSAS/Guidance Staff
Medical Exam date and time:

Condition/s: SUBMITTED REQUIREMENTS

I hereby certify that all the information stated above are true and
correct as to the best of my knowledge. I hereby give consent for my
personal data included in my offer to processed for the purposes of
admission and enrollment in accordance with Republic Act 10173 -
Data Privacy Act of 2012.
Signature over printed name
__ 2 copies of 1x1 ID Picture with name tag
__ Short ordinary folder
New Student (SHS,ALS)
__ Certified True Copy of G12 report/Certificate of ALS Rating
__ Certified True Copy of Good Moral Certificate
Transferee
__ Certified True Copy of Transcript of Records/Certificate of Grades
__ Certified True Copy of Transfer Credentials/Honorable Dismissal
__ Certified True Copy of Good Moral Certificate
__ Photocopy NBI Clearance
__ Photocopy Accomplished Interview Slip
Second Courser
__ Certified True Copy of Transcript of Records
__ Photocopy of Accomplished Interview Slip

Assessed by:___________________________
 Control No.:A20-1-_____________

Powered by TCPDF (www.tcpdf.org)