To the Parent of the Student Applicant: Please write your son’s name on the form and give it to your

son’s current
School Registrar.

To the School Registrar: Kindly accomplish this form. Type or print legibly all information needed.
Return to the parent/s of the student applicant in a sealed envelope with your signature
on the flap. Thank you.

CERTIFICATION OF ENROLLMENT

This is to certify that _________________________________________ is a

(name of student applicant)

bona fide student of ___________________________________________________

(name of school)

_______________________________________ for school year 2016-2017

(school address )

This certification is issued upon the request of Mr. & Mrs./Ms.

_______________________________________ for his/her son’s application to the

(Name of Parent/Guardian)

Ateneo de Manila Grade School.

____________________________
School Registrar
(Signature over Printed Name)

________________
Date

Please affix school dry seal here.

The school has no dry seal

Please return this form to the applicant in a sealed envelope with your signature across the flap.
To be submitted by the applicant to the Ateneo de Manila University, Grade School-
Registrar’s Office together with the Application Form. Unsealed envelope will not be accepted.
Thank you.