SHEPHERDVILLE COLLEGE SHEPHERDVILLE COLLEGE

Talojongon, Tigaon, Camarines Sur Talojongon, Tigaon, Camarines Sur

REQUIREMENTS FOR ADMISSION REQUIREMENTS FOR ADMISSION

Date: _________________
Date: _________________
______________________________________________
______________________________________________ Last Name Given Name Middle Name
Last Name Given Name Middle Name
Course: ______________________________________
Course: ______________________________________
Documents Needed:
Documents Needed:
Form 138/Report Card
Form 138/Report Card
PSA Birth Certificate
PSA Birth Certificate
Good Moral Character
Good Moral Character

Residency
Residency
2 x 2 picture white background
2 x 2 picture white background
4 long brown envelope
4 long brown envelope

Medical Certificate
Medical Certificate
__________________________
Attending Personnel __________________________
Attending Personnel

SHEPHERDVILLE COLLEGE SHEPHERDVILLE COLLEGE

Talojongon, Tigaon, Camarines Sur Talojongon, Tigaon, Camarines Sur

REQUIREMENTS FOR ADMISSION REQUIREMENTS FOR ADMISSION

Date: _________________ Date: _________________

______________________________________________ ______________________________________________
Last Name Given Name Middle Name Last Name Given Name Middle Name

Course: ______________________________________ Course: ______________________________________

Documents Needed: Documents Needed:

Form 138/Report Card Form 138/Report Card

PSA Birth Certificate PSA Birth Certificate

Good Moral Character Good Moral Character

Residency Residency

2 x 2 picture white background 2 x 2 picture white background

4 long brown envelope 4 long brown envelope

Medical Certificate Medical Certificate

__________________________
Attending Personnel
__________________________
Attending Personnel
I _________________________, promise to submit the following credentials for
enrolment on or before _____________________, to wit:

______1. (2) copies PSA birth certificate

______3. Good Moral Character
______4. Certificate of Brgy. Residency
______5. (2) copies 2 x 2 picture
______6. Form 138/Report Card
______7. Medical Certificate ( )__________________(only if necessary)

I understand that if I failed to submit the above-mentioned requirements on the agreed

date, my enrolment shall be consider under “CONDITIONAL” status and my certificate
of registration will be “REVOKED.”

My signature, testify that I understand and agree on the above-mentioned agreement.

_____________________________
Signature Over Printed Name

I _________________________, promise to submit the following credentials for

enrolment on or before _____________________, to wit:

______1. (2) copies PSA birth certificate

______3. Good Moral Character
______4. Certificate of Brgy. Residency
______5. (2) copies 2 x 2 picture
______6. Form 138/Report Card
______7. Medical Certificate ( )________________________ (only if necessary)

I understand that if I failed to submit the above-mentioned requirements on the agreed

date, my enrolment shall be consider under “CONDITIONAL” status and my certificate
of registration will be “REVOKED.”

My signature, testify that I understand and agree on the above-mentioned agreement.

_____________________________
Signature Over Printed Name