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Republic ofthe Philppines PHILIPPINE STATE COLLEGE OF AERONAUTICS PhlSCA Registration Form During COVID-'9Pandemic First Semester. AY 2020-2021 LETTER OF INTENT TO ENROLL (Continuing Students) Reminder: This form must be submitted to your Program Coordinator within the enrolment period specific to your year level. Failure to submit would mean exclusion from the list of students officially enrolled at PhilSCA for First Semester, AY 2020-2021. lintend to enroll at PhilSCA for 1* Semester, AY 2020-2021. ‘Student No. | Somame ‘Ghen Name Wile Name Name Program Year Level Mailing Address Contact Number/s E-mail Address Other social ‘media account/s I certify to the truthfulness of the above-mentioned information. Signature Received by: Date: (Program Coordinator) Evaluated by: Date: (Registrar-Evaluator) OFFICIALLY ENROLLED: College/Campus Registrar WARNING: Unauthorized use and misrepresentation shall be dealt with accordit ingly. NO FEES collected from the students relative to this form. Report any unusual transection rmediataly ° pres.philsca@yahoo.com.ph 7

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