Republic of the Philippines

Bulacan State University

City of Malolos, Bulacan
Tel/Fax (044)791-0153
Admissions and Orientation Services Office
February 22,2022
Date:

PROMISSORY NOTE
To whom it May Concern:
Kindly receive my sincere apologies for being late in the submission of the requirements.
I was not able to submit because I__________________________________________________
will submitting a request at my school

However, I herewith promise to submit the following requirements before _________,

March 6 2022. I
understand that failure to submit all necessary documents may result to disqualification in the
application in your esteemed University.
Certified True Copy (with school seal) of Form 138 in Grade 11
Birth Certificate (Photocopy Only)
Upper Percentage
Certified True Copy of Proof of Residency (Barangay Certificate)
Member of Pantawid Pamilya Pilipino Program (4ps ID or Certification)
Member of an Indigenous Cultural Community (ICC) / Indigenous People
(IP) (Certification or ID)
Student with Special Needs (SSN) and other types of disabilities (Certification or ID)
Graduate of Alternative Learning System (ALS) (Accreditation & Equivalency
Assessment and Certification)
Child of Solo Parent (Solo parent ID)
Student with Exemplary Artistic and Athletic Ability (certification from the
School Head)
Graduate of BulSU – LHS (Certification or Photocopy of Diploma)

NOTE: Submission of Documents is until March 31, 2022 only.

BRIANN IVY DE GUZMAN

Applicant’s Signature over Printed Name

Contact Number: 09066514584

Email Address: deguzman.briannaivy@gmail.com

Course (1st Choice):Bachelor of Science in Accountancy