Republic of the Philippines

DON HONORIO VENTURA STATE UNIVERSITY

Bacolor, Pampanga
Graduate School

Application Form
Comprehensive Examination

Date: June 18, 2022

I am signifying my intention to take the written comprehensive examination. I understand this is a

partial fulfillment of the requirements for my graduate degree. I am willing to abide by the rules and
regulations set forth by the University so as to ensure the smooth conduct of this academic undertaking.
Hereunder are some pertinent details as ready reference:

Name of Student: JOHN DALTON M. VELASCO Contact No. (Mobile): 09234921895

Master of Arts in Public

Course: Contact No. (Landline):
Administration

johndaltonvelasco@g
Year of Admission: 2019 Email Address:
mail.com@gmail.com

General Weighted
1.20
Average:

Date of LGU- ARAYAT,

May 14, 2022 Employer:
Orientation: PAMPANGA

Date of ComPre NUTRITION

June 25, July 1 & 9, 2022 Position:
Exam: OFFICER III

Attachment:
Transcript of Records

JOHN DALTON M. VELASCO

 Republic of the Philippines
DON HONORIO VENTURA STATE UNIVERSITY
Bacolor, Pampanga
Graduate School

Signature above Printed Name of Student