PhiLSAT

Philippine Law School Admission Test

IDENTIFICATION (ID) FORM
(Must be SUBMITTED to the Watcher on the day of the test)

Application No.: 2091803528 REYES, JERICKSON ARCOIREZ

Bank Reference No.: 2974186100 Name of Applicant (Name that will appear on your Answer Sheet and Certificate of Eligibility or Certificate of Grades)
1992-11-09 Male Philippines Married
Birthdate Sex Nationality Civil Status
Polytechnic University of the Philippines, Manila City, Metro Manila (NCR)
Name of College/University Graduated From
Metro Manila (NCR) Philippines
Province/State of College/University Graduated From Country of College/University Graduated From
Bachelor of Political Science 2014-2015 N/A
2 X 2 ID Picture College Course (Bachelor’s Degree) School Year Graduated Postgraduate Status

147 SITIO KAPIHAN, SAN ISIDRO, ROSARIO, BATANGAS 4225 Philippines

Permanent Address
2506 RAFFLES CORPORATE CENTER F. ORTIGAS JR. ROAD ORTIGAS CENTER, SAN ANTONIO, PASIG CITY, METRO MANILA 1600 Philippines
Mailing Address
N/A +63-9215431834 jericksonreyes999@gmail.com
Landline No. Mobile No. Email Address
Test Location: Manila GOVERNMENT PROCUREMENT POLICY BOARD-TECHNICAL SUPPORT OFFICE Government
Test Date: September 23, 2018 Name of Employer/Company Type of Employer/Company
Results to be: Sent via postal mail PASIG CITY, METRO MANILA, Philippines Full-time
Address of Employer/Company Type of Employment
Test results and ID information released to
FOREIGN APPLICANT
requesting law schools? Yes
N/A N/A N/A
Law School Choices: Passport No. Expiry Date Place of Issue
1st: Arellano University PERSON WITH DISABILITY (PWD)
2nd: Manuel L. Quezon University N/A N/A
PWD Card No. Type of Disability/Impairment
3rd: San Sebastian College-Recoletos
N/A
What special assistance/arrangement do you require on the day of the test?
MEDICAL CONDITION
None N/A
Do you have a medical condition? Describe the medical condition
N/A
What special assistance/arrangement do you require on the day of the test?
FOR THE PhiLSAT APPLICANT
1.  Affix your signature on the certification below.

I hereby certify that I have read and accepted all the information, terms and conditions specified on the PhiLSAT website www.philsat.com.ph, including,
among others, the PhiLSAT policies on allowed and prohibited items, on cheating or improper test-taking behaviour in any manner or form, and on failure to take
or complete the test on the test date and testing location indicated on this Form. I further certify that all information I gave on this Form is true and correct to the
best of my knowledge and that any misinformation shall constitute grounds for my disqualification from taking the PhiLSAT or invalidation of my PhiLSAT results.
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Applicant’s Signature Date Signed

2.  Bring this Form to the nearest Bank of the Philippine Islands (BPI) branch and pay the total of PhiLSAT Registration and Test Fees (PhP________)
PHP1000.00 on or
Downloaded on: Jul 31, 2018 06:32pm

before _______________________.
August 20, 2018

Copy the Bank Reference No. found on the upper left portion of this Form and CEM’s BPI account number 1881-0450-24 on the BPI Payment/
Deposit Slip.
3.  Check your email (including your spam mailbox) after two (2) banking days for your payment confirmation e-mail. You must also visit the PhiLSAT website to
verify the status of your PhiLSAT application.
4.  Visit the PhiLSAT website two weeks before the test date to know your room assignment and to download your Examination Pass.
5.  Secure from the office of your College/University Registrar a Certificate of Graduation OR PhiLSAT Certification Form as proof that you GRADUATED from
the college/university with the college degree course and in the school year indicated on this Form.

Required Documents: On the day of the test, you must bring and submit to your Watcher this PhiLSAT ID Form
AND the CERTIFICATION signed by your College/University Registrar that you graduated from the school
indicated on this ID Form. Your PhiLSAT results shall be withheld indefinitely if you fail to submit any of these
two requirements.
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