Applicant’s Name (Last, First, MI)

Name of School Years Attended

Public Private

School Address

INSTRUCTIONS:
This recommendation form must be filled out by the applicant’s School Representative either of the
following: Class Adviser, Guidance Counselor, School Registrar, and School Principal

After accomplishing the DLSU-D Recommendation Form, the student applicant must upload the form to
their DLSU-D Admissions Portal account.

_____________________________________________________________________________________

To the EVALUATOR:

The above–named person is applying for admission at De La Salle University - Dasmariñas.

Please check whichever is applicable to the student applicant:

• He/She is presently enrolled in your school.

YES NO What is the last Academic Year attended? ____________________

• He/She is eligible to apply as and for:

Senior High School - Grade 11 admission for AY 2023-2024
College freshman admission for AY 2023-2024

EVALUATOR’S INFORMATION
Name (Last, First, MI) Designation (Please select the appropriate designation)
Class Adviser / Guidance Counselor /
School Registrar / School Principal
Signature and Date Email Address / School’s Contact No.

The DLSU-D Recommendation Form does not need to bear the School’s Dry Seal.
By uploading this document to DLSU-D Admissions Portal, the student applicant is stating that all information written on this form is true and
correct. The student applicant understands that any falsification or misrepresentation on this document shall void this recommendation form
and shall be a ground for non-admission to De La Salle University - Dasmariñas.

Center for Student Admissions

(046) 481.9100 ● (02) 8779.5180 local 3030
admission@dlsud.edu.ph