Republic of the Philippines

Sorsogon State University

ADMISSION SERVICES OFFICE
Sorsogon City

ADS23-162198
________________________
Application Code

Oct 7, 2022 11:43 AM

________________________
Date Submitted

APPLICATION FOR SORSU COLLEGE ADMISSION TEST

C E R T I F I C A T I O N

The undersigned hereby certifies that all the information

submitted in the Online Pre-Admission System are true, correct and
complete to the best of his/her knowledge. The undersigned further
affirms that any false information given can be a ground for
disqualification for admission or dismissal, if admitted.

FRANCINE E. FLORANDA
____________________________________ ____________________________
Applicant's Signature Date

____________________________________ ____________________________
Parent's/Guardian's Date
Signature Over Printed Name

Submit this Certification together with the other admission requirements at the nearest SorSU
Admission Services Office not later than Nov 30, 2022 12:00 AM
• Duly signed Certification (FM-ADS-003A) generated by the Online Pre-Admission System

• Authenticated photocopy of SHS Form 137/SF 10 or Form 138/SF 9 reflecting the grades from G11 1st &
2nd semester to G12 1st semester (indicating the SHS Track and Strand and with GWA per semester)
Note: Authenticated Photocopy of F138/SF 9 in G12 1st semester may be submitted at the end of 1st
semester, A.Y. 2022-2023

• One (1) piece recent 2” x 2” ID Picture (colored picture with white background)

• 1 piece long size white folder (not plastic)

FM-ADS-003A