UNIVERSITY OF MAKATI

OFFICE OF THE VICE PRESIDENT FOR ACADEMIC AFFAIRS

CENTER FOR ADMISSION AND SCHOLARSHIPS
J.P. Rizal Extension, West Rembo, Makati City
Tel. No. 883-1860

Date: March 6, 2023

Registration Number: 2023053962

Dear FLORES, ROSEMARIE ARAGO

You have successfully accomplished your online application form for College admission! Your next step is to
prepare and submit the COMPLETE and CLEAR scanned/captured copy of the requirements below, compiled
in one (1) PDF file through this link Online Submission of Requirements for College Admission.

1. Duly filled-out Application Form

2. Recent 2"x2" ID Picture with Applicant's Name Tag, White Background
3. PSA Birth Certificate of Student Applicant
4. Front and Back Copy of Report Card/Rating Form/Transcript of Records (TOR)

4.1. Grade 11 (for Graduating Senior High School students)

4.2. Grade 12 (for Grade 12 graduates)
4.3. Certificate of Rating indicating "Eligible for College Admission" (For ALS Passers)
4.4. Transcript of Records (for Transferees/2nd Coursers)

5. For Transferees, Second Coursers, and Makati residents who are NOT a student/graduate of
any Makati Public Senior High School

5.1. Personal Latest Voter's Certification (for applicants who are 18 years old and above before
September 2022)
5.2. Parent's Latest Voter's Certification or sibling’s Latest Voter's Certification and PSA birth
certificate (for applicants who are 17 years old and below)

APPLICATIONS WITH INCOMPLETE AND UNCLEAR REQUIREMENTS WILL NOT BE

PROCESSED
 UNIVERSITY OF MAKATI
OFFICE OF THE VICE PRESIDENT FOR ACADEMIC AFFAIRS
CENTER FOR ADMISSION AND SCHOLARSHIPS

APPLICATION FORM FOR COLLEGE

REGISTRATION NUMBER : 2023053962
ACADEMIC YEAR : 2023-2024 Date: March 6, 2023
LAST NAME FIRST NAME MIDDLE NAME
FLORES ROSEMARIE ARAGO
CHOICE OF COURSE PROGRAM:
1st Choice: COLLEGE OF SCIENCE Attach one 2x2 ID
BACHELOR OF SCIENCE IN PSYCHOLOGY 2022-2023 picture with name tag.

2nd Choice: INSTITUTE OF NURSING

BACHELOR OF SCIENCE IN NURSING (AY 2018-2019)

TYPE OF STUDENT SENIOR HIGH SCHOOL TRACK or PREVIOUS COURSE/PROGRAM

NEW STEM
GRADE 11 GENERAL WEIGHTED/POINT AVERAGE
91.00

PERSONAL INFORMATION
DATE OF BIRTH AGE GENDER CITIZENSHIP RELIGION
05/16/2005 17 M FILIPINO CATHOLIC

COMPLETE HOME ADDRESS

No. / STREET / VILLAGE / SUBDIVISION BARANGAY CITY PROVINCE
BLK 30 LOT 4 NARRA STREET, DILANG 1 PINAGBUHATAN CITY OF PASIG SECOND DISTRICT

PROVINCIAL ADDRESS
No. / STREET / VILLAGE / SUBDIVISION BARANGAY CITY PROVINCE
BLK 30 LOT 4 NARRA STREET, DILANG 1 PINAGBUHATAN CITY OF PASIG SECOND DISTRICT

CONTACT INFORMATION
STUDENT'S MOBILE No.: 09755149178 STUDENT'S E-MAIL ADDRESS: floresrosemarie0516@gmail.com

EDUCATIONAL BACKGROUND
NAME AND ADDRESS OF SCHOOL GRADUATED YEAR GRADUATED
GRADE SCHOOL NAGPAYONG ELEMENTARY SCHOOL - MOLAVE ST. NAGPAYONG, PINAGBUHATAN, PASIG 2017
CITY
JUNIOR HIGH NAGPAYONG HIGH SCHOOL - CENTENNIAL II, NAGPAYONG, PINAGBUHATAN, PASIG CITY 2021
SCHOOL
SENIOR HIGH BUTING SENIOR HIGH SCHOOL - A. SANTOS ST. BUTING, PASIG CITY 2023
SCHOOL

IN CASE OF EMERGENCY, IF UNABLE TO CONTACT PARENT, CONTACT

FATHER ROGELIO FLORES PHONE No. 09925602880
HOME ADDRESS BLK 30 LOT 4 NARRA ST. DILANG 1 NAGPAYONG PINAGBUHATAN, PASIG CITY
MOTHER CHARITO ROSARIO FLORES PHONE No. 09365929392
HOME ADDRESS BLK 30 LOT 4 NARRA ST. DILANG 1 NAGPAYONG PINAGBUHATAN, PASIG CITY
GUARDIAN N/A PHONE No. N/A
HOME ADDRESS N/A E-MAIL ADDRESS n/a@gmail.com
 SPECIAL ACCOMMODATION
DO YOU NEED SPECIAL NO LIST OF DISABILITY
ACCOMMODATION
PWD ID

UNTRUTHFUL INFORMATION AND FALSIFIED DOCUMENTS WILL

DISQUALIFY YOUR APPLICATION

I DECLARE THAT THE INFORMATION PROVIDED HEREIN ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE.
If admitted, I agree to abide by the policies, rules or regulation of the University. I understand that giving false information will make me
ineligible for admission. I also allow the University to release and use information I provided for admission purposes. Lastly, I
understand that all documents presented will become property of the University of Makati Admissions Office and are not to be
returned.

_________________________________ _________________________________
Signature over printed name Signature over Printed Name of Parent /
Guardian and Date

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