APPLICATION FORM

REQUIREMENTS:
1. Certification from High School Principal that the applicant is a Grade 12 student, or Diploma/Grade Card if the student
is already a Senior High School graduate, with no college background;
2. Student School ID Card;
3. 2"x2" ID picture with white background; and
4. Duly accomplished Application Form
INSTRUCTION:
Accomplish this form carefully. Make sure to fill in all required fields and doublecheck that every information
is COMPLETE, CORRECT, and ACCURATE. Any wrong or incomplete entry can result in disqualification either in
taking the exam or in the admission phase. Application forms with unfilled blanks will be rejected automatically.

OVPAA/MSU-SASE Unit does not make any changes to the submitted information nor your SASE Report of Rating, so
review your form well.
REMINDERS:
1. Consult your Parents/Guardians first before selecting a choice in MSU CAMPUS PREFERRED box. Your choice shall
be considered Final. Limitation of slots in each Campus restricts applicants from changing the preference in the admission
process.
2. All requirements must be uploaded not later than Dec 31, 2022. No Application Form will be accepted beyond this
deadline.
3. No onsite application will be allowed during the examination day.
4. MSU-SASE is FREE. No Testing Fee shall be collected.
5. Don't forget to bring your face mask and vaccination card/medical certificate on the day of the exam.

MSU CAMPUS PREFERRED

MSU-Campus Preferred
TEST CENTER 

Test Center
YOUR BIOGRAPHICAL DATA
(as it appears on your Senior High School record)
LAST NAME

FIRST NAME

MIDDLE NAME (N/A if not applicable)

SEX
Male
Female
CIVIL STATUS
Single
Married
RELIGION

Religion
CITIZENSHIP

BIRTH DATE

PLACE OF BIRTH
EMAIL ADDRESS

CELLPHONE NUMBER

PRESENT ADDRESS

Country
 

Province
 

Municipality
 

HOME ADDRESS

Country
 

Province
 

Municipality
 

YOUR EDUCATIONAL BACKGROUND

TRACK/STRAND
Track/Strand
NAME OF SCHOOL CURRENTLY ENROLLED

Name of School
LEARNER REFERENCE NUMBER (LRN)

ADDRESS OF SCHOOL

TYPE OF SCHOOL
Private
Public
PREFERRED COURSES
 Please refer to Program Flyer and make sure the course is available in your preferred campus.
(Important Note: MSU-Marawi and MSU-IIT have quota courses, certain college/departments have additional admission
requirements.)
1st Choice

Select your preferred campus first

2nd Choice

Select your preferred campus first

YOUR PARENTS' DATA
FATHER'S NAME

 
MOTHER'S MAIDEN NAME

FATHER'S CONTACT NUMBER

MOTHER'S CONTACT NUMBER

FATHER'S OCCUPATION

MOTHER'S OCCUPATION

FATHER'S MONTHLY FAMILY INCOME

MOTHER'S MONTHLY FAMILY INCOME
FATHER'S ETHNIC ORIGIN/TRIBE

-- SELECT AN ORIGIN/TRIBE --
MOTHER'S ETHNIC ORIGIN/TRIBE

-- SELECT AN ORIGIN/TRIBE --
Ethnic Origin/Tribe of parents must be indicated. Choose N/A if the ethnicity does not appear among the choices or in special
cases where no other available choice maybe preferred.