Generated: November 10, 2023 - 08:35:32 pm

Submission Schedule - January 16, 2024 PM

Admission Information - 024578- 1st semester 2024-2025
Campus - CvSU-Main
Entry: Transferee Applicant Type: Filipino
Preferred Course:
BSN

Personal Information
Name: DE LIMA, SHEENA YVETTE LIZANO Sex: Female
Address: Constancia Street,Buenavista 2,Gen. Trias,CAVITE,4107
Email: sheenayvetted@gmail.com Mobile#: 09757013586
Birthdate: 2004-05-14 Nationality: Filipino Civil Status: Single
PWD: No Indigenous: No
Family Background
Contact Occupation
Father: Deceased
Mother: Florisa Lopez Lizano 09552839223 Factory Worker
Guardian: John Reck L. Niepes 09657097178 Public School
Teacher
Family Income: Below 10,000 Number of siblings:3
Educational Background
Elementary
Buenavista Elementary School Buenavista 3, City Of General 2017 Public
Trias, Cavite
High School
Santiago Integrated National High School Santiago, City Of General Trias, 2021 Public
Cavite
Senior High School
Samuel Christian College Navarro, City Of General Trias, 2022 Private
Cavite
College-Transferee
Samuel Christian College Navarro, City Of General Trias, Cavite Private
BS PSYCHOLOGY
Medical History Information
Medications: To be filled up by the OSAS/Guidance Staff
Medical SUBMITTED REQUIREMENTS
Condition/s: __ Ordinary A4-size folder
I hereby acknowledge that all information stated above is true and Transferee
correct as to the best of my knowledge. I am submitting the correct __ Copy of accomplished application form for admission
and true document/s in compliance with the admission policy. Further, __ Photocopy of Transcript of Records/Certificate of Grades
I give consent for my personal data included in my offer to be Assessed by:___________________________
processed for the purposes of admission and enrolment in accordance Control No.:024578
with Republic Act 10173 - Data Privacy Act of 2012.

Signature over printed name

 Instruction on placing the control number stub in the folder CONTROL NO.

1. After you have printed your application form, kindly cut the control number 024578
stub that you see in the right portion of the form.
2. Paste the control number stub on the label corner of A-4 size folder using (cut the stub above)
glue.

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