Generated: January 17, 2024 - 02:56:16 pm

Submission Schedule - January 18, 2024 AM

Admission Information - 038385- 1st semester 2024-2025
Campus - CvSU-Main
Entry: New Type: SHS Graduate Applicant Type: Filipino
Strand: GAS
LRN: 102821100007
Preferred Course:
BEE

Personal Information
Name: CAPILI, MARIEL GARCIA Sex: Female
Address: 8206 Konsehales,Brgy. 8 Carmona,Carmona,CAVITE,4116
Email: mcapili433@gmail.com Mobile#: 09304258546
Birthdate: 2004-10-11 Nationality: Filipino Civil Status: Single
PWD: No Indigenous: No
Family Background
Contact Occupation
Father: Fredierico Capili 09668936192 Farmer
Mother: Mylene Garcia 09304258546 Ofw
Guardian: Rechard Omaga 09304258546 Whiteland
Family Income: Below 10,000 Number of siblings:5
Educational Background
Elementary
Tagatay Elementary School Tagaytay Talavera Nueva Ecija 2018 Public
High School
Bulac National High School Bulac Talavera Nueva Ecija 2022 Public
Senior High School
Bulac National High School Bulac, Talavera, Nueva Ecija 2023 Public
Medical History Information
Medications: N/A To be filled up by the OSAS/Guidance Staff
Medical Allergy: N/A,Scoliosis or SUBMITTED REQUIREMENTS
Condition/s: physical condition: N/A, __ Ordinary A4-size folder
I hereby acknowledge that all information stated above is true and New Student (SHS Graduate)
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 completed Grade 12 report Card
I give consent for my personal data included in my offer to be __ Certificate of non-issuance of Form 137 for College Admission (this
processed for the purposes of admission and enrolment in accordance certification shall prove that the applicant has never been enrolled in
with Republic Act 10173 - Data Privacy Act of 2012. another university/college)
Assessed by:___________________________
Control No.:038385

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 038385
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.

Powered by TCPDF (www.tcpdf.org)