Generated: January 14, 2024 - 04:20:59 pm

Submission Schedule - January 30, 2024 PM

Admission Information - 036749- 1st semester 2024-2025
Campus - CvSU-Main
Entry: New Type: Grade 12 student Applicant Type: Filipino
Strand: STEM
LRN: 136899110087
Preferred Course:
BSPSYC

Personal Information
Name: DE GUZMAN, SHANE CLAIRE MALICSI Sex: Female
Address: San Guillermo,Putatan,Bayanan/Putatan,MUNTINLUPA CITY,1772
Email: shaneclairedeguzman@gmail.com Mobile#: 09932943795
Birthdate: 2006-07-07 Nationality: Filipino Civil Status: Single
PWD: No Indigenous: No
Family Background
Contact Occupation
Father: Sherwin De Guzman 09081216060 Carpenter
Mother: Arsenia De Guzman 09630309435 Housewife
Guardian: Arsenia De Guzman 09630309435 Housewife
Family Income: 11,000-20,000 Number of siblings:4
Educational Background
Elementary
Bayanan Elementary School-Man Bayanan, Muntinlupa City 2018 Public
High School
Tunasan National High School Centennial Avenue, Laguerta, 2022 Public
Tunasan, Muntinlupa City
Senior High School
Muntinlupa National High School NBP Reservation, Poblacion, 2024 Public
Muntinlupa City
Medical History Information
Medications: To be filled up by the OSAS/Guidance Staff
Medical Allergy: Shrimp, SUBMITTED REQUIREMENTS
Ordinary A4-size folder
Condition/s:
I hereby acknowledge that all information stated above is true and correct as New Student (Grade 12 student)
Copy of accomplished application form for admission
to the best of my knowledge. I am submitting the correct and true
document/s in compliance with the admission policy. Further, I give consent Photocopy of Grade 11 report card
Certificate from the Principal or Adviser indicating that the applicant
for my personal data included in my offer to be processed for the purposes of
is currently enrolled as Grade 12 student and the strand is also indicated
admission and enrolment in accordance with Republic Act 10173 - Data
Assessed by:
Privacy Act of 2012.
Control No.:036749

Signature over printed name

ID
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 stub 036749
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 glue. (cut the stub above)