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Document

Republic of the Philippines Code No. FM-SNSU- GUID-01-1


SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Hospitality Management (BSHM)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Abanggan
First Name Lujille Anne
Middle Name Melano
Sex Female Civil Status Single Birthdate 1/12/2007
Sangay Town/City Kitcharao Province Agusan del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09272833192 lujilleanneabanggan@gmail.com


Name of Last School Kitcharao National High School ADMISSION TEST RESULT:
Attended
School Address Crossing Kitcharao Agusan Del
Norte
Senior High School Strand ABM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 15, 2024_Venue: SNSU Mainit Campus Batch 2: 1:30-3:30
2024-2025 SITE/VENUE AND PM
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Science in Hospitality Management (BSHM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Abarico
First Name Fatima Jean
Middle Name Paymalan
Sex Female Civil Status Single Birthdate 2/19/2006
Canlanipa Town/City Surigao Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09098461807 abaricofatimajean16@gmail.com


Name of Last School Taft National High School ADMISSION TEST RESULT:
Attended
School Address Nueva Ext.
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Physical Education (BPED)
Second Choice: Bachelor of Technical, Vocational Teacher Education major in Food & Service
Management (BTVTEd-FSM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Abellana
First Name Felicity mary
Middle Name Mendoza
Sex Female Civil Status Single Birthdate 1/27/2006
Brgy.luna Town/City Surigao city Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09513000193 felicityabellana718@gmail.com


Name of Last School SURIGAO CITY NATIONAL HIGH ADMISSION TEST RESULT:
Attended SCHOOL
School Address Purok 5 Brgy. San Juan
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION May 3, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor of Science in Information Technology (BSInfoTech)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Aberte
First Name Hercheys Gayle
Middle Name Adtoon
Sex Female Civil Status Single Birthdate 4/15/2006
Brgy. Taft Nueva Perlas Town/City Surigao City Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09515240178 hercheys.aberte15@gmail.com


Name of Last School Surigao del Norte National High ADMISSION TEST RESULT:
Attended School
School Address Peñaranda street
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Arts in English Language (AB-EL)
Second Choice: Bachelor of Science in Environmental Science (BSES)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Abrigana
First Name Camelle
Middle Name Daro
Sex Female Civil Status Single Birthdate 10/21/0003
mat-i Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09308726772 camelleabrigana766@gmail.com


Name of Last School Northeasthern Mindanao colleges ADMISSION TEST RESULT:
Attended
School Address Rizal Street
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor of Science in Computer Engineering (BSCoE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name ABULOC
First Name ELLAMAE
Middle Name GORGONIO
Sex Female Civil Status Single Birthdate 5/29/2006
Washington Town/City SURIGAO CITY Province SURIGAO DEL NORTE
PERMANENT ADDRESS Barangay
(Capital)

Contact No./s 09091602266 ellamaeabuloc.29@gmail.com


Name of Last School Surigao Del Norte National High ADMISSION TEST RESULT:
Attended School
School Address Peñaranda St. Surigao City
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor in Electrical Engineering Technology (BEET)
Second Choice: Bachelor in Mechanical Engineering Technology with concentration in
Mechanical Technology (BMET - MT)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Aceron
First Name John Carl
Middle Name Fernando
Sex Male Civil Status Single Birthdate 7/31/2005
Purok makiangayun Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09859643396 Espina extension Surigao Del Norte


Name of Last School Surigao Del Norte National High ADMISSION TEST RESULT:
Attended School
School Address Surigao Del Norte National High
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Tourism Management (BSTM)
Second Choice: Bachelor of Science in Hospitality Management (BSHM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Acojedo
First Name Janice
Middle Name Dumanacal
Sex Female Civil Status Single Birthdate 12/27/2005
Brgy.balibayon arellano Town/City Surigao del norte Province Balibayon arellano
PERMANENT ADDRESS Barangay
city

Contact No./s 09381530224 dumanacaljanice@gmail.com


Name of Last School Day-asan National High School ADMISSION TEST RESULT:
Attended
School Address Brgy.Day-asan Surigao city
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor in Mechanical Engineering Technology with concentration in
Mechanical Technology (BMET - MT)
Second Choice: Bachelor in Automotive Engineering Technology (BAET)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Acuña
First Name John Samuel
Middle Name Baterna
Sex Male Civil Status Single Birthdate 6/4/2005
San Roque Town/City Surigao Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09631837676 katelicious1128@gmail.com


Name of Last School Surigao del Norte National High ADMISSION TEST RESULT:
Attended School
School Address Peñaranda St. Surigao City
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 22, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor of Science in Civil Engineering (BSCE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name ADLAON
First Name CHENAMY
Middle Name CABILIN
Sex Female Civil Status Single Birthdate 4/2/2006
san francisco Town/City mainit Province surigao del norte
PERMANENT ADDRESS Barangay

Contact No./s 09709620330 chenamyadlaon09@gmail.com


Name of Last School MAINIT NATIONAL HIGH ADMISSION TEST RESULT:
Attended SCHOOL
School Address BARANGAY QUEZON, MAINIT,
SURIGAO DEL NORTE
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 22, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor in Automotive Engineering Technology (BAET)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Aguanta
First Name Wilfredo Jr.
Middle Name Bulala
Sex Male Civil Status Single Birthdate 9/15/2005
Rizal Town/City Surigao City Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09700265452 wilfredoaguanta2@gmail.com


Name of Last School Surigao del Norte National High ADMISSION TEST RESULT:
Attended School
School Address Penaranda Street, Surigao City,
Surigao del Norte
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 20, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Computer Engineering (BSCoE)
Second Choice: Bachelor of Science in Computer Engineering (BSCoE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Aguila
First Name Ferdinand
Middle Name Malaza
Sex Male Civil Status Single Birthdate 3/8/2005
san juan purok 3 Town/City surigao citya Province Philippines
PERMANENT ADDRESS Barangay

Contact No./s 09276720764 rjaguila422@gmail.com


Name of Last School Surigao city national high school ADMISSION TEST RESULT:
Attended
School Address Surigao city national high school
brgy san juan
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION May 3, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Tourism Management (BSTM)
Second Choice: Bachelor of Secondary Education major in English (BSED - English)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Aguilar
First Name Ashanti Marize
Middle Name Pamplina
Sex Male Civil Status Single Birthdate 12/16/2005
Brgy.Diaz Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09158543736 ashantimarize@gmail.com


Name of Last School none ADMISSION TEST RESULT:
Attended
School Address San Francisco National High
School
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 22, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Hospitality Management (BSHM)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Ajoc
First Name Aira
Middle Name Manco
Sex Female Civil Status Single Birthdate 10/13/2006
Anislagan Town/City Surigao Province Placer
PERMANENT ADDRESS Barangay

Contact No./s 09309520692 airaajoc14@gmail.com


Name of Last School Amando A. Fabio Memorial ADMISSION TEST RESULT:
Attended National School
School Address Sta. Cruz, Placer Surigao del
Norte
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 20, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Elementary Education (BEED)
Second Choice: Bachelor of Science in Information Technology (BSInfoTech)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Ajoc
First Name Arselyn
Middle Name Estobo
Sex Female Civil Status Single Birthdate 5/12/2005
Timamana Town/City Tubod Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09951992922 arselynestoboajoc@gmail.com


Name of Last School Timamana National High School ADMISSION TEST RESULT:
Attended
School Address Timamana Tubod Surigao Del
Norte
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 15, 2024_Venue: SNSU Mainit Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Hospitality Management (BSHM)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Alce
First Name Maryrose
Middle Name Siscon
Sex Female Civil Status Single Birthdate 10/19/2005
Azucena Town/City Tagana-an surigao Province Tagana-an
PERMANENT ADDRESS Barangay
del Norte

Contact No./s 09811429236 maryrosealce02@gmail.com


Name of Last School Tagana-an national high school ADMISSION TEST RESULT:
Attended
School Address Tagana-an national high school
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 5, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Elementary Education (BEED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name alipao
First Name regie mae
Middle Name esquerdo
Sex Female Civil Status Single Birthdate 11/10/2005
barangay talisay Town/City surigao sity Province surigao del norte
PERMANENT ADDRESS Barangay

Contact No./s 09465622808 regiemaealipao309@gmail.com


Name of Last School talisay national high school ADMISSION TEST RESULT:
Attended
School Address talisay national high school
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 20, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Electrical Engineering (BSEE)
Second Choice: Bachelor of Science in Electronics Engineering (BSECE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Alipao
First Name Jasper
Middle Name Biaco
Sex Male Civil Status Single Birthdate 1/21/2003
Sabang Town/City Surigao Province Surigao del norte
PERMANENT ADDRESS Barangay

Contact No./s 09709925919 jasperalipao2@gmail.com


Name of Last School Surigao national highschool ADMISSION TEST RESULT:
Attended
School Address Surigao city national highschool
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor of Physical Education (BPED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Aliwanag
First Name Jessie Lian
Middle Name Ignalig
Sex Female Civil Status Single Birthdate 12/4/2005
Poblacion,Tubod, Town/City Tubod, Surigao del Province Surigao del Norte
PERMANENT ADDRESS Barangay
Norte
Surigao del Norte

Contact No./s 09460725013 jessiealiwanag3@gmail.com


Name of Last School STI College Surigao ADMISSION TEST RESULT:
Attended
School Address Narciso St.
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 26, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
note of the page
2. ORDINARY BALLPEN
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Industrial Technology major in Electrical Technology
(BSIT-ELC)
Second Choice: Bachelor of Science in Industrial Technology major in Mechanical Technology
(BSIT-MT)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name ALTESIN
First Name CRISTOPHER
Middle Name G.
Sex Male Civil Status Single Birthdate 1/9/2001
MAT-I Town/City SURIGAO CITY Province SURIGAO DEL NORTE
PERMANENT ADDRESS Barangay

Contact No./s 09687193209 christopheraltesin21@gmail.com


Name of Last School MAT-I NATIONAL HIGH ADMISSION TEST RESULT:
Attended SCHOOL
School Address P-2 BRGY MAT-I SURIGAO CITY
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 7, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Secondary Education maj Filipino (BSED - Filipino)
Second Choice: Bachelor of Elementary Education (BEED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Amparado
First Name Glessy Mae
Middle Name
Sex Female Civil Status Single Birthdate 5/26/2006
Crossing Town/City Kitcharao Province Agusan del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09463302520 Kitcharao Agusan Del Norte


Name of Last School Kitcharao National High School ADMISSION TEST RESULT:
Attended
School Address P2. Brgy. Crossing Kitcharao
Agusan del Norte
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Computer Engineering (BSCoE)
Second Choice: Bachelor of Science in Information Technology (BSInfoTech)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Amper
First Name Jerish Ann
Middle Name De Veyra
Sex Female Civil Status Single Birthdate 3/24/2005
Washington Town/City Surigao city Province Surigao del norte
PERMANENT ADDRESS Barangay

Contact No./s 09481436096 jerishannamper526@gmail.com


Name of Last School Surigao del norte national high ADMISSION TEST RESULT:
Attended school
School Address Surigao city
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Mathematics (BS Math)
Second Choice: Bachelor of Science in Civil Engineering (BSCE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Ampo
First Name Charis
Middle Name Traboc
Sex Female Civil Status Single Birthdate 3/9/2006
Canlanipa Town/City Surigao Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09635730382 charisampo5@gmail.com


Name of Last School Surigao del Norte National High ADMISSION TEST RESULT:
Attended School
School Address Peñaranda Street, Surigao City,
Philippines
Senior High School Strand ABM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION May 3, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor of Secondary Education major in English (BSED - English)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Andrade
First Name Ashley
Middle Name Salibay
Sex Female Civil Status Single Birthdate 12/25/2005
Wadas Town/City Province of Dinagat Province Dinagat Islands
PERMANENT ADDRESS Barangay
Islands

Contact No./s 09274850432 andradeashleyyyy@gmail.com


Name of Last School Primitivo J. Ebol Memorial ADMISSION TEST RESULT:
Attended National High School
School Address Magsaysay, Dinagat, Dinagat
Islands
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 7, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Electrical Engineering (BSEE)
Second Choice: Bachelor of Science in Industrial Technology major in Electrical Technology
(BSIT-ELC)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name ANGELIO
First Name ZEAN ORLY ALQUIT
Middle Name NEUDA
Sex Male Civil Status Single Birthdate 5/24/2006
Alambique Town/City Gigaquit Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09631440492 zeanorlyalquit.24@gmail.com


Name of Last School GIGAQUIT NATIONAL SCHOOL ADMISSION TEST RESULT:
Attended OF HOME INDUSTRIES
School Address ALAMBIQUE, GIGAQUIT,
SURIGAO DEL NORTE
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 22, 2024_Venue: SNSU Claver Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Elementary Education (BEED)
Second Choice: Bachelor of Secondary Education major in English (BSED - English)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Anting
First Name Maria Theresa
Middle Name F.
Sex Female Civil Status Single Birthdate 8/2/2005
Purok 6 Banahaw, Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Barangay Sabang 3

Contact No./s 09055442193 marygenanting29@gmail.com


Name of Last School Surigao Del Norte National High ADMISSION TEST RESULT:
Attended School
School Address Peñaranda Street, Barangay
Washington Surigao City
Senior High School Strand ABM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Environmental Science (BSES)
Second Choice: Bachelor of Secondary Education major in Filipino (BSED - Filipino)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name ARBOL
First Name SHAN SAI
Middle Name PACOMEOS
Sex Female Civil Status Single Birthdate 8/27/2003
Lower Libas Town/City Tagana-an Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09560136498 shansaiarbol@gmail.com


Name of Last School AMANDO A FABIO MEMORIAL ADMISSION TEST RESULT:
Attended NATIONAL HIGH SCHOOL
School Address Santa Cruz Placer Surigao del
Norte
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 7, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Science in Computer Science (BSCS)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Aring
First Name Jhon Paul
Middle Name Mantilla
Sex Male Civil Status Single Birthdate 11/23/2001
Linongganan Town/City San francisco Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09489269545 aringjhonpaul@gmail.com


Name of Last School North Eastern Mindanao College ADMISSION TEST RESULT:
Attended (NEMCO)
School Address Surigao City
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION May 3, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Tourism Management (BSTM)
Second Choice: Bachelor of Secondary Education major in English (BSED - English)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Arriba
First Name Roselyn Mae
Middle Name Salazar
Sex Female Civil Status Single Birthdate 9/3/2006
Diaz Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09517169191 arribaroselyn205@gmail.com


Name of Last School none ADMISSION TEST RESULT:
Attended
School Address San Francisco National High
School
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 22, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Industrial Technology major in Electrical Technology
(BSIT-ELC)
Second Choice: Bachelor of Technical, Vocational Teacher Education major in Food & Service
Management (BTVTEd-FSM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Asilum
First Name Jea-mie
Middle Name Gatsalian
Sex Female Civil Status Single Birthdate 6/12/2005
Capalayan Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09468221373 jeamieasilum322@gmail.com


Name of Last School Capalayan National High school ADMISSION TEST RESULT:
Attended
School Address Brgy Capalayan
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 7, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor of Science in Industrial Technology major in Architectural Drafting
Technology (BSIT-ADT)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Astronomo
First Name Isaiah Mark
Middle Name Relleta
Sex Male Civil Status Single Birthdate 12/22/2005
Aurora Town/City Tagana-an Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09810656340 Icastronomo@gmail.com


Name of Last School Tagana-an National High School ADMISSION TEST RESULT:
Attended
School Address Tagana-an National High School
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 5, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor of Science in Information Technology (BSInfoTech)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name ASTRONOMO
First Name LEBIE
Middle Name BO
Sex Female Civil Status Single Birthdate 9/17/2006
P1 BRGY. SAN ISIDRO Town/City SURIGAO CITY Province SURIGAO DEL NORTE
PERMANENT ADDRESS Barangay

Contact No./s 09482830774 lebieastronomo1829@gmail.com


Name of Last School DAY ASAN NATIONAL HIGH ADMISSION TEST RESULT:
Attended SCHOOL
School Address BRGY. DAY ASAN SURIGAO
CITY
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 22, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name ATILLO
First Name MARISH
Middle Name SOTTO
Sex Female Civil Status Single Birthdate 7/3/2006
TAFT Town/City SURIGAO CITY Province SURIGAO DEL NORTE
PERMANENT ADDRESS Barangay

Contact No./s 09305641730 atillomarish@gmail.com


Name of Last School SURIGAO DEL NORTE ADMISSION TEST RESULT:
Attended NATIONAL HIGH SCHOOL
School Address PEÑARANDA STREET, BRGY
WASHINGTON, SURIGAO CITY
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 7, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name ATILLO
First Name MYLEN
Middle Name BELING
Sex Female Civil Status Single Birthdate 7/29/2005
Magallanes Town/City Claver Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09858197401 mylenatillo5@gmail.com


Name of Last School Claver National High School ADMISSION TEST RESULT:
Attended
School Address Purok 3 Tayaga Claver Surigao
Del Norte
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 22, 2024_Venue: SNSU Claver Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Secondary Education maj English (BSED - English)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Aton
First Name Justine Eve
Middle Name Diuyan
Sex Female Civil Status Single Birthdate 7/19/2006
Poblacion Town/City Kitcharao Province Agusan Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09630615702 justineeve01@gmail.com


Name of Last School Kitcharao National High School ADMISSION TEST RESULT:
Attended
School Address P-2 Crossing Kitcharao Agusan
Del Norte
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 7, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Hospitality Management (BSHM)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Aton
First Name Jean Wennabe
Middle Name Diuyan
Sex Female Civil Status Single Birthdate 12/11/2004
Purok-1 Poblacion Town/City Kitcharao Province Agusan Del Norte
PERMANENT ADDRESS Barangay

Kitcharao Agusan Del Norte

Contact No./s 9464665585 wennabediuyan@gmail.com


Name of Last School Kitcharao national high school ADMISSION TEST RESULT:
Attended
School Address Purok-2 Crossing kitcharao
national high school
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 7, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Hospitality Management (BSHM)
Second Choice: Bachelor of Science in Computer Science (BSCS)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name ATUEL
First Name JILLIAN
Middle Name CRISANTE
Sex Female Civil Status Single Birthdate 4/24/2006
CROSSING Town/City KITCHARAO Province AGUSAN DEL NORTE
PERMANENT ADDRESS Barangay

Contact No./s 09260444264 kimmykimho@gmail.com


Name of Last School KITCHARAO NATIONAL HIGH ADMISSION TEST RESULT:
Attended SCHOOL
School Address P1 CROSSING KITCHARAO
AGUSAN DEL NORTE
Senior High School Strand ABM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 15, 2024_Venue: SNSU Mainit Campus Batch 2: 1:30-3:30
2024-2025 SITE/VENUE AND PM
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Computer Engineering (BSCoE)
Second Choice: Bachelor of Science in Civil Engineering (BSCE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Aurestila
First Name Eduard
Middle Name Limbasan
Sex Male Civil Status Single Birthdate 9/17/2004
Magpayang Town/City Mainit Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09951523120 edlynchan94@gmail.com


Name of Last School Alegria Stand Alone Senior High ADMISSION TEST RESULT:
Attended School
School Address Ouano, Alegria, Surigao Del Norte
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 15, 2024_Venue: SNSU Mainit Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Science in Computer Science (BSCS)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Bacala
First Name Karl Joshua
Middle Name Baysa
Sex Male Civil Status Single Birthdate 1/27/2006
Luna Town/City Surigao City Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09851906844 joshua12345e@gmail.com


Name of Last School Surigao del Norte National High ADMISSION TEST RESULT:
Attended School
School Address Penaranda Street, Surigao City,
Surigao del Norte
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 11, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Industrial Technology major in Electronics Technology
(BSIT-ELX)
Second Choice: Bachelor of Science in Hospitality Management (BSHM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Bacaltos
First Name Christian Kenneth
Middle Name Namit
Sex Male Civil Status Single Birthdate 7/30/2002
Mat- i Town/City Surigao City Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09631845145 bacaltoschristiankenneth@gmail.com


Name of Last School Mat- i National High School ADMISSION TEST RESULT:
Attended
School Address Brgy. Mat-i, Surigao City
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Hospitality Management (BSHM)
Second Choice: Bachelor of Science in Information Technology (BSInfoTech)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Bacquial
First Name Jaida Mae
Middle Name Calinawan
Sex Female Civil Status Single Birthdate 3/7/2006
Purok -2 Timamana Town/City Tubod Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09635918843 bacquialjaidamae@gmail.com


Name of Last School Timamana National high school ADMISSION TEST RESULT:
Attended
School Address Timamana tubod Surigao del
Norte
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 15, 2024_Venue: SNSU Mainit Campus Batch 2: 1:30-3:30
2024-2025 SITE/VENUE AND PM
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor of Science in Mathematics (BS Math)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Badando
First Name Kyla
Middle Name Solite
Sex Female Civil Status Single Birthdate 6/12/2006
Maraiging Town/City Jabonga Province Agusan Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09853573059 badandokyla17@gmail.com


Name of Last School Cuyago National High School ADMISSION TEST RESULT:
Attended
School Address Cuyago Jabonga Agusan Del
Norte
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 21, 2024_Venue: SNSU Claver Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor of Science in Computer Engineering (BSCoE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Bagnol
First Name euanne Eunice
Middle Name Montenegro
Sex Female Civil Status Single Birthdate 10/18/2006
Daywan Town/City Claver Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09671603321 euanneeunicebagnol18@gmail.com


Name of Last School Claver National High School ADMISSION TEST RESULT:
Attended
School Address Claver National High School
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 21, 2024_Venue: SNSU Claver Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Elementary Education (BEED)
Second Choice: Bachelor of Science in Environmental Science (BSES)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name BAGOBE
First Name DANIELA AMOR
Middle Name GONO
Sex Female Civil Status Single Birthdate 12/22/2003
NAVARRO Town/City SURIGAO CITY Province SURIGAO DEL NORTE
PERMANENT ADDRESS Barangay

Contact No./s 09092690878 danielaamorbagobe74@gmail.com


Name of Last School LORETO NATIONAL HIGH ADMISSION TEST RESULT:
Attended SCHOOL (A STAND ALONE
SENIOR HIGH SCHOOL)
School Address LORETO NATIONAL HIGH
SCHOOL (A STAND ALONE
SENIOR HIGH SCHOOL)
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 22, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
note of the page
2. ORDINARY BALLPEN
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Elementary Education (BEED)
Second Choice: Bachelor of Technical, Vocational Teacher Education major in Food & Service
Management (BTVTEd-FSM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Bagotsay
First Name Lorelyn
Middle Name Bonares
Sex Female Civil Status Single Birthdate 9/6/2005
Calanipa Town/City Surigao city Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09487175894 lorelynbagotsay65@gmail.com


Name of Last School NorthEastern Mindanao colleges ADMISSION TEST RESULT:
Attended
School Address Rizal Street, Surigao City
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION May 3, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor of Science in Electrical Engineering (BSEE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Balasta
First Name Romeo
Middle Name Cantuba
Sex Male Civil Status Single Birthdate 10/29/2005
Brgy. Mat-i Sitio File Town/City Surigao city Province Surigao del norte
PERMANENT ADDRESS Barangay

Contact No./s 09488767271 romeojrbalasta2005@gmail.com


Name of Last School Surigao Del Norte National High ADMISSION TEST RESULT:
Attended School
School Address Piñaranda Street
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION May 3, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Science in Information System (BSIS)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Balicug
First Name Anthony Earl
Middle Name Limbing
Sex Male Civil Status Single Birthdate 9/19/2006
San Juan Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09954228508 anthonyearlbalicug@gmail.com


Name of Last School Surigao City National High School ADMISSION TEST RESULT:
Attended
School Address Peñaranda Street, Surigao City,
Surigao del Norte
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 11, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Hospitality Management (BSHM)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Balinas
First Name Resneth
Middle Name Revil
Sex Female Civil Status Single Birthdate 10/17/2006
Mat-i Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09383490483 resnethbalinas111@gmail.com


Name of Last School Northeastern Mindanao Colleges ADMISSION TEST RESULT:
Attended
School Address Rizal Corner Amat St. Surigao
City
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 5, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Computer Engineering (BSCoE)
Second Choice: Bachelor of Science in Information Technology (BSInfoTech)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name BANA-AY
First Name JAY-ANN
Middle Name BESERE
Sex Female Civil Status Single Birthdate 6/2/2005
Cantapoy Town/City Malimono Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09616287478 jannbesere@gmail.com


Name of Last School Cantapoy National School ADMISSION TEST RESULT:
Attended
School Address Cantapoy,Malimono,Surigao del
norte
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 20, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Science in Information System (BSIS)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Banguis
First Name Lara Jane
Middle Name Rodriguez
Sex Female Civil Status Single Birthdate 8/15/2006
kabugwason Town/City San Francisco Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09653356051 laragwapa1@gmail.com


Name of Last School San Francisco national high ADMISSION TEST RESULT:
Attended school
School Address San Francisco national high
school
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Tourism Management (BSTM)
Second Choice: Bachelor of Science in Hospitality Management (BSHM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name BANTIGUE
First Name YRYXZY GRACE
Middle Name DELINA
Sex Female Civil Status Single Birthdate 10/25/2005
SAN ROQUE Town/City BUTUAN CITY Province AGUSAN DEL NORTE
PERMANENT ADDRESS Barangay

Contact No./s 09948895497 yryxzybantigue@gmail.com


Name of Last School KITCHARAO NATIONAL HIGH ADMISSION TEST RESULT:
Attended SCHOOL
School Address CROSSING, KITCHARAO
AGUSAN DEL NORTE
Senior High School Strand ABM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor in Automotive Engineering Technology (BAET)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Bantilan
First Name John Paul
Middle Name
Sex Male Civil Status Single Birthdate 2/6/2006
BRGY. Linongganan Town/City San Francisco Province Surigao Del Norte
PERMANENT ADDRESS Barangay
Anao-Aon

Contact No./s 09535893215 johnpaulbantilan49@gmail.com


Name of Last School San Francisco National High ADMISSION TEST RESULT:
Attended Scool
School Address San Francisco National High
Scool
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 2, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Environmental Science (BSES)
Second Choice: Bachelor of Science in Environmental Science (BSES)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name BANTUGAN
First Name FRENCHEL MAY
Middle Name GEANAG
Sex Female Civil Status Single Birthdate 5/30/2004
SERNA P-3 SURIGAO Town/City SURIGAO CITY Province SURIGAO DEL NORTE
PERMANENT ADDRESS Barangay

CITY

Contact No./s 09510920163 frenchelmaybantugan143@gmail.com


Name of Last School SURIGAO DEL NORTE ADMISSION TEST RESULT:
Attended NATIONAL SENIOR HIGH
SCHOOL,SURIGAO CTY
School Address SENIOR HIGH SCHOOL
SURIGAO CITY
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
note of the page
2. ORDINARY BALLPEN
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Tourism Management (BSTM)
Second Choice: Bachelor of Science in Hospitality Management (BSHM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Banzon
First Name Yrah Shen
Middle Name Villamon
Sex Female Civil Status Single Birthdate 9/13/2006
Magsaysay Town/City Mainit Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09951510925 banzonyrahshen@gmail.com


Name of Last School San Nicolas Academy of Mainit ADMISSION TEST RESULT:
Attended INC.
School Address San Nicolas Academy of Mainit
INC.
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 20, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Industrial Technology major in Automotive Technology
(BSIT-AT)
Second Choice: Bachelor of Science in Industrial Technology major in Electronics Technology
(BSIT-ELX)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name BARCOS
First Name JERSITO
Middle Name CONSIGNA
Sex Male Civil Status Single Birthdate 9/20/2002
brgy.mapawa , Surigao Town/City SURIGAO CITY Province SURIGAO CITY, SURIGAO DEL NORTE
PERMANENT ADDRESS Barangay

City

Contact No./s 093094564055 jersitobarcos@gmail.com


Name of Last School Peranda street, surigao city, ADMISSION TEST RESULT:
Attended surigao del norte
School Address SURIGAO HIGH
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
note of the page
2. ORDINARY BALLPEN
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Hospitality Management (BSHM)
Second Choice: Bachelor of Science in Hospitality Management (BSHM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name BARRIOS
First Name JAMES KHERVIN
Middle Name MAYOL
Sex Male Civil Status Single Birthdate 3/23/2005
SAN JOSE Town/City LIBJO Province DINAGAT ISLANDS
PERMANENT ADDRESS Barangay

Contact No./s 09387214383 siraichi09@gmail.com


Name of Last School SAN JOSE NATIONAL HIGH ADMISSION TEST RESULT:
Attended SCHOOL
School Address SAN JOSE NATIONAL HIGH
SCHOOL
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 22, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Electrical Engineering (BSEE)
Second Choice: Bachelor in Automotive Engineering Technology (BAET)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Basalo
First Name Rico
Middle Name Onipa
Sex Male Civil Status Single Birthdate 2/21/2004
Mat-i Town/City Surigao city Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09667631120 basalorico4@gmail.com


Name of Last School Mat-i national high school ADMISSION TEST RESULT:
Attended
School Address Mat-i national high school
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 20, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Tourism Management (BSTM)
Second Choice: Bachelor of Science in Hospitality Management (BSHM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Basol
First Name John Clifford
Middle Name Abonero
Sex Male Civil Status Single Birthdate 7/8/2006
crossing Town/City Kitcharao Province Agusan del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09073280264 avesofine4@gmail.com


Name of Last School Kitcharao National High School ADMISSION TEST RESULT:
Attended
School Address p-1 crossing kitcharao Agusan del
norte
Senior High School Strand ABM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 23, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor in Automotive Engineering Technology (BAET)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Bawang
First Name Rinzee
Middle Name Pendejito
Sex Male Civil Status Single Birthdate 9/4/2005
Luna Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09813754135 rinzee40@gmail.com


Name of Last School Rizal National High School ADMISSION TEST RESULT:
Attended
School Address Barangay.Rizal
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION May 3, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Secondary Education maj English (BSED - English)
Second Choice: Bachelor of Secondary Education major in Sciences (BSED - Sciences)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Bayang
First Name Christian Paul
Middle Name Mameng
Sex Male Civil Status Single Birthdate 12/10/2004
Bagakay Town/City Claver Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09486850937 chansoontobebiologist@gmail.com


Name of Last School Claver National High School ADMISSION TEST RESULT:
Attended
School Address Tayaga,Claver,Surigao Del Norte
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 21, 2024_Venue: SNSU Claver Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Elementary Education (BEED)
Second Choice: Bachelor of Physical Education (BPED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Bayang
First Name Chrisel Ann
Middle Name Mameng
Sex Female Civil Status Single Birthdate 6/27/2006
Bagakay Town/City Claver Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09703582252 chriselannb@gmail.com


Name of Last School Claver National High School ADMISSION TEST RESULT:
Attended
School Address Tayag, Claver, Surigao Del Norte
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 21, 2024_Venue: SNSU Claver Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Elementary Education (BEED)
Second Choice: Bachelor of Secondary Education major in English (BSED - English)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name BAYRON
First Name DOROTHEA JANE
Middle Name SALEM
Sex Female Civil Status Single Birthdate 1/26/2006
CROSSING Town/City KITCHARAO Province AGUSAN DEL NORTE
PERMANENT ADDRESS Barangay

Contact No./s 09856332792 dorotheasalem@gmail.com


Name of Last School KITCHARAO NATIONAL HIGH ADMISSION TEST RESULT:
Attended SCHOOL
School Address BARANGAY CROSSING A,
KITCHARAO AGUSAN DEL
NORTE
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 28, 2024_Venue: SNSU Malimono Campus Batch 2: 1:30-
2024-2025 SITE/VENUE AND 3:30 PM
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Technical, Vocational Teacher Education major in Food & Service
Management (BTVTEd-FSM)
Second Choice: Bachelor of Physical Education (BPED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Belsondra
First Name Kyla
Middle Name Cariaga
Sex Female Civil Status Single Birthdate 9/3/2005
Day-asan Town/City Surigao city Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09709101933 Brgy.Day-asan Surigao city


Name of Last School Day-asan National High School ADMISSION TEST RESULT:
Attended
School Address Day-asan National High School
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 22, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Elementary Education (BEED)
Second Choice: Bachelor of Science in Electrical Engineering (BSEE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Berbal
First Name Markclent
Middle Name Canubas
Sex Male Civil Status Single Birthdate 9/26/2005
Taft Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09756488402 opolentisimarusseltroy@gmail.com


Name of Last School Surigao Del Norte National High ADMISSION TEST RESULT:
Attended School
School Address Surigao City
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Arts in English Language (AB-EL)
Second Choice: Bachelor of Secondary Education major in English (BSED - English)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Bernadez
First Name Shaina
Middle Name Embodo
Sex Female Civil Status Single Birthdate 8/24/2006
Poblacion Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09476325414 shainabernadez24@gmail.com


Name of Last School N/A ADMISSION TEST RESULT:
Attended
School Address San Francisco National High
School
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 22, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Secondary Education maj English (BSED - English)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Bernadez
First Name Maribel
Middle Name Margin
Sex Female Civil Status Single Birthdate 3/20/2006
Magdagooc Town/City Cabadbaran Province Agusan del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09651071466 bernadezmaribel6@gmail.com


Name of Last School Magdagooc National High School ADMISSION TEST RESULT:
Attended
School Address Magdagooc National High School
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 15, 2024_Venue: SNSU Mainit Campus Batch 2: 1:30-3:30
2024-2025 SITE/VENUE AND PM
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Industrial Technology major in Electrical Technology
(BSIT-ELC)
Second Choice: Bachelor of Science in Industrial Technology major in Mechanical Technology
(BSIT-MT)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name BERNADEZ
First Name JOSEPH
Middle Name CABAÑAS
Sex Male Civil Status Single Birthdate 9/24/2002
Honrado Town/City Honrado Surigao Province San Francisco Anao-aon Surigao Del Norte
PERMANENT ADDRESS Barangay
Del Norte

Contact No./s 09120841624 bernadezjoseph1@gmail.com


Name of Last School St.Jude Thaddeus Institute of ADMISSION TEST RESULT:
Attended technology
School Address St.jude Thaddeus Institute of
technology
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 5, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Industrial Technology major in Electrical Technology
(BSIT-ELC)
Second Choice: Bachelor of Science in Industrial Technology major in Mechanical Technology
(BSIT-MT)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Bernadez
First Name Junemark
Middle Name Cabug-os
Sex Male Civil Status Single Birthdate 9/10/2004
Danao Town/City Dano Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09638273190 bernadezjunemark735@gmail.com


Name of Last School St. Jude Thaddeus Institute of ADMISSION TEST RESULT:
Attended Technology
School Address Borromeo
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 5, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Arts in English Language (AB-EL)
Second Choice: Bachelor of Science in Hospitality Management (BSHM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Bernido
First Name Shania Angel
Middle Name
Sex Female Civil Status Single Birthdate 3/21/2005
Cagniog Town/City Surigao City Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09810668371 @shaniabernido@gmail.com


Name of Last School SNNHS ADMISSION TEST RESULT:
Attended
School Address Peñaranda st. Surigao city
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor in Electrical Engineering Technology (BEET)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Betito
First Name Shermaine
Middle Name Gayoso
Sex Female Civil Status Single Birthdate 11/9/2002
Washington Town/City Surigao city Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09154027441 malatbetito@gmail.com


Name of Last School Surigao City national high school ADMISSION TEST RESULT:
Attended
School Address San juan surigao city
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Science in Information Technology (BSInfoTech)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name BIDO
First Name ALMA FESS
Middle Name ALAG
Sex Female Civil Status Single Birthdate 7/24/1996
Brgy Washington Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09694367937 almafessalagb@gmail.com


Name of Last School SURIGAO STATE COLLEGE OF ADMISSION TEST RESULT:
Attended TECHNOLOGY
School Address Surigao City
Senior High School Strand NONE
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Elementary Education (BEED)
Second Choice: Bachelor of Secondary Education major in Filipino (BSED - Filipino)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Billona
First Name Karyll
Middle Name Manlangit
Sex Female Civil Status Single Birthdate 6/3/0005
Canlanipa Town/City SURIGAO CITY Province Surigao del Norte
PERMANENT ADDRESS Barangay
(Capital)

Contact No./s 09810624499 karyllbillona49@gmail.com


Name of Last School Snnhs ADMISSION TEST RESULT:
Attended
School Address Snnhs
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Elementary Education (BEED)
Second Choice: Bachelor of Science in Hospitality Management (BSHM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Billones
First Name Kyla
Middle Name Maquinano
Sex Female Civil Status Single Birthdate 5/9/2006
Cansayong Town/City Malimono Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09631969319 billonesk020@gmail.com


Name of Last School Bunyasan National High School ADMISSION TEST RESULT:
Attended
School Address Bunyasan Malimono Surigao Del
Norte
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 28, 2024_Venue: SNSU Malimono Campus Batch 1: 8-10
2024-2025 SITE/VENUE AND AM
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Electronics Engineering Technology (BEXET)
Second Choice: Bachelor in Mechanical Engineering Technology with concentration in
Mechanical Technology (BMET - MT)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Binag
First Name Jaspher
Middle Name Villarante
Sex Male Civil Status Single Birthdate 11/8/2005
Taft Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09631269870 jaspherbinag06@gmail.com


Name of Last School Surigao Del Norte National High ADMISSION TEST RESULT:
Attended School
School Address Peñaranda Street,Barangay
Washington,Surigao City
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor in Electrical Engineering Technology (BEET)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Binongo
First Name Marialou
Middle Name Emalay
Sex Female Civil Status Single Birthdate 1/7/2006
Mabini Town/City Tubajon Province Dinagat island
PERMANENT ADDRESS Barangay

Contact No./s 09700920400 Mabini Tubajon Dinagat island


Name of Last School Tubajon national High school ADMISSION TEST RESULT:
Attended
School Address San Vicente Tubajon national
High school
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Industrial Technology major in Architectural Drafting
Technology (BSIT-ADT)
Second Choice: Bachelor of Science in Industrial Technology major in Architectural Drafting
Technology (BSIT-ADT)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Bisnar
First Name Khate Chelwin
Middle Name Cortez
Sex Female Civil Status Single Birthdate 5/31/2006
Mahayahay Town/City Kitcharao Province Agusan del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09105339506 khatedesu@gmail.com


Name of Last School Kitcharao National High School ADMISSION TEST RESULT:
Attended
School Address P-1 Crossing Kitcharao Agusan
del Norte
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION May 2, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Science in Information System (BSIS)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Boncolmo
First Name Brent Kyle
Middle Name
Sex Male Civil Status Single Birthdate 6/2/2006
Washington Town/City Surigao Ciry Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09515136901 kazuyawtf69@gmail.com


Name of Last School Surigao Del Norte National ADMISSION TEST RESULT:
Attended Highschool
School Address Surigao Del Norte National
Highschool
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 11, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Industrial Technology major in Mechanical Technology
(BSIT-MT)
Second Choice: Bachelor of Arts in English Language (AB-EL)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Bonotan
First Name Ironnel
Middle Name Culta
Sex Male Civil Status Single Birthdate 11/3/2004
Washington Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09487101328 bonotanironnel@gmail.com


Name of Last School Systems Technology ADMISSION TEST RESULT:
Attended Institute(STI)
School Address Magallanes Street, Surigao City
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Secondary Education maj Mathematics (BSED - Mathematics)
Second Choice: Bachelor of Elementary Education (BEED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Borja
First Name Mariel
Middle Name Bato
Sex Female Civil Status Single Birthdate 3/4/2006
Katipunan Town/City Pilar Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09151220268 marielborja042006@gmail.com


Name of Last School Siargao Island Institute of ADMISSION TEST RESULT:
Attended Technology
School Address Brgy 12 Dapa Surigao Del Norte
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 7, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Electrical Engineering (BSEE)
Second Choice: Bachelor of Science in Industrial Technology major in Mechanical Technology
(BSIT-MT)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Bragat
First Name Julios
Middle Name Ampit
Sex Male Civil Status Single Birthdate 1/25/2003
Sitio kinabutan Town/City Surigao City Province Surigao del Norte
PERMANENT ADDRESS Barangay

Brgy.Rizal

Contact No./s 09535264842 juliuscuizon76@gmail.com


Name of Last School Surigao high school ADMISSION TEST RESULT:
Attended
School Address Penaranda Street, Surigao City
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
note of the page
2. ORDINARY BALLPEN
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor of Science in Environmental Science (BSES)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name BRONIO
First Name ZAIRA FAITH
Middle Name BOOK
Sex Female Civil Status Single Birthdate 6/4/2006
MAGSAYSAY Town/City SURIGAO DEL Province PLACER
PERMANENT ADDRESS Barangay
NORTE

Contact No./s 09671604910 zbookbronio@gmail.com


Name of Last School PLACER NATIONAL HIGH ADMISSION TEST RESULT:
Attended SCHOOL
School Address MAGSAYSAY, PLACER,
SURIGAO DEL NORTE
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 7, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Buba
First Name Johnrel
Middle Name
Sex Male Civil Status Single Birthdate 8/22/2006
P-3 san juan Town/City Surigao city Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09097573786 San juan


Name of Last School Surigao city national highschool ADMISSION TEST RESULT:
Attended
School Address Surigao city national highschool
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Industrial Technology major in Electrical Technology
(BSIT-ELC)
Second Choice: Bachelor of Science in Industrial Technology major in Welding and Fabrication
Technology (BSIT-WFT)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Buico
First Name Joana
Middle Name Padayhag
Sex Female Civil Status Single Birthdate 9/3/2005
Himama-ug Town/City Tagana-an Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09634941996 joanabuico5@gmail.com


Name of Last School Surigao Del Norte National High ADMISSION TEST RESULT:
Attended School
School Address Surigao Del Norte National High
School
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 8, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Secondary Education maj English (BSED - English)
Second Choice: Bachelor of Science in Hospitality Management (BSHM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Bukid
First Name Zymel Pearl
Middle Name Butron
Sex Female Civil Status Single Birthdate 6/14/2007
Bayanihan Town/City Libjo Province Dinagat Islands
PERMANENT ADDRESS Barangay

Contact No./s 09091972267 bukidzymel@gmail.com


Name of Last School San Jose National High School ADMISSION TEST RESULT:
Attended
School Address San Jose National High School
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 22, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Tourism Management (BSTM)
Second Choice: Bachelor of Science in Hospitality Management (BSHM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Bulay
First Name Joanna
Middle Name Dumael
Sex Female Civil Status Single Birthdate 7/16/2006
Jubgan Town/City Surigao city Province Surigao
PERMANENT ADDRESS Barangay

Contact No./s 09560189820 joannabulay43@gmail.com


Name of Last School Placer National High School ADMISSION TEST RESULT:
Attended
School Address Magsaysay, placer SDN
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Hospitality Management (BSHM)
Second Choice: Bachelor of Arts in English Language (AB-EL)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name BUSILAK
First Name CYRELLE JUN
Middle Name SUMANIA
Sex Male Civil Status Single Birthdate 3/15/2005
SAN PEDRO Town/City ALEGRIA Province SURIGAO DEL NORTE
PERMANENT ADDRESS Barangay

Contact No./s 09384750261 cjecoy11@gmail.com


Name of Last School ALEGRIA STAND ALONE ADMISSION TEST RESULT:
Attended SENIOR HIGH SCHOOL
School Address JULIO OUANO, ALEGRIA
SURIGAO DEL NORTE
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 15, 2024_Venue: SNSU Mainit Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Tourism Management (BSTM)
Second Choice: Bachelor of Science in Hospitality Management (BSHM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name CABALAN
First Name KRIZHA MHEI
Middle Name CABALAN
Sex Female Civil Status Single Birthdate 11/17/2005
Sabang 3 Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09857628633 cabalankrizhamhei.crshs@gmail.com


Name of Last School CARAGA REGIONAL SCIENCE ADMISSION TEST RESULT:
Attended HIGH SCHOOL
School Address San Juan, Surigao City, Surigao
Del Norte
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 5, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information System (BSIS)
Second Choice: Bachelor of Science in Hospitality Management (BSHM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Caballero
First Name Eullaine
Middle Name Pulot
Sex Female Civil Status Single Birthdate 6/8/2004
Cantapoy Town/City Malimono Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09516125323 caballerolala51@gmail.com


Name of Last School Philippine Electronics and ADMISSION TEST RESULT:
Attended Communication Institute of
Technology
School Address Capitol - Bonbon Road, Butuan
City, Agusan del Norte,
Philippines
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION May 3, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
note of the page
2. ORDINARY BALLPEN
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Hospitality Management (BSHM)
Second Choice: Bachelor of Physical Education (BPED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Cabañas
First Name Ma.Regena
Middle Name Pecito
Sex Female Civil Status Single Birthdate 10/30/2004
Cantiasay Town/City Surigao City Province surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09265510591 cabanasmaregena@gmail.com


Name of Last School Surigao Del Norte State University ADMISSION TEST RESULT:
Attended
School Address Narciso Street, Surigao City
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Industrial Technology major in Automotive Technology
(BSIT-AT)
Second Choice: Bachelor of Science in Industrial Technology major in Architectural Drafting
Technology (BSIT-ADT)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Cabanilla
First Name Amor
Middle Name Lara
Sex Female Civil Status Single Birthdate 9/26/2002
P-1 PUNTA BILAR Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09958177949 maligonbazarte@gmail.com


Name of Last School Lipata National High School ADMISSION TEST RESULT:
Attended
School Address Lipata National High School
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 7, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Tourism Management (BSTM)
Second Choice: Bachelor of Science in Hospitality Management (BSHM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Cabiling
First Name Bregette
Middle Name
Sex Female Civil Status Single Birthdate 7/20/2005
Cagniog Town/City Surigao City Province Surigap Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09510945555 bregette9@gmail.com


Name of Last School Surigao Norte National High ADMISSION TEST RESULT:
Attended School
School Address Peñaranda Street, Surigao City,
Philippines
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 20, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information System (BSIS)
Second Choice: Bachelor of Science in Information Technology (BSInfoTech)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Cabiling
First Name Chirelmei
Middle Name Antolin
Sex Female Civil Status Single Birthdate 9/19/2005
Bonifacio Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09308711035 chirelmeicabiling3@gmail.com


Name of Last School Cabrera Altres National High ADMISSION TEST RESULT:
Attended School
School Address Bonifacio
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Science in Computer Science (BSCS)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Cagabcab
First Name Jocel
Middle Name Cabiltas
Sex Female Civil Status Single Birthdate 1/1/2004
Taft (pob) Town/City Surigao City Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09504329056 cecelcagabcab@gmail.com


Name of Last School STI College Surigao ADMISSION TEST RESULT:
Attended
School Address 04220 Narcisso St. Surigao City
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 22, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor in Mechanical Engineering Technology with concentration in
Mechanical Technology (BMET - MT)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name CAGAS
First Name REXON
Middle Name GADIS
Sex Male Civil Status Single Birthdate 5/25/2005
POBLACION Town/City BACUAG Province SURIGAO DEL NORTE
PERMANENT ADDRESS Barangay

Contact No./s 09518703842 cagasrexon123@gmail.com


Name of Last School BACUAG NATIONAL AGRO- ADMISSION TEST RESULT:
Attended INDUSTRIAL SCHOOL
School Address ORQUINA ST., POBLACION,
BACUAG, SURIGAO DEL
NORTE
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 5, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Hospitality Management (BSHM)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Cainoy
First Name Maria Angela
Middle Name Solon
Sex Female Civil Status Single Birthdate 10/7/2005
Mahayahay Town/City Kitcharao Province Agusan del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09703738741 cainoymariaangela@gmail.com


Name of Last School Kitcharao National High School ADMISSION TEST RESULT:
Attended
School Address P-1 Crossing Kitcharao Agusan
del Norte
Senior High School Strand ABM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 23, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Electrical Engineering (BSEE)
Second Choice: Bachelor in Automotive Engineering Technology (BAET)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Calang
First Name Mart Vincent
Middle Name NA
Sex Male Civil Status Single Birthdate 4/3/2006
Poctoy Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09090127766 martcalangloloy@gmail.com


Name of Last School Wilfredo D. Rafols Memorial ADMISSION TEST RESULT:
Attended National High School
School Address Purok 5 brgy. poctoy surigao city
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION May 2, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Science in Industrial Technology major in Electrical Technology
(BSIT-ELC)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Calata
First Name Rogie
Middle Name Salado
Sex Male Civil Status Single Birthdate 2/13/2003
Canlanipa Town/City SURIGAO CITY Province SURIGAO DEL NORTE
PERMANENT ADDRESS Barangay

Contact No./s 09514499638 P9 couples brgy. Canlanipa surigao city


Name of Last School St.paul university of surigao ADMISSION TEST RESULT:
Attended
School Address St.paul university of surigao
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 11, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Secondary Education maj Mathematics (BSED - Mathematics)
Second Choice: Bachelor of Science in Computer Engineering (BSCoE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Camarines
First Name Renier
Middle Name Tomlod
Sex Male Civil Status Single Birthdate 3/11/2006
Mat-i Town/City Surigao City Province Surigao del norte
PERMANENT ADDRESS Barangay

Contact No./s 09705875542 camarinesrenier@gmail.com


Name of Last School Mat-I National High School ADMISSION TEST RESULT:
Attended
School Address Mat-i National High School
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Physical Education (BPED)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Campilan
First Name Mary Gold
Middle Name Faron
Sex Female Civil Status Single Birthdate 11/2/2005
P-4 Brgy. San Juan Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09958540032 marygoldcampilan2005@gmail.com


Name of Last School Surigao City National High School ADMISSION TEST RESULT:
Attended
School Address P-5 Brgy. San Juan Surigao City,
SDN
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 7, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Elementary Education (BEED)
Second Choice: Bachelor of Science in Hospitality Management (BSHM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Canda
First Name Joross Christopher
Middle Name Abellana
Sex Male Civil Status Single Birthdate 6/23/2006
Canlanipa Town/City Surigao City Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09468191883 candajoross@gmail.com


Name of Last School Surigao City National High School ADMISSION TEST RESULT:
Attended
School Address Purok 5 Brgy. San Juan
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION May 3, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor in Electrical Engineering Technology (BEET)
Second Choice: Bachelor in Automotive Engineering Technology (BAET)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name CANTILA
First Name MARK JAMES
Middle Name ALTIZEN
Sex Male Civil Status Single Birthdate 2/20/2005
P-11 BARANGAY MAT-I Town/City Surigao City Province Surigao
PERMANENT ADDRESS Barangay

Contact No./s 09669483430 markjamescantila155@gmail.com


Name of Last School Mat-i national highschool ADMISSION TEST RESULT:
Attended
School Address MAT-I NATIONAL HIGHSCHOOL
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 7, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Arts in English Language (AB-EL)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name CANTILLAS
First Name REYCHEL
Middle Name BORIMBAO
Sex Female Civil Status Single Birthdate 5/20/2006
Manjagao Town/City Surigao city Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09635606296 cantillasreychel@gmail.com


Name of Last School Manjagao National High School ADMISSION TEST RESULT:
Attended
School Address Manjagao National High School
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 5, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Hospitality Management (BSHM)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Capesenio
First Name Angel
Middle Name Lapinid
Sex Female Civil Status Single Birthdate 4/12/2006
San Juan Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09814210369 San Juan


Name of Last School Surigao City National Highschool ADMISSION TEST RESULT:
Attended
School Address Surigao City National Highschool
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Secondary Education maj Filipino (BSED - Filipino)
Second Choice: Bachelor of Science in Environmental Science (BSES)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Capul
First Name Christine Ann
Middle Name Pomoy
Sex Female Civil Status Single Birthdate 2/20/2006
Brgy.washington Town/City Surigao city Province Surigao del norte
PERMANENT ADDRESS Barangay

Contact No./s 09813441009 Tondo kaimo street


Name of Last School Surigao del norte national high ADMISSION TEST RESULT:
Attended school
School Address Peñaranda street
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 30, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Science in Computer Engineering (BSCoE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name CARMONA
First Name SANDRA
Middle Name G
Sex Female Civil Status Single Birthdate 6/23/0006
TOGBONGON Town/City SURIGAO CITY Province SURIGAO DEL NORTE
PERMANENT ADDRESS Barangay

Contact No./s 09705434761 sandra.gunda.carmona@gmail.com


Name of Last School CARAGA REGIONAL SCIENCE ADMISSION TEST RESULT:
Attended HIGHSCHOOL
School Address BARANGAY SAN JUAN, SERING
STREET
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 22, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor in Mechanical Engineering Technology with concentration in
Mechanical Technology (BMET - MT)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Carrillo
First Name Kris Lee
Middle Name Mozo
Sex Female Civil Status Single Birthdate 9/7/2006
Cagniog Town/City Surigao City Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09631289906 krisleecarrillo@gmail.com


Name of Last School Surigao del Norte National High ADMISSION TEST RESULT:
Attended School
School Address Peñaranda street Brgy
Washington Surigao City
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 3, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Secondary Education maj English (BSED - English)
Second Choice: Bachelor of Science in Environmental Science (BSES)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Casamayor
First Name Precious Chrysalis
Middle Name Herolingo
Sex Female Civil Status Single Birthdate 4/18/2006
Bonifacio Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s +639154028641 casamayorpchrysalis@gmail.com


Name of Last School Surigao Del Norte National ADMISSION TEST RESULT:
Attended Highschool
School Address Peñaranda Street, Surigao City
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 7, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor of Science in Electrical Engineering (BSEE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name CASONA
First Name DAVE
Middle Name PAONER
Sex Male Civil Status Single Birthdate 5/7/2004
baranggay rizal Town/City surigao city Province surigao delnorte
PERMANENT ADDRESS Barangay

tumanday 2

Contact No./s 09953127488 davecasona4@gmail.com


Name of Last School RIZAL NATIONAL HIGH ADMISSION TEST RESULT:
Attended SCHOOL
School Address SURIGAO CITY AT RIZAL
NATIONAL HIGHSCHOOL
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Computer Engineering (BSCoE)
Second Choice: Bachelor of Science in Hospitality Management (BSHM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Castañeda
First Name Erick Albert
Middle Name MAPA
Sex Male Civil Status Single Birthdate 12/9/2005
Brgy. Washington Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09096689904 P- Asparagus Km2 National Highway


Name of Last School Surigao City National High School ADMISSION TEST RESULT:
Attended
School Address P-5 Brgy. San Juan
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 22, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Technical, Vocational Teacher Education major in Food & Service
Management (BTVTEd-FSM)
Second Choice: Bachelor of Science in Hospitality Management (BSHM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Castorico
First Name Keneath
Middle Name Marqueda
Sex Female Civil Status Single Birthdate 10/1/2005
San Roque Town/City Liloan Province Southern leyte
PERMANENT ADDRESS Barangay

Contact No./s 09308883162 keneathcastoricomarqueda@gmail.com


Name of Last School Liloan National Technical ADMISSION TEST RESULT:
Attended Vocational High School
School Address Poblacion Liloan Southern Leyte
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 7, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Elementary Education (BEED)
Second Choice: Bachelor of Science in Information System (BSIS)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Catarman
First Name Mikyla
Middle Name Sitoy
Sex Female Civil Status Single Birthdate 5/29/2004
Day-asan Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09518153622 mikylacatarman9@gmail.com


Name of Last School Day-asan national high school ADMISSION TEST RESULT:
Attended
School Address Surigao City
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 22, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Industrial Technology major in Welding and Fabrication
Technology (BSIT-WFT)
Second Choice: Bachelor of Science in Industrial Technology major in Mechanical Technology
(BSIT-MT)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Catilcong
First Name Renibert
Middle Name Borembao
Sex Male Civil Status Single Birthdate 7/31/2003
Manjagao Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09700302349 rencatilcong@gmail.com


Name of Last School Manjagao National High School ADMISSION TEST RESULT:
Attended
School Address Manjagao National High School
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 5, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor of Science in Computer Science (BSCS)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Catipol
First Name Nadine
Middle Name Bayang
Sex Female Civil Status Single Birthdate 10/1/2006
Bagakay Town/City Claver Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09510907527 bayangcatipol16@gmail.com


Name of Last School Claver National high School ADMISSION TEST RESULT:
Attended
School Address Claver National high School
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 21, 2024_Venue: SNSU Claver Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor in Electrical Engineering Technology (BEET)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Cavite
First Name Gloribelie
Middle Name Arimang
Sex Female Civil Status Single Birthdate 4/14/2001
San roque Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09638254655 gloribellecavite520@gmail.com


Name of Last School Surigao Del Norte National High ADMISSION TEST RESULT:
Attended School
School Address Peñaranda St.Surigao City
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 4, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Secondary Education maj English (BSED - English)
Second Choice: Bachelor of Science in Hospitality Management (BSHM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name cayasa
First Name kei
Middle Name
Sex Female Civil Status Single Birthdate 9/12/2006
mabua Town/City surigao city Province surigao del norte
PERMANENT ADDRESS Barangay

Contact No./s 09489795750 brgy mabua surigao city


Name of Last School ipil national high school ADMISSION TEST RESULT:
Attended
School Address ipil national high school
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 7, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor in Automotive Engineering Technology (BAET)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Cayumo
First Name Catherine
Middle Name Guias
Sex Female Civil Status Single Birthdate 2/15/2006
Washington Town/City Surigao city Province Surigao del norte
PERMANENT ADDRESS Barangay

Contact No./s 09092328366 catherinecayumo049@gmail.com


Name of Last School Surigao del norte national high ADMISSION TEST RESULT:
Attended school
School Address Penaranda street surigao city
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 7, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Tourism Management (BSTM)
Second Choice: Bachelor of Science in Hospitality Management (BSHM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Celeste
First Name Kyla
Middle Name Ortega
Sex Female Civil Status Single Birthdate 5/6/2005
Balibayon Arellano Town/City Surigao City Province Balibayon Arellano
PERMANENT ADDRESS Barangay

Contact No./s 09500011477 kylakaikai19@gmail.com


Name of Last School Day-Asan National High School ADMISSION TEST RESULT:
Attended
School Address Brgy. Day-Asan, Surigao City
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Science in Information System (BSIS)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Cervantes
First Name Jan Heart
Middle Name Natad
Sex Male Civil Status Single Birthdate 2/14/2005
Daywan Town/City Claver Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09463110496 cervantesjun6@gmail.com


Name of Last School Northeastern Mindanao Colleges ADMISSION TEST RESULT:
Attended
School Address Amat St. Surigao City, Surigao del
Norte
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Computer Engineering (BSCoE)
Second Choice: Bachelor of Science in Information Technology (BSInfoTech)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name CESAR
First Name REGINE
Middle Name BARADILLO
Sex Female Civil Status Single Birthdate 2/1/2006
MABINI Town/City PLACER Province SURIGAO DEL NORTE
PERMANENT ADDRESS Barangay

Contact No./s 09309648062 annalunacesar@gmail.com


Name of Last School Amando A. Fabio Memorial ADMISSION TEST RESULT:
Attended National High School
School Address STA. CRUZ, PLACER, SURIGAO
DEL NORTE
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor of Science in Computer Engineering (BSCoE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Chua
First Name Lorenz Pio
Middle Name Gara
Sex Male Civil Status Single Birthdate 9/4/2005
San Isidro Town/City Gigaquit Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09772714003 lorenzpiochua@gmail.com


Name of Last School Gigaquit National School of Home ADMISSION TEST RESULT:
Attended Industries
School Address Alambique, Gigaquit, Surigao del
Norte
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 22, 2024_Venue: SNSU Claver Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Industrial Technology major in Automotive Technology
(BSIT-AT)
Second Choice: Bachelor of Science in Industrial Technology major in Electronics Technology
(BSIT-ELX)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Clor
First Name Ademyr
Middle Name Rico
Sex Male Civil Status Single Birthdate 1/9/2003
Day-asan Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09097558365 ademyrclor22@gmail.com


Name of Last School Surigao Del Norte National High ADMISSION TEST RESULT:
Attended School
School Address Pernaranda St. Surigao City
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 22, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Elementary Education (BEED)
Second Choice: Bachelor of Secondary Education major in Mathematics (BSED - Mathematics)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Clor
First Name Larra Jean
Middle Name Loayon
Sex Female Civil Status Single Birthdate 8/25/2005
Brgy.Capalayan Town/City Surigao City Province Surigao del norte
PERMANENT ADDRESS Barangay

Contact No./s 09056007099 larrajeanloayonclor@gmail.com


Name of Last School Surigao Del Norte National High ADMISSION TEST RESULT:
Attended School
School Address Peñaranda Street Brgy
Washington Surigao City Surigao
Del Norte
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION May 2, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor in Electrical Engineering Technology (BEET)
Second Choice: Bachelor in Mechanical Engineering Technology with concentration in
Mechanical Technology (BMET - MT)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Clor
First Name Mark Jave
Middle Name Dohaylungsod
Sex Male Civil Status Single Birthdate 2/14/2005
Day-asan Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09125208559 markjave22@gmail.com


Name of Last School Day-asan National High School ADMISSION TEST RESULT:
Attended
School Address Day-asan National High School
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 20, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor of Science in Environmental Science (BSES)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Colina
First Name Ashley Alyzza
Middle Name Sanglitan
Sex Female Civil Status Single Birthdate 1/22/2006
Brgy. Taft Town/City Surigao City Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09630673504 alyzza.colina22@gmail.com


Name of Last School Surigao del Norte National High ADMISSION TEST RESULT:
Attended School
School Address Peñaranda Street Brgy
Washington Surigao City, Surigao
del Norte
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION May 3, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Tourism Management (BSTM)
Second Choice: Bachelor of Science in Hospitality Management (BSHM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name COMANDANTE
First Name CYRUS
Middle Name MAGISTRADO
Sex Male Civil Status Single Birthdate 7/3/2006
Brgy. Magsaysay Town/City Mainit Surigao Del Province Surigao Del Norte
PERMANENT ADDRESS Barangay
Norte

Contact No./s 09857819857 cyruscomandante3@gmail.com


Name of Last School MAINIT NATIONAL ADMISSION TEST RESULT:
Attended HIGHSCHOOL
School Address Brgy. Quezon, Mainit, Surigao Del
Norte
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Environmental Science (BSES)
Second Choice: Bachelor in Electrical Engineering Technology (BEET)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Cometa
First Name Aj Ralph
Middle Name Monter
Sex Male Civil Status Single Birthdate 3/12/2006
Taganito Town/City Claver Province Surigao
PERMANENT ADDRESS Barangay

Contact No./s 09509040303 cometaajralph@gmail.com


Name of Last School Taganito National High School ADMISSION TEST RESULT:
Attended
School Address P-8 Taganito Claver Surigao Del
Norte
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 22, 2024_Venue: SNSU Claver Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Science in Information System (BSIS)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Comille
First Name Bea Erica
Middle Name Gementiza
Sex Female Civil Status Single Birthdate 4/4/2006
Binga Town/City Mainit Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09635364930 comillebea@gmail.com


Name of Last School Matin ao National high school ADMISSION TEST RESULT:
Attended
School Address Matin ao , Mainit, Surigao del
Norte
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 7, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Industrial Technology major in Automotive Technology
(BSIT-AT)
Second Choice: Bachelor of Science in Computer Science (BSCS)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Comon
First Name Daniel
Middle Name Nogaliza
Sex Male Civil Status Single Birthdate 8/14/2005
Canlanipa Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09647375792 danielnogaliza3@gmail.com


Name of Last School Taft National High School ADMISSION TEST RESULT:
Attended
School Address Taft Nueva ext.
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION May 2, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor of Science in Computer Engineering (BSCoE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Compasivo
First Name Paulene
Middle Name Doligol
Sex Female Civil Status Single Birthdate 11/15/2005
Esperanza Doa Town/City San Ricardo Province Southern Leyte
PERMANENT ADDRESS Barangay

Contact No./s 09507034678 paucompasivo@gmail.com


Name of Last School Pintuyan National Vocational High ADMISSION TEST RESULT:
Attended School
School Address San Roque, Pintuyan, Southern
Leyte
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 20, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Industrial Technology major in Architectural Drafting
Technology (BSIT-ADT)
Second Choice: Bachelor of Secondary Education major in English (BSED - English)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Concha
First Name Prince
Middle Name Pelegrino
Sex Male Civil Status Single Birthdate 8/4/2004
Trinidad Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09759062562 princeconchaedepeljr@gmail.com


Name of Last School Anomar National High School ADMISSION TEST RESULT:
Attended
School Address baranggay Anomar, Surigao City
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 12, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Elementary Education (BEED)
Second Choice: Bachelor of Physical Education (BPED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name CONDE
First Name JHON PAUL
Middle Name MORENO
Sex Male Civil Status Single Birthdate 11/8/2005
DAY-ASAN Town/City SURIGAO CITY Province SURIGAO DEL NORTE
PERMANENT ADDRESS Barangay

Contact No./s 09076145651 rizel.conde@gmail.com


Name of Last School DAY-ASAN NATIONAL HIGH ADMISSION TEST RESULT:
Attended SCHOOL
School Address BRGY. DAY-ASAN, SURIGAO
CITY
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 22, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Physical Education (BPED)
Second Choice: Bachelor of Arts in English Language (AB-EL)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name CONDE
First Name DIANA ROSE
Middle Name VILLAZURDA
Sex Female Civil Status Single Birthdate 6/15/2006
Bonifacio Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09511927120 dianaroseconde66@gmail.com


Name of Last School Cabrera-Altres National High ADMISSION TEST RESULT:
Attended School
School Address Cabrera - Altres National High
School
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 7, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Elementary Education (BEED)
Second Choice: Bachelor of Physical Education (BPED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Contemplo
First Name Dannesza
Middle Name Sahot
Sex Female Civil Status Single Birthdate 3/21/2006
Talavera Town/City Tagana-an Province Surigao del norte
PERMANENT ADDRESS Barangay

Contact No./s 09079541480 danneszasahot@gmail.com


Name of Last School Talavera National high school ADMISSION TEST RESULT:
Attended
School Address Talavera tagana-an Surigao del
norte
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Tourism Management (BSTM)
Second Choice: Bachelor of Science in Hospitality Management (BSHM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Cordita
First Name Chegie
Middle Name Mahomoc
Sex Female Civil Status Single Birthdate 7/8/2005
Barangay 6 Town/City Dapa Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09483892286 chegiecordita11@gmail.com


Name of Last School Siargao Island Institute of ADMISSION TEST RESULT:
Attended Technology
School Address Barangay 12, Dapa, Surigao del
Norte
Senior High School Strand ABM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 7, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Science in Computer Engineering (BSCoE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Cordita
First Name Carl Jade
Middle Name Mozo
Sex Male Civil Status Single Birthdate 4/17/2006
Cagniog Town/City Surigao City Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09811406172 carljademozo@gmail.com


Name of Last School Surigao del Norte National High ADMISSION TEST RESULT:
Attended School
School Address Peñaranda st
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 3, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Industrial Technology major in Automotive Technology
(BSIT-AT)
Second Choice: Bachelor of Science in Industrial Technology major in Electronics Technology
(BSIT-ELX)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Coro
First Name Louie
Middle Name Liquido
Sex Male Civil Status Single Birthdate 6/27/2002
Taft Town/City Surigao city Province Surigao del norte
PERMANENT ADDRESS Barangay

Contact No./s 09385791631 Borromeo st. purok 9


Name of Last School Peñaranda street, surigao city ADMISSION TEST RESULT:
Attended
School Address Peñaranda street, surigao city
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Secondary Education maj English (BSED - English)
Second Choice: Bachelor of Elementary Education (BEED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Cosep
First Name Charlene
Middle Name Emaden
Sex Female Civil Status Single Birthdate 11/21/2005
Barangay Canlanipa Town/City Surigao City Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09813375092 Purok 4, Barangay Canlanipa, Surigao City


Name of Last School Surigao del Norte National High ADMISSION TEST RESULT:
Attended School
School Address Peñaranda St.
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 5, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Secondary Education maj Filipino (BSED - Filipino)
Second Choice: Bachelor of Elementary Education (BEED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Cotacte
First Name Claire Denise
Middle Name Pagangpang
Sex Female Civil Status Single Birthdate 4/14/2005
Balibayon Town/City Surigao city Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09096183986 cotacteclairedenisep@gmail.com


Name of Last School Day-asan National High school ADMISSION TEST RESULT:
Attended
School Address P-3 brgy Day-asan
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 22, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Environmental Science (BSES)
Second Choice: Bachelor of Elementary Education (BEED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Cuasito
First Name Grant Abrahem
Middle Name Dejolde
Sex Male Civil Status Single Birthdate 2/28/2006
Dayano Town/City Mainit Province Surigao
PERMANENT ADDRESS Barangay

Contact No./s 09514512914 cuasitograntabrahem@gmail.com


Name of Last School Mainit National High School ADMISSION TEST RESULT:
Attended
School Address Quezon, Mainit,Surigao, Del Norte
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 15, 2024_Venue: SNSU Mainit Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Hospitality Management (BSHM)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name CUSARE
First Name MARIEL JANE
Middle Name CARBONEL
Sex Female Civil Status Single Birthdate 9/9/2006
Cabuga Town/City Bacuag Province Surigao del norte
PERMANENT ADDRESS Barangay

Contact No./s 09978165846 marieljanecusare@gmail.com


Name of Last School Saint John school of bacuag inc. ADMISSION TEST RESULT:
Attended
School Address Saint John school of bacuag inc.
Senior High School Strand ABM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 7, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Hospitality Management (BSHM)
Second Choice: Bachelor of Science in Industrial Technology major in Architectural Drafting
Technology (BSIT-ADT)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Custodio
First Name Kies
Middle Name Boc
Sex Female Civil Status Single Birthdate 9/11/2005
Cantiasay Town/City Surigao City Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09465694363 kiescustodio91@gmail.com


Name of Last School Cantiasay National High School ADMISSION TEST RESULT:
Attended
School Address Brgy. Cantiasay, Surigao City
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Secondary Education maj English (BSED - English)
Second Choice: Bachelor of Science in Information Technology (BSInfoTech)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Dagala
First Name Cherrypearl
Middle Name
Sex Female Civil Status Single Birthdate 12/19/2005
Brgy. Orok Town/City Surigao City Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09507036399 cherrypearldagala57@gmail.com


Name of Last School Surigao del Norte Nation High ADMISSION TEST RESULT:
Attended School
School Address Penaranda Street, Surigao
city,Surigao del Norte
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 7, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Tourism Management (BSTM)
Second Choice: Bachelor of Science in Hospitality Management (BSHM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name DANDUAN
First Name MARIA MICHAELA
Middle Name NONE
Sex Female Civil Status Single Birthdate 9/17/2006
STA.CRUZ PLACER Town/City SURIGAO CITY Province SURIGAO CITY
PERMANENT ADDRESS Barangay

SURIGAO DEL NORTE

Contact No./s 09614168961 danduanmariasophia@gmail.com


Name of Last School AMANDO A. FABIO MEMORIAL ADMISSION TEST RESULT:
Attended NATIONAL HIGH SCHOOL
School Address STA.CRUZ PLACER SURIGAO
DEL NORTE
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 20, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Computer Engineering (BSCoE)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name De Asis
First Name Roxanne
Middle Name Balansag
Sex Female Civil Status Single Birthdate 12/3/2005
SAN FRANCISCO Town/City Surigao del Norte Province Mainit
PERMANENT ADDRESS Barangay

Contact No./s 09203863405 San Francisco mainit Surigao del Norte


Name of Last School Hacienda National high school ADMISSION TEST RESULT:
Attended
School Address Hacienda National high school
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Physical Education (BPED)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Dedumo
First Name Cindy
Middle Name Migullas
Sex Female Civil Status Single Birthdate 7/5/2006
Brgy 1 kawit 2 Town/City Dapa Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09078010545 cindydedumo07052006@gmail.com


Name of Last School Siargao Island Institute of ADMISSION TEST RESULT:
Attended Technology
School Address Brgy 12 Dapa Surigao Del Norte
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Science in Computer Science (BSCS)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name DEGAMON
First Name MARY GRACE
Middle Name SEVILLA
Sex Female Civil Status Single Birthdate 9/12/2006
P-2 SAN FRANCISCO Town/City MAINIT Province SURIGAO DEL NORTE
PERMANENT ADDRESS Barangay

Contact No./s 09380920692 remskieboydegamon@gmail.com


Name of Last School MATIN-AO NATIONAL HIGH ADMISSION TEST RESULT:
Attended SCHOOL
School Address MATIN-AO MAINIT SURIGAO
DEL NORTE
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 21, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Science in Computer Engineering (BSCoE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Degoro
First Name Eric
Middle Name Mendoza
Sex Male Civil Status Single Birthdate 9/23/2006
Canlanipa Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09705409631 engelfrendegoro@gmail.com


Name of Last School Taft National High School ADMISSION TEST RESULT:
Attended
School Address Nueva., St, Brgy. Taft, Surigao
City, Surigao Del Norte
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 2, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Tourism Management (BSTM)
Second Choice: Bachelor of Science in Hospitality Management (BSHM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Deguibo
First Name Genevic
Middle Name Cubelo
Sex Female Civil Status Single Birthdate 5/9/2005
Cambuayon Town/City Bacuag Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09552151312 deguibogenevic@gmail.com


Name of Last School Payapag National High School ADMISSION TEST RESULT:
Attended
School Address Payapag, Purok 2, Bacuag,
Surigao del Norte
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Science in Industrial Technology major in Welding and Fabrication
Technology (BSIT-WFT)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Deguino
First Name Christian
Middle Name Silao
Sex Male Civil Status Single Birthdate 12/5/2005
Poctoy Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09067350569 christiandeguino0@gmail.com


Name of Last School Wilfredo D. Rafols Memorial ADMISSION TEST RESULT:
Attended National High School
School Address Purok 5 brgy.poctoy surigao city
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION May 2, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Technical, Vocational Teacher Education major in Food & Service
Management (BTVTEd-FSM)
Second Choice: Bachelor of Science in Industrial Technology major in Electrical Technology
(BSIT-ELC)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Dela peña
First Name Rochelle Ann
Middle Name Saladores
Sex Female Civil Status Single Birthdate 6/7/2006
San Roque Town/City Surigao City Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09123253138 San Roque Surigao City


Name of Last School Peñaranda Street ADMISSION TEST RESULT:
Attended
School Address Surigao del Norte National High
school
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 7, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Secondary Education maj English (BSED - English)
Second Choice: Bachelor of Elementary Education (BEED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Delamente
First Name Ria
Middle Name none
Sex Female Civil Status Single Birthdate 4/2/2004
Urbistondo Town/City Claver Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09056072185 delamenteria02.@gmail.com


Name of Last School North Eastern Mindanao State ADMISSION TEST RESULT:
Attended University
School Address North Eastern Mindanao State
University
Senior High School Strand ABM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 22, 2024_Venue: SNSU Claver Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Tourism Management (BSTM)
Second Choice: Bachelor of Science in Civil Engineering (BSCE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Delfin
First Name Geralyn
Middle Name Integro
Sex Female Civil Status Single Birthdate 9/9/2005
Tabon-tabon Town/City Sibagat Province Agusan Del Sur
PERMANENT ADDRESS Barangay

Contact No./s 09705439567 geralyndelfin462@gmail.com


Name of Last School Sibagat National High School of ADMISSION TEST RESULT:
Attended Home Industries
School Address Purok-10 Poblacion
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION May 3, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor in Automotive Engineering Technology (BAET)
Second Choice: Bachelor of Science in Hospitality Management (BSHM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Delmoro
First Name Jerald
Middle Name Cuanan
Sex Male Civil Status Single Birthdate 10/4/0003
Taft Town/City Surigao Province Surigao del norte
PERMANENT ADDRESS Barangay

Contact No./s 09125475145 P.Reyes street


Name of Last School surigao del norte national high ADMISSION TEST RESULT:
Attended school
School Address SNNHS
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 7, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Science in Computer Engineering (BSCoE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Dequit
First Name Cybelle
Middle Name Cañas
Sex Female Civil Status Single Birthdate 10/11/0004
Canlanipa Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09855688945 cybelle.canas14@gmail.com


Name of Last School Northeastern Mindanao College ADMISSION TEST RESULT:
Attended
School Address Rizal Street, Surigao City
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION May 3, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Science in Information System (BSIS)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Desierto
First Name Lloid
Middle Name Besagas
Sex Male Civil Status Single Birthdate 8/29/2006
Brgy. Sabang 3 P-4 Town/City Surigao city Province Surigao del norte
PERMANENT ADDRESS Barangay

Contact No./s 09513328816 lloiddesierto29@gmail.com


Name of Last School Surigao del Norte National ADMISSION TEST RESULT:
Attended Highschool
School Address Peñarada Street, Surigao City,
Surigao del Norte
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 11, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Electrical Engineering (BSEE)
Second Choice: Bachelor of Science in Civil Engineering (BSCE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Desoloc
First Name EL Carlo
Middle Name Villacarillo
Sex Male Civil Status Single Birthdate 12/28/2005
San Pablo Town/City Tubod Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09635391363 carlotvillacarillo@gmail.com


Name of Last School Tubod National High School ADMISSION TEST RESULT:
Attended
School Address Poblacion tubod surigao del Norte
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 2, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Physical Education (BPED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Devocion
First Name Shayne
Middle Name C
Sex Female Civil Status Single Birthdate 10/4/2004
Cortes Town/City Basilisa Province Dinagat
PERMANENT ADDRESS Barangay

Contact No./s 09513417506 Cortes, Basilisa, Dinagat island


Name of Last School Sering National High School ADMISSION TEST RESULT:
Attended
School Address Sering Basilisa Dinagat island
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Hospitality Management (BSHM)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Docena
First Name Roxanne
Middle Name Landag
Sex Female Civil Status Single Birthdate 12/13/2002
Luna Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09958151855 roxannedozen@gmail.com


Name of Last School Northeastern Mindanao Colleges ADMISSION TEST RESULT:
Attended
School Address Rizal corner, Amat street
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 20, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Industrial Technology major in Electrical Technology
(BSIT-ELC)
Second Choice: Bachelor of Science in Industrial Technology major in Automotive Technology
(BSIT-AT)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name DOHILING
First Name ARCHIE
Middle Name ABONERO
Sex Male Civil Status Single Birthdate 12/12/2005
BOBONAON Town/City MAINIT Province SURIGAO DEL NORTE
PERMANENT ADDRESS Barangay

Contact No./s 09631431191 archiedohiling@gmail.com


Name of Last School PACO NATIONAL HIGH ADMISSION TEST RESULT:
Attended SCHOOL
School Address PACO, MAINIT, SURIGAO DEL
NORTE
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 15, 2024_Venue: SNSU Mainit Campus Batch 2: 1:30-3:30
2024-2025 SITE/VENUE AND PM
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor of Science in Computer Engineering (BSCoE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Dolaota
First Name Francis Adrian
Middle Name Doligol
Sex Male Civil Status Single Birthdate 4/22/2006
Taft Town/City Surigao City Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09101700888 francisdolaota@gmail.com


Name of Last School Surigao del Norte National High ADMISSION TEST RESULT:
Attended School
School Address Peñaranda Street
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 8, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Elementary Education (BEED)
Second Choice: Bachelor of Physical Education (BPED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name doquila
First Name keah
Middle Name ocon
Sex Female Civil Status Single Birthdate 11/1/2005
magsaysay Town/City mainit Province surigao del norte
PERMANENT ADDRESS Barangay

Contact No./s 09634519178 doquilakeah@gmail.com


Name of Last School mainit national high school ADMISSION TEST RESULT:
Attended
School Address 633 Gen. Luna st. , mainit,
surigao del norte
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 15, 2024_Venue: SNSU Mainit Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Secondary Education maj Sciences (BSED - Sciences)
Second Choice: Bachelor of Physical Education (BPED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Dotillos
First Name Charlene
Middle Name Delmores
Sex Female Civil Status Single Birthdate 8/27/2006
Brgy. Consolacion Town/City Surigao del Norte Province Dapa
PERMANENT ADDRESS Barangay

Contact No./s 09516816302 Brgy. Consolacion, Dapa, Surigao del Norte


Name of Last School Consolacion National High School ADMISSION TEST RESULT:
Attended
School Address Consolacion National High School
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 12, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Hospitality Management (BSHM)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Dua
First Name Rashel Mae
Middle Name Espinosa
Sex Female Civil Status Single Birthdate 5/4/2006
Brgy. Trinidad Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09216385001 balutanralphnicole@gmail.com


Name of Last School Surigao Norte National High ADMISSION TEST RESULT:
Attended School
School Address Surigao Norte National High
School
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Industrial Technology major in Electrical Technology
(BSIT-ELC)
Second Choice: Bachelor of Science in Computer Engineering (BSCoE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Dumale
First Name Franz
Middle Name Malinao
Sex Male Civil Status Single Birthdate 11/5/2005
Poblacion 2 Town/City Surigao Province Burgos
PERMANENT ADDRESS Barangay

Contact No./s 09669477574 Burgos, Surigao del Norte


Name of Last School Burgos National High School ADMISSION TEST RESULT:
Attended
School Address Poblacion 2, Burgos Surigao del
Norte
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 22, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor in Mechanical Engineering Technology with concentration in
Mechanical Technology (BMET - MT)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Dumas
First Name Fergie Antonet
Middle Name Cubero
Sex Female Civil Status Single Birthdate 7/27/2005
P- Town/City Surigao del Norte Province Surigao del Norte
PERMANENT ADDRESS Barangay

5,Villaflor,Gigaquit,Surigao del
Norte

Contact No./s 09702860228 dumasfergieantonet@gmail.com


Name of Last School Gigaquit National School of Home ADMISSION TEST RESULT:
Attended Industries
School Address Alambique-Gigaquit National
School of Home Industries
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 21, 2024_Venue: SNSU Claver Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Physical Education (BPED)
Second Choice: Bachelor of Science in Electrical Engineering (BSEE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Ebol
First Name Johnllyod
Middle Name Bayod
Sex Male Civil Status Single Birthdate 11/18/2005
Urbiztundo Town/City Surigao city Province Claver
PERMANENT ADDRESS Barangay

Contact No./s 09274068694 johnlloydebol2@gmail.com


Name of Last School Claver national high school ADMISSION TEST RESULT:
Attended
School Address Claver national high school
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 22, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor of Secondary Education major in Mathematics (BSED - Mathematics)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Ebuenga
First Name Jay Leandro
Middle Name Dadao
Sex Male Civil Status Single Birthdate 9/6/2006
Brgy. Alegria Surigao Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

City

Contact No./s 09639297524 jayleandroebuenga37@gmail.com


Name of Last School Alegria National High School ADMISSION TEST RESULT:
Attended
School Address Brgy. Alegria Surigao City
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 7, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
note of the page
2. ORDINARY BALLPEN
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Physical Education (BPED)
Second Choice: Bachelor of Arts in English Language (AB-EL)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Ebuña
First Name El Athel
Middle Name Castillote
Sex Male Civil Status Single Birthdate 10/31/2005
Wadas Town/City Dinagat Province Dinagat Island
PERMANENT ADDRESS Barangay

Contact No./s 09670798894 ebunaelathel1@gmail


Name of Last School Primitivo J. Ebol Memorial ADMISSION TEST RESULT:
Attended National High School
School Address Magsaysay D.DI.
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Secondary Education maj English (BSED - English)
Second Choice: Bachelor of Elementary Education (BEED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Eder
First Name Elyza Mae
Middle Name Dutillos
Sex Female Civil Status Single Birthdate 8/1/2005
Washington Town/City Surigao City Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09672571595 eder.elyzamae@gmail.com


Name of Last School Caraga Regional Science High ADMISSION TEST RESULT:
Attended School
School Address Purok 10, Brgy. San Juan,
Surigao City
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 20, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Tourism Management (BSTM)
Second Choice: Bachelor of Science in Hospitality Management (BSHM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Edilo
First Name Laine
Middle Name Cantillas
Sex Female Civil Status Single Birthdate 8/21/2005
Opong Town/City Tagana-an Surigao Province Surigao Del Norte
PERMANENT ADDRESS Barangay
Del Norte

Contact No./s 09098372912 edilolaine@gmail.com


Name of Last School not a transferee ADMISSION TEST RESULT:
Attended
School Address Tagana-an National High School
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 5, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Hospitality Management (BSHM)
Second Choice: Bachelor of Science in Computer Engineering (BSCoE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Edioma
First Name Crisa Lyn
Middle Name Flores
Sex Female Civil Status Single Birthdate 12/20/2007
Crossing Town/City Kitcharao Province Agusan del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09050369309 jonavellga@gmail.com


Name of Last School Kitcharao National High School ADMISSION TEST RESULT:
Attended
School Address P-1 Crossing Kitcharao Agusan
del Norte
Senior High School Strand ABM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 23, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Physical Education (BPED)
Second Choice: Bachelor of Secondary Education major in Filipino (BSED - Filipino)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Edradan
First Name Myre Jane
Middle Name Achas
Sex Female Civil Status Single Birthdate 8/17/2003
Quezon Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09309447363 myrejaneedradan6@gmail.com


Name of Last School Cabrera Altres National High ADMISSION TEST RESULT:
Attended School
School Address Bonifacio
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Elementary Education (BEED)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Edusma
First Name Sheryl Grace
Middle Name Lucero
Sex Female Civil Status Single Birthdate 9/13/2005
Diaz, Tubajon Dinagat Town/City Surigao City Province Surigao del Norte
PERMANENT ADDRESS Barangay

Islands

Contact No./s 09389058574 Diaz, Tubajon Dinagat Islands


Name of Last School Surigao del Norte National High ADMISSION TEST RESULT:
Attended School
School Address Peñaranda St. Surigao City
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 20, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
note of the page
2. ORDINARY BALLPEN
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name EFREN
First Name MARALUNA
Middle Name ENALE
Sex Female Civil Status Single Birthdate 11/3/2005
SAN JUAN Town/City SURIGAO CITY Province SURIGAO DEL NORTE
PERMANENT ADDRESS Barangay

Contact No./s 09203351615 efrenmaraluna18@gmail.com


Name of Last School SURIGAO CITY NATIONAL HIGH ADMISSION TEST RESULT:
Attended SCHOOL
School Address SURIGAO CITY NATIONAL HIGH
SCHOOL
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 22, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Hospitality Management (BSHM)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name EFREN
First Name RIZA CARMELA
Middle Name RIVAS
Sex Female Civil Status Single Birthdate 1/18/2006
PONGTUD Town/City BACUAG Province SURIGAO DEL NORTE
PERMANENT ADDRESS Barangay

Contact No./s 09672597967 rizacarmelaefren@gmail.com


Name of Last School BACUAG NATIONAL AGRO- ADMISSION TEST RESULT:
Attended INDUSTRIAL SCHOOL
School Address POBLACION, BACUAG,
SURIGAO DEL NORTE
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 15, 2024_Venue: SNSU Mainit Campus Batch 2: 1:30-3:30
2024-2025 SITE/VENUE AND PM
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor of Secondary Education major in English (BSED - English)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Eledia
First Name Godwin Kyle
Middle Name Dulguime
Sex Male Civil Status Single Birthdate 5/5/0006
Taft Town/City Surigao Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 0931-745-5565 elediagodwinkyle@gmail.com


Name of Last School Caraga Regional Science High ADMISSION TEST RESULT:
Attended School
School Address Roland Sering Street, Surigao
City, Surigao del Norte
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 5, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor of Elementary Education (BEED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Eledia
First Name Fritzy
Middle Name Iligan
Sex Female Civil Status Single Birthdate 5/15/2004
Campo Town/City Bacuag Province Surig
PERMANENT ADDRESS Barangay

Contact No./s 09516880881 Purok Bagong Silang, Campo, Bacuag, Surigao del Norte
Name of Last School Northeastern Mindanao State ADMISSION TEST RESULT:
Attended University - Cantilan Campus
School Address Cantilan, Surigao del Sur
Senior High School Strand ABM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 22, 2024_Venue: SNSU Claver Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Computer Engineering (BSCoE)
Second Choice: Bachelor of Science in Hospitality Management (BSHM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Elegino
First Name Honey Jane
Middle Name Dawaton
Sex Female Civil Status Single Birthdate 3/1/2006
Magsaysay Town/City Mainit Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09460623127 honeyjaneelegino@gmail.com


Name of Last School Mainit National High School ADMISSION TEST RESULT:
Attended
School Address Mupas Street, Brgy. Quezon,
Mainit, Surigao del Norte
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 15, 2024_Venue: SNSU Mainit Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Hospitality Management (BSHM)
Second Choice: Bachelor of Elementary Education (BEED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Empas
First Name Cristal Jane
Middle Name Cagas
Sex Female Civil Status Single Birthdate 9/12/2006
Magtangale Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09103326730 crystaljaneempas46@gmail.com


Name of Last School San Francisco National High ADMISSION TEST RESULT:
Attended School
School Address Brgy. Poblacion,San Francisco
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 22, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Environmental Science (BSES)
Second Choice: Bachelor of Arts in English Language (AB-EL)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Enocilla
First Name Joyce Pearl
Middle Name Lincuna
Sex Female Civil Status Single Birthdate 8/19/2005
San Isidro Town/City Mainit Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09380917327 joycenocilla@gmail.com


Name of Last School Mainit National Highschool ADMISSION TEST RESULT:
Attended
School Address Mainit National Highschool
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 15, 2024_Venue: SNSU Mainit Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Computer Science (BSCS)
Second Choice: Bachelor of Science in Environmental Science (BSES)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Enteña
First Name Kea
Middle Name Ramoso
Sex Female Civil Status Single Birthdate 5/23/2006
Campo Town/City Bacuag Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09506999599 keaentena.23@gmail.com


Name of Last School Bacuag National Agro-Industrial ADMISSION TEST RESULT:
Attended School
School Address Orquina Street, Poblacion,
Bacuag, Surigao del Norte
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Elementary Education (BEED)
Second Choice: Bachelor of Science in Hospitality Management (BSHM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Erezo
First Name Hazel
Middle Name Pacomios
Sex Female Civil Status Single Birthdate 2/2/2006
Taft Town/City surigao city Province surigao del norte
PERMANENT ADDRESS Barangay

Contact No./s 09635695554 espina silay hills


Name of Last School SURIGAO DEL NORTE ADMISSION TEST RESULT:
Attended NATIONAL HIGH SCHOOL
School Address PENARANDA ST
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Science in Information System (BSIS)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Erno
First Name Jhon Lester
Middle Name Sumampong
Sex Male Civil Status Single Birthdate 1/24/2006
Taft Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09505453639 jhonerno9@gmail.com


Name of Last School Surigao Del Norte National High ADMISSION TEST RESULT:
Attended School
School Address Peñaranda street
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 11, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Industrial Technology major in Mechanical Technology
(BSIT-MT)
Second Choice: Bachelor of Science in Computer Science (BSCS)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Erpelo
First Name Angelo Mar
Middle Name Ortiz
Sex Male Civil Status Single Birthdate 10/22/2005
Washington Town/City Surigao City Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09619884810 angelomarerpelo@gmail.com


Name of Last School Surigao del Norte National High ADMISSION TEST RESULT:
Attended School
School Address Surigao City, Surigao del Norte
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 12, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Escaro
First Name Stela Jean
Middle Name Plaza
Sex Female Civil Status Single Birthdate 4/4/2006
Poctoy Town/City Surigao city Province Surigao city
PERMANENT ADDRESS Barangay

Contact No./s 09123290744 stelajeanescaro@gmail.com


Name of Last School Wilfredo D. Rafols Memorial ADMISSION TEST RESULT:
Attended National High School
School Address P-5 brgy. Poctoy, Surigao city,
Surigao del norte
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION May 2, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Elementary Education (BEED)
Second Choice: Bachelor of Science in Computer Science (BSCS)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Escobal
First Name Angelica
Middle Name De asis
Sex Female Civil Status Single Birthdate 4/15/2005
Luna Town/City Surigao City Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09106940622 Purok 2 Sitio Toril, Barangay Luna, Surigao City, Surigao del
Norte
Name of Last School Surigao del Norte National High ADMISSION TEST RESULT:
Attended School
School Address Peñaranda St. Surigao City,
Surigao del Norte
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 20, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
note of the page
2. ORDINARY BALLPEN
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor in Automotive Engineering Technology (BAET)
Second Choice: Bachelor of Science in Industrial Technology major in Welding and Fabrication
Technology (BSIT-WFT)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Escolano
First Name Jecol
Middle Name Borembao
Sex Male Civil Status Single Birthdate 9/10/2005
Mat-i Town/City Sitio Putchan Province Surigao City
PERMANENT ADDRESS Barangay

Contact No./s 09530477005 escolanojecol@gmail.com


Name of Last School Mat-i National High School ADMISSION TEST RESULT:
Attended
School Address P-2 Brgy Mat-i Surigao City
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor of Science in Electrical Engineering (BSEE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Esma
First Name Kirby Jake
Middle Name Sayson
Sex Male Civil Status Single Birthdate 1/21/2006
Magpayang Town/City Mainit Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09663772703 kirbyesma@gmail.com


Name of Last School Magpayang National High School ADMISSION TEST RESULT:
Attended
School Address Magpayang National High School
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 5, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Computer Science (BSCS)
Second Choice: Bachelor of Technical, Vocational Teacher Education major in Food & Service
Management (BTVTEd-FSM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Espiritu
First Name Kc
Middle Name Telin
Sex Female Civil Status Single Birthdate 7/6/2006
Capayahan Town/City Tubod Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09976889927 kcespiritu3@gmail.com


Name of Last School Tubod National High School ADMISSION TEST RESULT:
Attended
School Address Poblacion tubod surigao del norte
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 2, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor in Automotive Engineering Technology (BAET)
Second Choice: Bachelor in Mechanical Engineering Technology with concentration in
Mechanical Technology (BMET - MT)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Espuerta
First Name Jayson
Middle Name Deputo
Sex Male Civil Status Single Birthdate 9/9/2004
Taruc Town/City Socorro Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09951536719 jaysonespuerta90@email.com


Name of Last School Socorro National High School ADMISSION TEST RESULT:
Attended
School Address Brgny. Taruc Socorro Surigao Del
Norte
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor of Science in Electrical Engineering (BSEE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name ESTEBE
First Name LUEGE JR.
Middle Name FLORES
Sex Male Civil Status Single Birthdate 9/3/2005
WASHINGTON Town/City SURIGAO CITY Province SURIGAO DEL NORTE
PERMANENT ADDRESS Barangay

Contact No./s 09813443504 cutiecatty.meow@gmail.com


Name of Last School PUERTO PRINCESA-MOLETA ADMISSION TEST RESULT:
Attended NATIONAL HIGH SCHOOL
School Address PUERTO PRINCESA, BASILISA,
DINAGAT ISLANDS
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 11, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Tourism Management (BSTM)
Second Choice: Bachelor of Science in Hospitality Management (BSHM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name ESTRADA
First Name KIRBY ANN
Middle Name EDICA
Sex Female Civil Status Single Birthdate 4/28/2006
Sta.Cruz Placer SDN Town/City SURIGAO CITY Province SURIGAO CITY
PERMANENT ADDRESS Barangay

Contact No./s 09385920132 ediacaestradakirbyann@gmal.com


Name of Last School AMANDO A. FABIO MEMORIAL ADMISSION TEST RESULT:
Attended NATIONAL HIGH SCHOOL
School Address STA.CRUZ PLACER SDN
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 20, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor in Automotive Engineering Technology (BAET)
Second Choice: Bachelor of Science in Information Technology (BSInfoTech)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Estrella
First Name Neil Andrei
Middle Name Palomares
Sex Male Civil Status Single Birthdate 12/5/2005
Linongganan Town/City San Francisco Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09357275639 nestrella504@gmail.com


Name of Last School San Francisco National High ADMISSION TEST RESULT:
Attended School
School Address San Francisco National High
School
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 2, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Tourism Management (BSTM)
Second Choice: Bachelor of Secondary Education major in Sciences (BSED - Sciences)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Eviota
First Name Desiree Jade
Middle Name Sabio
Sex Female Civil Status Single Birthdate 11/17/2005
Banbanon Town/City San Francisco Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09813558562 desireejadeeviota@gmail.com


Name of Last School Northeastern Mindanao Colleges ADMISSION TEST RESULT:
Attended (NEMCO)
School Address Rizal corner Amat Streets,
Surigao City
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor in Automotive Engineering Technology (BAET)
Second Choice: Bachelor of Science in Industrial Technology major in Welding and Fabrication
Technology (BSIT-WFT)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Eyana
First Name Charvin
Middle Name Alipao
Sex Male Civil Status Single Birthdate 7/25/2005
Mat-i Town/City Sitio Putchan Province Surigao City
PERMANENT ADDRESS Barangay

Contact No./s 09635681551 charvinalipao@gmail.com


Name of Last School Mat-i National High School ADMISSION TEST RESULT:
Attended
School Address P-2 Brgy Mat-i Surigao City
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor of Science in Civil Engineering (BSCE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name FABIO
First Name ROVENCE
Middle Name LADAGA
Sex Female Civil Status Single Birthdate 8/7/2004
BRGY. MAT-I Town/City SURIGAO CITY Province SURIGAO DEL NORTE
PERMANENT ADDRESS Barangay

Contact No./s 09952638032 rovencefabio7@gmail.com


Name of Last School SURIGAO EDUCATION CENTER ADMISSION TEST RESULT:
Attended
School Address Km. 2, National Highway, 8400,
Surigao City
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 20, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Industrial Technology major in Architectural Drafting
Technology (BSIT-ADT)
Second Choice: Bachelor of Science in Industrial Technology major in Automotive Technology
(BSIT-AT)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Felisco
First Name John Paul
Middle Name Payot
Sex Male Civil Status Single Birthdate 11/3/0004
Aurora Town/City Tagana-an Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09816046962 feliscojohnpaul2@gmail.com


Name of Last School Tagana-an National High School ADMISSION TEST RESULT:
Attended
School Address Brgy .Smpagauita Taganaan
Surigao del norte
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Tourism Management (BSTM)
Second Choice: Bachelor of Elementary Education (BEED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Fideles
First Name Casimero
Middle Name Ebale
Sex Male Civil Status Single Birthdate 4/4/2004
Bayanihan Town/City Libjo Province Dinagat Island
PERMANENT ADDRESS Barangay

Contact No./s 09091972254 Bayanihan


Name of Last School San Jose National High School ADMISSION TEST RESULT:
Attended
School Address Maytubig Elementary school
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Electrical Engineering (BSEE)
Second Choice: Bachelor of Science in Environmental Science (BSES)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name FRANCISCO
First Name APRIL JOY
Middle Name EBON
Sex Female Civil Status Single Birthdate 4/10/2006
BARANGAY NONOC Town/City SURIGAO CITY Province SURIGAO DEL NORTE
PERMANENT ADDRESS Barangay

Contact No./s 09458374140 apriljoyfrancisco10@gmail.com


Name of Last School NONOC NATIONAL HIGH ADMISSION TEST RESULT:
Attended SCHOOL
School Address BARANGAY NONOC, SURIGAO
CITY, SURIGAO DEL NORTE
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor of Science in Environmental Science (BSES)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Fuentes
First Name Christine Anne
Middle Name Catulmo
Sex Female Civil Status Single Birthdate 4/4/2004
Cayetano Town/City Dinagat Province Dinagat Islands
PERMANENT ADDRESS Barangay

Contact No./s 09308332106 fuenteschristineanne.dsof@gmail.com


Name of Last School St, Paul University Surigao ADMISSION TEST RESULT:
Attended
School Address Cor. San Nicolas & Rizal street
Surigao City
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 22, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Hospitality Management (BSHM)
Second Choice: Bachelor of Science in Computer Engineering (BSCoE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Ga
First Name Jonavell
Middle Name Agan
Sex Female Civil Status Single Birthdate 6/15/2006
Crossing Town/City Kitcharao Province Agusan del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09705371274 lil.luna4zxy@gmail.com


Name of Last School Kitcharao National High School ADMISSION TEST RESULT:
Attended
School Address P-1 Crossing Kitcharao Agusan
del Norte
Senior High School Strand ABM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 23, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Arts in English Language (AB-EL)
Second Choice: Bachelor of Science in Hospitality Management (BSHM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Ga
First Name Aleah Nicole
Middle Name Argente
Sex Female Civil Status Single Birthdate 8/6/2004
San Juan Town/City Surigao City Province Surigao City, Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09539218113 galeahnicole@gmail.com


Name of Last School University of Mindanao ADMISSION TEST RESULT:
Attended
School Address UM BOLTON - San Pedro St.
Davao City
Senior High School Strand ABM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 20, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Secondary Education maj English (BSED - English)
Second Choice: Bachelor of Science in Hospitality Management (BSHM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Gajol
First Name Jennalyn
Middle Name Cordero
Sex Female Civil Status Single Birthdate 8/29/2004
Central Town/City Surigao city Province Surigao Del norte
PERMANENT ADDRESS Barangay

Contact No./s 09630571461 Placer Surigao Del Norte


Name of Last School Placer Nation high school ADMISSION TEST RESULT:
Attended
School Address Placer National high school
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor of Secondary Education major in Mathematics (BSED - Mathematics)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Galido
First Name June Clyde
Middle Name Auceran
Sex Male Civil Status Single Birthdate 6/2/2005
Poblacion Town/City Bacuag Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09457497831 juneclydegalido@gmail.com


Name of Last School Bacuag National Agro-Industrial ADMISSION TEST RESULT:
Attended School
School Address Orquina Street Poblacion Bacuag
Surigao del Norte
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 5, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Computer Engineering (BSCoE)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Gallardo
First Name Erra
Middle Name Begil
Sex Female Civil Status Single Birthdate 10/27/2004
Balibayon Town/City Surigao city Province Balibayon arellano surigao city
PERMANENT ADDRESS Barangay

Contact No./s 09106732427 gallardoerra@gmail.com


Name of Last School Ok po ADMISSION TEST RESULT:
Attended
School Address Day asan national high school
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Arts in English Language (AB-EL)
Second Choice: Bachelor of Technical, Vocational Teacher Education major in Food & Service
Management (BTVTEd-FSM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Gallego
First Name Lovelyjean
Middle Name Olayan
Sex Female Civil Status Single Birthdate 11/5/1999
Springvelle Barangay Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Luna

Contact No./s 09514052295 lovelyjanegallego@gmail.com


Name of Last School SNNHS ADMISSION TEST RESULT:
Attended
School Address Penaranda Street
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
note of the page
2. ORDINARY BALLPEN
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Physical Education (BPED)
Second Choice: Bachelor of Elementary Education (BEED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Gallego
First Name Locille
Middle Name Olayan
Sex Female Civil Status Single Birthdate 10/4/2002
Luna Town/City Surigao city Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09855189657 gallegolocille@gmail.com


Name of Last School Surigao del Norte National High ADMISSION TEST RESULT:
Attended School
School Address Surigao del Norte National High
School
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 21, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Physical Education (BPED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Gamo
First Name Daryn Joy
Middle Name Feril
Sex Female Civil Status Single Birthdate 3/6/0006
Taft Town/City Surigao city Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09384632421 Surigao city, Surigao del Norte


Name of Last School Surigao del Norte national High ADMISSION TEST RESULT:
Attended School
School Address Penaranda street, Surigao city ,
Surigao del Norte
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Computer Engineering (BSCoE)
Second Choice: Bachelor of Science in Information Technology (BSInfoTech)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Ganura
First Name Alanah
Middle Name Quiñonez
Sex Female Civil Status Single Birthdate 1/7/2006
brgy taft. Town/City surigao city Province surigao del norte
PERMANENT ADDRESS Barangay

Contact No./s 09285824043 ganuraalanah@gmail.com


Name of Last School st. paul university surigao ADMISSION TEST RESULT:
Attended
School Address Km. 4 National Highway, Brgy.
Luna, Surigao City, Surigao del
Norte, 8400 Philippines
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor in Electrical Engineering Technology (BEET)
Second Choice: Bachelor in Automotive Engineering Technology (BAET)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Gastardo
First Name Jholo
Middle Name Lampadio
Sex Male Civil Status Single Birthdate 6/28/2004
Togbongon Town/City Surigao city Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09505455826 Surigao city


Name of Last School Surigao high national high school ADMISSION TEST RESULT:
Attended
School Address surigao norte national high school,
peñaranda street surigao city
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 22, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Elementary Education (BEED)
Second Choice: Bachelor of Secondary Education major in Filipino (BSED - Filipino)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Gemao
First Name Angel
Middle Name Gealogo
Sex Female Civil Status Single Birthdate 9/7/2005
LUNA Town/City Surigao city Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09859675113 gemaoangel9@gmail.com


Name of Last School Surigao del Norte national high ADMISSION TEST RESULT:
Attended school
School Address Piñarada street
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 3, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Tourism Management (BSTM)
Second Choice: Bachelor of Science in Hospitality Management (BSHM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Glodo
First Name Nicole Joy
Middle Name
Sex Female Civil Status Single Birthdate 8/29/2005
Cantugas Town/City Mainit Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09309192901 Celmay52@gmail.com


Name of Last School Matin-ao National High School ADMISSION TEST RESULT:
Attended
School Address Matin-ao, Mainit, Surigao Del
Norte
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 15, 2024_Venue: SNSU Mainit Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor of Science in Computer Engineering (BSCoE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Gloria
First Name Angelica
Middle Name Mausisa
Sex Female Civil Status Single Birthdate 7/16/2006
Cagtinae Town/City Surigao Province Malimono
PERMANENT ADDRESS Barangay

Contact No./s 09510922272 Angelicagloria71606@gmail.com


Name of Last School Malimono national high school ADMISSION TEST RESULT:
Attended
School Address Malimono surigao del norte
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 7, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Physical Education (BPED)
Second Choice: Bachelor of Science in Electrical Engineering (BSEE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Gojetia
First Name Chrissien
Middle Name Rapas
Sex Female Civil Status Single Birthdate 5/17/2005
Taganito Town/City Surigao city Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09091409631 gojetiachrissien1@gmail.com


Name of Last School taganito National high school ADMISSION TEST RESULT:
Attended
School Address Taganito National high school
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 21, 2024_Venue: SNSU Claver Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Elementary Education (BEED)
Second Choice: Bachelor of Secondary Education major in English (BSED - English)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Gonzaga
First Name Rhea
Middle Name Samontina
Sex Female Civil Status Single Birthdate 6/3/2006
Panatao Town/City Claver Province Surigao
PERMANENT ADDRESS Barangay

Contact No./s 09151303648 gonzagarhea3@gmail.com


Name of Last School Claver National High School ADMISSION TEST RESULT:
Attended
School Address Tayaga, Claver, Surigao del Norte
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 21, 2024_Venue: SNSU Claver Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Industrial Technology major in Electrical Technology
(BSIT-ELC)
Second Choice: Bachelor of Science in Information System (BSIS)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name GORDE
First Name JUNIE
Middle Name EGUNA
Sex Male Civil Status Single Birthdate 6/6/1998
BITAUGAN Town/City SURIGAO CITY Province Surigao del Norte
PERMANENT ADDRESS Barangay
(Capital)

Contact No./s 09274677057 gordejunie60@gmail.com


Name of Last School MANJAGAO NATIONAL HIGH ADMISSION TEST RESULT:
Attended SCHOOL
School Address MAJAGAO NATIONAL HIGH
SCHOOL
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 22, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor of Science in Information System (BSIS)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Gordonas
First Name Aaron
Middle Name
Sex Male Civil Status Single Birthdate 5/23/2006
Diaz Town/City SAN FRANCISCO Province SURIGAO DEL NORTE
PERMANENT ADDRESS Barangay
(ANAO-AON)

Contact No./s 09179779928 gordonasaaron12@gmail.com


Name of Last School San Francisco National High ADMISSION TEST RESULT:
Attended School
School Address San Francisco (anao-aon)
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION May 2, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Science in Information Technology (BSInfoTech)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Goring
First Name John Wilson
Middle Name A
Sex Male Civil Status Single Birthdate 10/20/2005
Porok Rosas Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Brgy,Washington

Contact No./s 09857655764 hitechx87@gmail.com


Name of Last School Surigao City National High School ADMISSION TEST RESULT:
Attended
School Address San Juan
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 21, 2024_Venue: SNSU Claver Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
note of the page
2. ORDINARY BALLPEN
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Elementary Education (BEED)
Second Choice: Bachelor of Physical Education (BPED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Gubaynon
First Name Aerhickha Jane
Middle Name Barro
Sex Female Civil Status Single Birthdate 11/25/2006
Del Rosario, Tubod, Town/City Tubod, Surigao del Province Surigao del Norte
PERMANENT ADDRESS Barangay
Norte
surigao del Norte

Contact No./s 09664216607 aerhickhajanegubaynon7@gmail.com


Name of Last School Tubod National High School ADMISSION TEST RESULT:
Attended
School Address Poblacion, Tubod, Surigao del
Norte
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 6, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Environmental Science (BSES)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Guhiting
First Name Ryjane
Middle Name Toraja
Sex Female Civil Status Single Birthdate 3/16/2003
P3 Brgy San Juan Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09564625631 ryjaneguhiting8@gmail.com


Name of Last School Surigao Del Norte State Of ADMISSION TEST RESULT:
Attended University - Malimono Campus
School Address Cagtinae, Malimono
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 22, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor of Science in Computer Engineering (BSCoE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Guinsisana
First Name Genevieve
Middle Name Sulapas
Sex Female Civil Status Single Birthdate 3/11/2005
San Isidro Town/City Gigaquit Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09274087914 guinsisanagenevieve@gmail.com


Name of Last School Claver National High School ADMISSION TEST RESULT:
Attended
School Address Purok-3, Tayaga, Claver, Surigao
del Norte
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 22, 2024_Venue: SNSU Claver Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor in Automotive Engineering Technology (BAET)
Second Choice: Bachelor in Automotive Engineering Technology (BAET)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Gulfo
First Name Jhenken loid
Middle Name Lopez
Sex Male Civil Status Single Birthdate 11/25/2005
BARANGAY SAN Town/City Surigao city Province Surigao del norte
PERMANENT ADDRESS Barangay

PEDRO SURIGAO CITY

Contact No./s 09485975898 jenkengulfo@gmail.com


Name of Last School SURGAO DEL NORTE ADMISSION TEST RESULT:
Attended NATIONAL HIGH SCHOOL
School Address Surigao del norte national high
school
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor in Automotive Engineering Technology (BAET)
Second Choice: Bachelor of Science in Hospitality Management (BSHM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Gulfo
First Name Johnlimar
Middle Name Ellazo
Sex Male Civil Status Single Birthdate 9/20/2006
Taft Town/City Surigao Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09129192006 P. Reyes street


Name of Last School Northeastern Mindanao colleges ADMISSION TEST RESULT:
Attended
School Address NEMCO
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 7, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor of Science in Industrial Technology major in Architectural Drafting
Technology (BSIT-ADT)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name GUZMANA
First Name JAYSAMIE
Middle Name PINGGOL
Sex Female Civil Status Single Birthdate 8/9/2006
KARIHATAG Town/City SURIGAO CITY Province SURIGAO DEL NORTE
PERMANENT ADDRESS Barangay

Contact No./s 09285823913 guzmanajaysamie@gmail.com


Name of Last School SURIGAO DEL NORTE ADMISSION TEST RESULT:
Attended NATIONAL HIGH SCHOOL
(SNNHS)
School Address Penaranda Street, Surigao City,
Surigao del Norte
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 22, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
note of the page
2. ORDINARY BALLPEN
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Secondary Education maj Filipino (BSED - Filipino)
Second Choice: Bachelor of Elementary Education (BEED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name hallasgo
First Name jessa
Middle Name jimenez
Sex Female Civil Status Single Birthdate 12/29/2005
santa cruz Town/City surigao city Province placer surigao del norte
PERMANENT ADDRESS Barangay

Contact No./s 09701545258 jessanghallasgo@gmail.com


Name of Last School amando a. fabio MNHS ADMISSION TEST RESULT:
Attended
School Address sta cruz placer surigao del norte
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 7, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name HIBAYA
First Name DIANAGEN
Middle Name TUDTUD
Sex Female Civil Status Single Birthdate 9/19/2004
RIZAL Town/City SURIGAO CITY Province SURIGAO DEL NORTE
PERMANENT ADDRESS Barangay

Contact No./s 09771339633 hdianagen@gmail.com


Name of Last School NORTHEASTERN MINDANAO ADMISSION TEST RESULT:
Attended COLLEGES INC,
School Address RIZAL STREET
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 22, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Secondary Education maj Mathematics (BSED - Mathematics)
Second Choice: Bachelor of Secondary Education major in Sciences (BSED - Sciences)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Hibaya
First Name Christian Jay
Middle Name Paster
Sex Male Civil Status Single Birthdate 11/11/2005
Taft Town/City Surigao City Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09079637864 christianjayhibaya11@gmail.com


Name of Last School Surigao del Norte National High ADMISSION TEST RESULT:
Attended School
School Address Penaranda Street, Surigao City,
Surigao del Norte
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 20, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Physical Education (BPED)
Second Choice: Bachelor of Elementary Education (BEED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Honor
First Name Devine Rose
Middle Name Eviota
Sex Female Civil Status Single Birthdate 12/9/2003
Brgy. San Juan Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09602214439 honordevine9@gmail.com


Name of Last School Surigao City National High School ADMISSION TEST RESULT:
Attended
School Address P-4 Brgy. San Juan, Surigao City,
Surigao Del Norte
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor of Science in Civil Engineering (BSCE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Jamero
First Name Jason Dave
Middle Name Patiga
Sex Male Civil Status Single Birthdate 1/6/0004
Sabang Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09090889955 jasondavejamero@gmail.com


Name of Last School Surigao Education Center ADMISSION TEST RESULT:
Attended
School Address Km. 2 National Highway, 8400
Surigao City
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 20, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Physical Education (BPED)
Second Choice: Bachelor of Science in Civil Engineering (BSCE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Jamodiong
First Name Sofie Andrea
Middle Name Gamil
Sex Female Civil Status Single Birthdate 1/17/2006
Luna Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09816270400 jamodiongsofieandreag@gmail.com


Name of Last School STI COLLEGE SURIGAO ADMISSION TEST RESULT:
Attended
School Address Narcisso St.
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Science in Computer Engineering (BSCoE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Janaban
First Name Nash Eowyn
Middle Name Yamit
Sex Male Civil Status Single Birthdate 5/11/2006
Rizal Town/City Surigao city Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09675597126 nashjanaban50@gmail.com


Name of Last School Surigao Norte National ADMISSION TEST RESULT:
Attended Highschool
School Address Peñaranda Street
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 11, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor of Science in Civil Engineering (BSCE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Janioso
First Name Jack
Middle Name Bagacay
Sex Male Civil Status Single Birthdate 6/30/2006
P.D. Equipilag Town/City Pintuyan Province Southern Leyte
PERMANENT ADDRESS Barangay

Contact No./s 09267141973 jjanioso991@gmail.com


Name of Last School Pintuyan National Vocational High ADMISSION TEST RESULT:
Attended school
School Address Brgy. San roque, Pintuyan,
Southern Leyte
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 20, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Industrial Technology major in Welding and Fabrication
Technology (BSIT-WFT)
Second Choice: Bachelor of Science in Industrial Technology major in Automotive Technology
(BSIT-AT)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Janoso
First Name Evan John
Middle Name Gapio
Sex Male Civil Status Single Birthdate 12/22/1998
San Juan Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09092844510 maribelgjanoso9@yahoo.com


Name of Last School Northeastern Mindanao Colleges ADMISSION TEST RESULT:
Attended (NEMCO)
School Address QFQV+J7F, Rizal Street, Surigao
City, 8400 Surigao Del Norte
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Computer Engineering (BSCoE)
Second Choice: Bachelor of Science in Electronics Engineering (BSECE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Jaril
First Name James Scott
Middle Name Ramirez
Sex Male Civil Status Single Birthdate 4/8/2006
San Isidro Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09706850278 jamesscottjaril@gmail.com


Name of Last School Surigao Del Norte National High ADMISSION TEST RESULT:
Attended School
School Address Peñaranda Street
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Computer Engineering (BSCoE)
Second Choice: Bachelor of Science in Civil Engineering (BSCE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Joaquino
First Name Corrine
Middle Name Mascardo
Sex Female Civil Status Single Birthdate 10/22/2005
Barangay Taruc Town/City Socorro Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09860996590 joaquinocorrineaverille@gmail.com


Name of Last School St. Paul University Surigao ADMISSION TEST RESULT:
Attended
School Address km-3, brgy. Luna, Surigao City
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Secondary Education maj English (BSED - English)
Second Choice: Bachelor of Secondary Education major in Filipino (BSED - Filipino)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Jomaquio
First Name Mary Angel
Middle Name Gastardo
Sex Female Civil Status Single Birthdate 11/23/2005
Diaz Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09813374974 angeljomaquio@gmail.com


Name of Last School None ADMISSION TEST RESULT:
Attended
School Address San Francisco National High
School
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 22, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Computer Science (BSCS)
Second Choice: Bachelor of Science in Information System (BSIS)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Jovita
First Name Loraleigh
Middle Name Morano
Sex Female Civil Status Single Birthdate 2/20/2006
Mabini Town/City Mainit Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09306260323 jovitalora07@gmail.com


Name of Last School Mainit National High School ADMISSION TEST RESULT:
Attended
School Address Mainit National High School
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 6, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Secondary Education maj Sciences (BSED - Sciences)
Second Choice: Bachelor of Science in Hospitality Management (BSHM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Julaton
First Name Shenna
Middle Name Eludo
Sex Female Civil Status Single Birthdate 10/29/2004
Ipil Town/City Surigao City Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09851797498 shennajulaton2004@gmail.com


Name of Last School STI College In Surigao ADMISSION TEST RESULT:
Attended
School Address Narciso Rosales
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 20, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Tourism Management (BSTM)
Second Choice: Bachelor of Science in Hospitality Management (BSHM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Jumamoy
First Name Maricris
Middle Name Benolirao
Sex Female Civil Status Single Birthdate 2/21/2005
Ferdinand Town/City Loreto Province Dinagat Islands
PERMANENT ADDRESS Barangay

Contact No./s 09700674020 maricrisjumamoy21@gmail.com


Name of Last School Northeastern Mindanao Colleges ADMISSION TEST RESULT:
Attended
School Address Northeastern Mindanao Colleges
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 7, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Industrial Technology major in Welding and Fabrication
Technology (BSIT-WFT)
Second Choice: Bachelor of Science in Information Technology (BSInfoTech)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name KAYSON
First Name JHON MARLO
Middle Name SARVIDA
Sex Male Civil Status Single Birthdate 6/5/2003
San Juan Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09122382756 Kaysonjhonmarlo@gmail.com


Name of Last School SURIGAO CITY NATIONAL HIGH ADMISSION TEST RESULT:
Attended SCHOOL
School Address Purok 5 San Juan Surigao City
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Industrial Technology major in Welding and Fabrication
Technology (BSIT-WFT)
Second Choice: Bachelor of Secondary Education major in Filipino (BSED - Filipino)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name KEEFE
First Name PETER JAKE
Middle Name LAID
Sex Male Civil Status Single Birthdate 4/29/2005
BRGY. TAFT NUEVA Town/City SURIGAO CITY Province SURIGAO DEL NORTE
PERMANENT ADDRESS Barangay

EXT.

Contact No./s 09507056283 peterjakekeefe@gmail.com


Name of Last School TAFT NATIONAL HIGH SCHOOL ADMISSION TEST RESULT:
Attended
School Address BRGY. TAFT NUEVA EXT.
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 20, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
note of the page
2. ORDINARY BALLPEN
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Science in Hospitality Management (BSHM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Kintanar
First Name Paris Hailie
Middle Name Taguba
Sex Female Civil Status Single Birthdate 1/2/2006
Quezon Town/City Mainit Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09535722755 itskparishailie@gmail.com


Name of Last School Mainit National High school ADMISSION TEST RESULT:
Attended
School Address Purok Lutos, Brgy. Quezon,
Mainit, Surigao del Norte
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 22, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Elementary Education (BEED)
Second Choice: Bachelor of Secondary Education major in Filipino (BSED - Filipino)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Labador
First Name Sandy
Middle Name Estebe
Sex Female Civil Status Single Birthdate 3/12/2006
Brgy togbongon Town/City Surigao city Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09503877674 sandylabador17@gmail.com


Name of Last School Surigao Del Norte National High ADMISSION TEST RESULT:
Attended school
School Address Surigao Del Norte National High
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name LABAN
First Name DEXTER
Middle Name CELIS
Sex Male Civil Status Single Birthdate 11/10/2005
BARANGAY TALISAY Town/City SURIGAO CITY Province SURIGAO DEL NORTE
PERMANENT ADDRESS Barangay

Contact No./s 09381564411 dexterlaban6@gmail.com


Name of Last School TALISAY NATIONAL HIGH ADMISSION TEST RESULT:
Attended SCHOOL
School Address BRGY. TALISAY, SURIGAO CITY
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 20, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Technical, Vocational Teacher Education major in Food & Service
Management (BTVTEd-FSM)
Second Choice: Bachelor of Technical, Vocational Teacher Education major in Food & Service
Management (BTVTEd-FSM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Lagura
First Name Dexter
Middle Name Lisaca
Sex Male Civil Status Single Birthdate 8/11/2006
San Pedro Town/City SURIGAO CITY Province CARAGA - SURIGAO DEL NORTE
PERMANENT ADDRESS Barangay
(Capital)

Contact No./s 09382093929 dexterlagura28@gmail.com


Name of Last School CANTIASAY NATIONAL HIGH ADMISSION TEST RESULT:
Attended SCHOOL
School Address Brgy. Cantiasay, Surigao City
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name LAMADORA
First Name DOROTHEA
Middle Name CABAÑA
Sex Female Civil Status Single Birthdate 1/12/2006
TAGBAYANI Town/City SISON Province SURIGAO DEL NORTE
PERMANENT ADDRESS Barangay

Contact No./s 0965 573 5218 TAGBAYANI SISON SURIGAO DEL NORTE
Name of Last School TOLEDO S. PANTILO SR. ADMISSION TEST RESULT:
Attended MEMORIAL NATIONAL HIGH
SCHOOL
School Address PUROK 8, SISON SURIGAO DEL
NORTE
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
note of the page
2. ORDINARY BALLPEN
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Technical, Vocational Teacher Education major in Food & Service
Management (BTVTEd-FSM)
Second Choice: Bachelor of Secondary Education major in English (BSED - English)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Lamar
First Name Jenmark
Middle Name Clamor
Sex Male Civil Status Single Birthdate 4/4/2006
Balibayon Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09096183523 lamarjenmark16@gmail.com


Name of Last School Day-asan National High school ADMISSION TEST RESULT:
Attended
School Address P-3 brgy Day-asan
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 22, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Electrical Engineering (BSEE)
Second Choice: Bachelor in Automotive Engineering Technology (BAET)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Lamoste
First Name April Mae
Middle Name Subere
Sex Female Civil Status Single Birthdate 4/8/2004
Brgy. Mabini Town/City Surigao City Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09631972059 aprilmaelamoste8@gmail.com


Name of Last School Northeastern Mindanao College's ADMISSION TEST RESULT:
Attended
School Address Surigao City Amat street
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Computer Engineering (BSCoE)
Second Choice: Bachelor of Science in Information Technology (BSInfoTech)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name LAMOSYE
First Name KHURL VINCE XAVIER
Middle Name LINCUNA
Sex Male Civil Status Single Birthdate 10/11/2006
PAUTAO Town/City SURIGAO Province SURIGAO DEL NORTE
PERMANENT ADDRESS Barangay

Contact No./s 09274856953 khurllamoste@gmail.com


Name of Last School BACUAG NATIONAL AGRO- ADMISSION TEST RESULT:
Attended INDUSTRIAL SCHOOL
School Address ORQUINA STREET, POLACION,
BACUAG, SURIGAO DEL
NORTE
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 5, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor in Electrical Engineering Technology (BEET)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name LETIM
First Name KHENT VENESSE
Middle Name MABINI
Sex Male Civil Status Single Birthdate 5/16/2003
BRGY. WASHINGTON Town/City SURIGAO CITY Province SURIGAO DEL NORTE
PERMANENT ADDRESS Barangay

Contact No./s 09512103584 kenkenletim204@gmail.com


Name of Last School LORETO NATIONAL HIGH ADMISSION TEST RESULT:
Attended SCHOOL
School Address SAN JUAN LORETO DINAGAT
ISLAND
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 7, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Elementary Education (BEED)
Second Choice: Bachelor of Science in Civil Engineering (BSCE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Leyros
First Name Raiza Mae
Middle Name Saraus
Sex Female Civil Status Single Birthdate 5/2/2005
Ladgaron Town/City Claver Province Surigao del norte
PERMANENT ADDRESS Barangay

Contact No./s 09296664632 raizamaeleyros@gmail.com


Name of Last School Claver National High school ADMISSION TEST RESULT:
Attended
School Address Claver National High school
Senior High School Strand ABM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 21, 2024_Venue: SNSU Claver Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Electronics Engineering (BSECE)
Second Choice: Bachelor of Science in Computer Engineering (BSCoE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Libara
First Name Queen Elizabeth
Middle Name Maslog
Sex Female Civil Status Single Birthdate 6/3/2006
Togbongon Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09700242104 libaraqueen3@gmail.com


Name of Last School Rizal National Highschool ADMISSION TEST RESULT:
Attended
School Address Rizal National Highschool
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Computer Science (BSCS)
Second Choice: Bachelor of Science in Mathematics (BS Math)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Lipao
First Name Grant Isaac
Middle Name Pasco
Sex Male Civil Status Single Birthdate 7/15/2005
Canlanipa Town/City Surigao City Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09690762613 scourgeon0@gmail.com


Name of Last School Surigao del Norte National High ADMISSION TEST RESULT:
Attended School
School Address Penaranda Street, Surigao City,
Surigao del Norte
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 7, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Industrial Technology major in Electronics Technology
(BSIT-ELX)
Second Choice: Bachelor of Science in Industrial Technology major in Mechanical Technology
(BSIT-MT)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Liquido
First Name Robert jay
Middle Name Ruiz
Sex Male Civil Status Single Birthdate 2/5/2005
Nonoc Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09976044490 robertjayruiz@gmail.com


Name of Last School Nonoc National High school ADMISSION TEST RESULT:
Attended
School Address Barangay Nonoc Surigao City
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Science in Information System (BSIS)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Lisondra
First Name Lisly
Middle Name Ligaya
Sex Female Civil Status Single Birthdate 5/27/2005
Taft Town/City Surigao city Province Surigao
PERMANENT ADDRESS Barangay

Contact No./s 09515362516 lisondralisly@gmail.com


Name of Last School Surigao del Norte National ADMISSION TEST RESULT:
Attended Highschool
School Address Penaranda Street, Surigao City,
Surigao del Norte
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 11, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Industrial Technology major in Automotive Technology
(BSIT-AT)
Second Choice: Bachelor of Elementary Education (BEED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Llamera
First Name Christal Jane
Middle Name Arena
Sex Female Civil Status Single Birthdate 8/30/2006
San Juan Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09384745415 llamerachristaljane747@gmail.com


Name of Last School Surigao City National High School ADMISSION TEST RESULT:
Attended
School Address San Juan, Surigao City, Surigao
Del Norte
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Elementary Education (BEED)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name LLANASAS
First Name SHEILA MICAH
Middle Name WAQUIZ
Sex Female Civil Status Single Birthdate 8/8/2006
HINIMBANGAN Town/City KITCHARAO Province AGUSAN DEL NORTE
PERMANENT ADDRESS Barangay

Contact No./s 09850998546 sheilamicahllanasas1@gmail.com


Name of Last School KITCHARAO NATIONAL HIGH ADMISSION TEST RESULT:
Attended SCHOOL
School Address CROSSING KITCHARAO
AGUSAN DEL NORTE
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 15, 2024_Venue: SNSU Mainit Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Hospitality Management (BSHM)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Lolo
First Name Hannah Faye
Middle Name Rada
Sex Female Civil Status Single Birthdate 12/13/2005
Taft Town/City Surigao city Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09460495929 hannahradalolo@gmail.com


Name of Last School Surigao Del Norte National High ADMISSION TEST RESULT:
Attended School
School Address Peñaranda st. Brgy. Washington
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 11, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Elementary Education (BEED)
Second Choice: Bachelor of Secondary Education major in English (BSED - English)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Lomoloy
First Name Janine
Middle Name Donato
Sex Female Civil Status Single Birthdate 5/9/2006
Luna Town/City Surigao Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09859678811 janinelomoloy354@gmail.com


Name of Last School N/A ADMISSION TEST RESULT:
Attended
School Address Surigao del Norte National
Highschool
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Secondary Education maj English (BSED - English)
Second Choice: Bachelor of Elementary Education (BEED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Lomotos
First Name Gerry
Middle Name
Sex Male Civil Status Single Birthdate 3/10/2001
Washington Town/City Surigao city Province Surigao del norte
PERMANENT ADDRESS Barangay

Contact No./s 09762663790 gerrylomotos5@gmail.com


Name of Last School Taft National High School ADMISSION TEST RESULT:
Attended
School Address Nueva ext.barangay Taft,Surigao
city
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Electronics Engineering (BSECE)
Second Choice: Bachelor of Science in Electrical Engineering (BSEE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Lopez
First Name Jhonas
Middle Name Cadutdut
Sex Male Civil Status Single Birthdate 6/6/2006
Magsaysay Town/City Mainit Province Surigao del norte
PERMANENT ADDRESS Barangay

Contact No./s 09676503356 Lopezjhonasgwapo119@gmail.com


Name of Last School Mainit National High School ADMISSION TEST RESULT:
Attended
School Address 633 Gen. Luna st., Mainit Surigao
Del Norte
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 6, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Electrical Engineering (BSEE)
Second Choice: Bachelor in Automotive Engineering Technology (BAET)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Lopez
First Name Rusty
Middle Name Alciso
Sex Male Civil Status Single Birthdate 3/31/2005
Cabongbongan Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09197546062 lopezrusty851@gmail.com


Name of Last School Tagana-an National High School ADMISSION TEST RESULT:
Attended
School Address Brgy. Sampaguita Tagana-an
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 6, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Physical Education (BPED)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Lozada
First Name Angel
Middle Name
Sex Female Civil Status Single Birthdate 5/23/2006
ipil kabugwason Town/City surigao del norte Province kabugwason
PERMANENT ADDRESS Barangay

Contact No./s 0948436126 lozadaangel2022@gmail.com


Name of Last School San Francisco National High ADMISSION TEST RESULT:
Attended School
School Address San Francisco Anao aon
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Physical Education (BPED)
Second Choice: Bachelor of Science in Information Technology (BSInfoTech)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Lumpay
First Name Leane Vie
Middle Name Mahinay
Sex Female Civil Status Single Birthdate 7/20/2006
Mabini Town/City Tubajon Province Dinagat Islands
PERMANENT ADDRESS Barangay

Contact No./s 09816053187 lumpayleanevie@gmail.com


Name of Last School Loreto National High School (A ADMISSION TEST RESULT:
Attended Stand Alone Senior High)
School Address San juan
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor of Secondary Education major in English (BSED - English)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Lunop
First Name Denmark
Middle Name De guia
Sex Male Civil Status Single Birthdate 8/17/2005
Alang-Alang Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09758301139 den.lunop45@gmail.com


Name of Last School Juan P. Cedro Sr. Memorial High ADMISSION TEST RESULT:
Attended school
School Address Juan P. Cedro Sr. Memorial High
School
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Hospitality Management (BSHM)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name LUTA
First Name MICHELLE MAE
Middle Name TISADO
Sex Female Civil Status Single Birthdate 2/8/2006
MATIN-AO Town/City MAINIT Province SURIGAO DEL NORTE
PERMANENT ADDRESS Barangay

Contact No./s 09705859465 michelleluta6@gmail.com


Name of Last School MATIN-AO NATIONAL HIGH ADMISSION TEST RESULT:
Attended SCHOOL
School Address MATIN-AO MAINIT SURIGAO
DEL NORTE
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 15, 2024_Venue: SNSU Mainit Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Secondary Education maj English (BSED - English)
Second Choice: Bachelor of Secondary Education major in Sciences (BSED - Sciences)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Macabatao
First Name Welly
Middle Name Bontia
Sex Male Civil Status Single Birthdate 1/3/2005
Canlanipa Town/City Surigao City Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09098621228 katebontiamacabatao@gmail.com


Name of Last School Surigao Del Norte National High ADMISSION TEST RESULT:
Attended School
School Address Peñaranda Street Surigao City
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Hospitality Management (BSHM)
Second Choice: Bachelor of Physical Education (BPED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Macaraya
First Name joshua
Middle Name razo
Sex Male Civil Status Single Birthdate 12/16/2002
barangay washington Town/City surigao city Province surigao del norte
PERMANENT ADDRESS Barangay

Contact No./s 09811170340 joshuamacaraya21@gmail.com


Name of Last School SNNHS ADMISSION TEST RESULT:
Attended
School Address surigao del norte national
highschool peñaranda street
surigao city
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 20, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Hospitality Management (BSHM)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name MACULA
First Name JOSIE MAE
Middle Name ODVINA
Sex Female Civil Status Single Birthdate 6/21/2006
PAYAPAG Town/City BACUAG Province SURIGAO DEL NORTE
PERMANENT ADDRESS Barangay

Contact No./s 09356817405 josiemaemacula77@gmail.com


Name of Last School PAYAPAG NATIONAL HIGH ADMISSION TEST RESULT:
Attended SCHOOL
School Address PAYAPAG, BACUAG, SURIGAO
DEL NORTE
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Elementary Education (BEED)
Second Choice: Bachelor of Physical Education (BPED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Madelo
First Name Janna Del
Middle Name Mola
Sex Female Civil Status Single Birthdate 2/26/2005
Mansayao Town/City Mainit Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09773935951 madelojannadel8@gmail.com


Name of Last School Northeastern Mindanao Colleges ADMISSION TEST RESULT:
Attended
School Address Rizal st Surigao city, Surigao Del
Norte
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 7, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Tourism Management (BSTM)
Second Choice: Bachelor of Science in Industrial Technology major in Architectural Drafting
Technology (BSIT-ADT)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Madelo
First Name Micky
Middle Name Alipao
Sex Female Civil Status Single Birthdate 9/3/2004
Bugas-bugas Town/City Placer Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09855361811 alipaomicky@gmail.com


Name of Last School Placer National Highschool ADMISSION TEST RESULT:
Attended
School Address Placer National Highschool
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 7, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Science in Information Technology (BSInfoTech)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Madelo
First Name Angel
Middle Name Villanueva
Sex Female Civil Status Single Birthdate 9/1/2006
Marga Town/City Tubod Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09811424493 madeloangel15@gmail.com


Name of Last School Tubod national high school ADMISSION TEST RESULT:
Attended
School Address Poblacion
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 2, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Industrial Technology major in Architectural Drafting
Technology (BSIT-ADT)
Second Choice: Bachelor of Physical Education (BPED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Mahinay
First Name Jeian
Middle Name Copillo
Sex Male Civil Status Single Birthdate 9/18/2005
Poctoy Town/City Surigao Province Surigao del norte
PERMANENT ADDRESS Barangay

Contact No./s 09635511296 jeianmahinay84@gmail.com


Name of Last School Wilfredo D. Rafols Memorial ADMISSION TEST RESULT:
Attended National High School
School Address P-5 Brgy. Poctoy, surigao city,
surigao del norte
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION May 2, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Physical Education (BPED)
Second Choice: Bachelor of Elementary Education (BEED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name MAINIT
First Name KEINTH JHON
Middle Name
Sex Male Civil Status Single Birthdate 1/20/2006
TIDMAN Town/City HINATUAN Province SURIGAO DEL SUR
PERMANENT ADDRESS Barangay

Contact No./s 09071315805 mainitjhoncarlo8@gmail.com


Name of Last School HINATUAN NATIONAL ADMISSION TEST RESULT:
Attended COMPREHENSIVE HIGH
SCHOOL
School Address STO. NIÑO, HINATUAN
SURIGAO DEL SUR5
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 30, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
note of the page
2. ORDINARY BALLPEN
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Secondary Education maj Sciences (BSED - Sciences)
Second Choice: Bachelor in Electrical Engineering Technology (BEET)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Malaza
First Name Maryjoy
Middle Name Valcorza
Sex Female Civil Status Single Birthdate 3/12/2005
Luna Town/City Surigao Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09460474061 maryjoymalaza12@gmail.com


Name of Last School Surigao Education Center ADMISSION TEST RESULT:
Attended
School Address Surigao Education Center
National Highway
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 20, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor of Science in Information Technology (BSInfoTech)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Malaza
First Name Nicole
Middle Name Bayato
Sex Female Civil Status Single Birthdate 1/25/2006
Brgy.Serna Town/City Surigao City Province Surigao Del-Norte
PERMANENT ADDRESS Barangay

Contact No./s 09630692549 malazanicole863@gmail.com


Name of Last School Wilfredo D. Rafols Memorial ADMISSION TEST RESULT:
Attended National High School
School Address Purok 5 Brgy.Poctoy Surigao City
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION May 2, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Electronics Engineering Technology (BEXET)
Second Choice: Bachelor of Science in Industrial Technology major in Heating, Ventilating, Air-
Conditioning and Refrigeration (BSIT-HVACR)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Maldo
First Name Gian
Middle Name Rellon
Sex Male Civil Status Single Birthdate 3/31/2006
R.E.ecleo Sr. Town/City Cagdianao Province Dinagat island
PERMANENT ADDRESS Barangay

Contact No./s 09855215034 gianmaldo2006@gmail.com


Name of Last School N/A ADMISSION TEST RESULT:
Attended
School Address N/A
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 22, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Hospitality Management (BSHM)
Second Choice: Bachelor of Science in Information Technology (BSInfoTech)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name MALIGDONG
First Name KENCHEN
Middle Name BORJA
Sex Male Civil Status Single Birthdate 3/21/2005
Garcia Town/City Libjo Province Dinagat
PERMANENT ADDRESS Barangay

Contact No./s 09092273572 marianmoonwacancademas@gmail.com


Name of Last School San jose national highschool ADMISSION TEST RESULT:
Attended
School Address San Jose national highschool
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 22, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Electrical Engineering (BSEE)
Second Choice: Bachelor of Science in Civil Engineering (BSCE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name MALIG-ON
First Name RAINIER
Middle Name MUAÑA
Sex Male Civil Status Single Birthdate 1/3/2007
URBIZTONDO Town/City CLAVER Province SURIGAO DEL NORTE
PERMANENT ADDRESS Barangay

Contact No./s 09951501706 rainiermaligon@gmail.com


Name of Last School TAGANITO NATIONAL HIGH ADMISSION TEST RESULT:
Attended SCHOOL
School Address PUROK 8, TAGANITO, CLAVER,
SURIGAO DEL NORTE
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 22, 2024_Venue: SNSU Claver Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Electrical Engineering (BSEE)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Maloloy-on
First Name Trixie Jane
Middle Name Bayogbog
Sex Female Civil Status Single Birthdate 7/19/2006
Nonoc Island Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09565691919 trixiemaloloyon347@gmail.com


Name of Last School Nonoc National High School ADMISSION TEST RESULT:
Attended
School Address Nonoc National High School
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor of Science in Civil Engineering (BSCE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Malubay
First Name Jhensen
Middle Name Tocmo
Sex Female Civil Status Single Birthdate 5/2/2006
Taganito Town/City Claver Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09667518739 Taganito


Name of Last School Taganito National High School ADMISSION TEST RESULT:
Attended
School Address P-8 Brgy. Taganito
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 22, 2024_Venue: SNSU Claver Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Science in Information Technology (BSInfoTech)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Mancio
First Name Neko
Middle Name Olite
Sex Male Civil Status Single Birthdate 5/24/2006
Luna Sitio Toril Town/City Surigao city Province Surigao del norte
PERMANENT ADDRESS Barangay

Contact No./s 09151221945 neko99.mancio@gmail.com


Name of Last School Surigao city national highschool ADMISSION TEST RESULT:
Attended
School Address City high
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION May 2, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Electrical Engineering (BSEE)
Second Choice: Bachelor of Science in Electronics Engineering (BSECE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Manghino
First Name Art
Middle Name Cayao
Sex Male Civil Status Single Birthdate 1/7/2005
Cantugas Town/City Mainit Province Surigao del norte
PERMANENT ADDRESS Barangay

Contact No./s 09051126630 manghinoart07@gmail.com


Name of Last School Matin-ao National High School ADMISSION TEST RESULT:
Attended
School Address Matin-ao Mainit Surigao Del Norte
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Manili
First Name Camel
Middle Name Mosende
Sex Female Civil Status Single Birthdate 3/31/2000
San Isidro Town/City Mainit Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09858243859 camilemanili@gmail.com


Name of Last School STI College Surigao ADMISSION TEST RESULT:
Attended
School Address #04220 Narciso Street, Surigao
City, 8400 Surigao del Norte
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Manimba
First Name Rochelle Ann
Middle Name Opon
Sex Female Civil Status Single Birthdate 12/9/2005
Poctoy Town/City Surigao City Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09064655943 manimbarochelle@gmail.com


Name of Last School Wilfredo D. Rafols Memorial ADMISSION TEST RESULT:
Attended National High School
School Address Purok -5 Barangay Poctoy
Surigao City Surigao Del Norte
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION May 2, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Industrial Technology major in Automotive Technology
(BSIT-AT)
Second Choice: Bachelor of Science in Industrial Technology major in Automotive Technology
(BSIT-AT)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Mantilla
First Name Christian
Middle Name Sieras
Sex Male Civil Status Single Birthdate 12/25/2005
Barangay Taft Town/City Surigao City Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09635446553 Silay hills purok matinabangon


Name of Last School Surigao del Norte National High ADMISSION TEST RESULT:
Attended School
School Address Peñaranda St.
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 11, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Science in Hospitality Management (BSHM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Mantua
First Name Jenilyn
Middle Name
Sex Female Civil Status Single Birthdate 7/18/2006
Barangay Nueva Ext. Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Surigao City

Contact No./s 09460805679 mantuajenilyn006@gmail.com


Name of Last School Taft National High School ADMISSION TEST RESULT:
Attended
School Address Taft National High School
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
note of the page
2. ORDINARY BALLPEN
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Secondary Education maj Filipino (BSED - Filipino)
Second Choice: Bachelor of Elementary Education (BEED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Mapili
First Name Niña Rhinrey
Middle Name Barbin
Sex Female Civil Status Single Birthdate 2/18/2006
Sugbay Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09855775274 ninarhinreymapili@gmail.com


Name of Last School Taft National High School ADMISSION TEST RESULT:
Attended
School Address Nueva Ext. Barangay Taft,
Surigao City
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor in Mechanical Engineering Technology with concentration in
Mechanical Technology (BMET - MT)
Second Choice: Bachelor of Science in Information Technology (BSInfoTech)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Maratas
First Name Rodelyn
Middle Name Sagragao
Sex Female Civil Status Single Birthdate 12/18/2004
Mabini Town/City Mabini tubajon Province Dinagat islands
PERMANENT ADDRESS Barangay
Dinagat islands

Contact No./s 09853239665 Mabini tubajon Dinagat islands


Name of Last School Loreto Senior high school (A ADMISSION TEST RESULT:
Attended stand alone senior high)
School Address Rizal street San Juan Loreto
Dinagat islands
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 20, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor in Automotive Engineering Technology (BAET)
Second Choice: Bachelor of Science in Civil Engineering (BSCE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Marbas
First Name Jesmar
Middle Name Palomares
Sex Male Civil Status Single Birthdate 12/25/2005
Linonggana Town/City San Francisco Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09561199182 marbasjesma@gmail.com


Name of Last School San Francisco National High ADMISSION TEST RESULT:
Attended School
School Address San Francisco National High
School
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 2, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Hospitality Management (BSHM)
Second Choice: Bachelor of Science in Hospitality Management (BSHM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Maritan
First Name raiza loraine
Middle Name bernadez
Sex Female Civil Status Single Birthdate 5/16/2006
purok 5 del rosario Town/City tubod Province surigao del norte
PERMANENT ADDRESS Barangay

Contact No./s 09709015938 raizamaritan@gmail.com


Name of Last School San Nicolas Academy Mainit Inc ADMISSION TEST RESULT:
Attended
School Address mainit, magpayang surigao del
norte
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Physical Education (BPED)
Second Choice: Bachelor of Science in Environmental Science (BSES)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Matulac
First Name Kristina
Middle Name
Sex Female Civil Status Single Birthdate 4/10/2005
Washington Town/City Surigao Province Surigao
PERMANENT ADDRESS Barangay

Contact No./s 09092158753 matulackristina@gmail.com


Name of Last School Surigao del Norte National High ADMISSION TEST RESULT:
Attended school
School Address Peñaranda Street, Surigao city
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION May 3, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Industrial Technology major in Mechanical Technology
(BSIT-MT)
Second Choice: Bachelor of Science in Hospitality Management (BSHM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Medica
First Name Kim
Middle Name Ballescas
Sex Male Civil Status Single Birthdate 5/27/2006
Quezon Town/City Surigao city Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09852250042 kimballescas04@gmail.com


Name of Last School Cabrera altres national high ADMISSION TEST RESULT:
Attended school
School Address Cabrera altres national high
school
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Secondary Education maj English (BSED - English)
Second Choice: Bachelor of Science in Information Technology (BSInfoTech)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name MENDEZ
First Name CHRISTIAN
Middle Name ELMACO
Sex Male Civil Status Single Birthdate 2/17/2000
SOUTH DAANG HARI Town/City CITY OF TAGUIG Province NEGROS ORIENTAL
PERMANENT ADDRESS Barangay

Contact No./s 09854147091 mendezchristian027@yahoo.com


Name of Last School BAGUMBAYAN NATIONAL HIGH ADMISSION TEST RESULT:
Attended SCHOOL
School Address BAGUMBAYAN NATIONAL HIGH
SCHOOL
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 25, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Computer Engineering (BSCoE)
Second Choice: Bachelor of Electronics Engineering Technology (BEXET)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Meniano
First Name Ariel
Middle Name J
Sex Male Civil Status Single Birthdate 4/11/2000
Mat-i Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 0950 556 8908 arielmeniano8@gmail.com


Name of Last School Surigao High ADMISSION TEST RESULT:
Attended
School Address Peñaranda Street Surigao City
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor in Automotive Engineering Technology (BAET)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Menil
First Name Nathaniel
Middle Name Cabreza
Sex Male Civil Status Single Birthdate 3/7/2005
Canlanipa Town/City Surigao City Province Brgy Taft
PERMANENT ADDRESS Barangay

Contact No./s 09514584932 nathanielmenil09@gmail.com


Name of Last School SURIGAO DEL NORTE ADMISSION TEST RESULT:
Attended NATIONAL HIGH SCHOOL
School Address Peñaranda st.
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Hospitality Management (BSHM)
Second Choice: Bachelor of Secondary Education major in English (BSED - English)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Merano
First Name Eve Andrea
Middle Name Andit
Sex Female Civil Status Single Birthdate 3/1/2005
Brgy. San Jose Town/City Mainit Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09515908783 meranoandrea43@gmail.com


Name of Last School San Nicolas Academy of Mainit ADMISSION TEST RESULT:
Attended Inc.
School Address San Nicolas Academy of Mainit
Inc.
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 20, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor in Electrical Engineering Technology (BEET)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Migullas
First Name Renmar
Middle Name Reoja
Sex Male Civil Status Single Birthdate 11/17/2005
Buenavista Town/City Pintuyan Province Southern leyte
PERMANENT ADDRESS Barangay

Contact No./s 09512128015 migullasreoja@gmail.com


Name of Last School Pintuyan National Vocational High ADMISSION TEST RESULT:
Attended School (PNVHS)
School Address San Roque, Pintuyan Southern
Leyte
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 20, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Industrial Technology major in Electrical Technology
(BSIT-ELC)
Second Choice: Bachelor of Science in Industrial Technology major in Mechanical Technology
(BSIT-MT)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Milar
First Name Gian Earl
Middle Name Sapid
Sex Male Civil Status Single Birthdate 4/21/2005
Rizal Tumanday 1 Town/City Surigao City Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09958176642 Rizal Tumanday 1


Name of Last School Surigao del Norte national high ADMISSION TEST RESULT:
Attended school
School Address Surigao del Norte national high
school
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 7, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Miras
First Name Jenieza
Middle Name Merin
Sex Female Civil Status Single Birthdate 9/17/2005
Cantugas Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09500957838 jeniezamiras@gmail.com


Name of Last School Matinao National High School ADMISSION TEST RESULT:
Attended
School Address Matinao National High School
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Science in Environmental Science (BSES)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Mondia
First Name Era mae
Middle Name Gonzales
Sex Female Civil Status Single Birthdate 8/25/2003
Gamuton Town/City Alegria Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09489455839 eramaemondia18@gmail.com


Name of Last School Kitcharao National High School ADMISSION TEST RESULT:
Attended
School Address Kitcharao National High School
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 2, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Mongado
First Name Ayessa Mae
Middle Name Buhian
Sex Female Civil Status Single Birthdate 5/22/2006
Cantugas Town/City Surigao city Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09502413617 mongadoayessamae78@gmail.com


Name of Last School Matin-ao National high school ADMISSION TEST RESULT:
Attended
School Address Matin-ao National high school
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Hospitality Management (BSHM)
Second Choice: Bachelor in Electrical Engineering Technology (BEET)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Monte
First Name Mariel
Middle Name Intano
Sex Female Civil Status Single Birthdate 9/16/2005
Luna Town/City Surigao City Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09500691639 montemariel25@gmail.com


Name of Last School Northeastern Mindanao Colleges ADMISSION TEST RESULT:
Attended
School Address Rizal corner Amat Streets,
Surigao City
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 20, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Tourism Management (BSTM)
Second Choice: Bachelor of Science in Information Technology (BSInfoTech)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Montecastro
First Name Nilia beth
Middle Name Mohillo
Sex Female Civil Status Single Birthdate 7/16/2006
Panamaon campintac Town/City Loreto Dinagat Province Dinagat island
PERMANENT ADDRESS Barangay
island
purok 8

Contact No./s 09120931955 Loreto Dinagat island


Name of Last School Senior high school (A stand alone ADMISSION TEST RESULT:
Attended senior high)
School Address Rizal street SanJuan loreto
Dinagat island
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 20, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Computer Science (BSCS)
Second Choice: Bachelor of Science in Information Technology (BSInfoTech)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Monterola
First Name Brain
Middle Name Sumook
Sex Male Civil Status Single Birthdate 8/17/2004
Bangonay Town/City Jabonga Province Agusan Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09855230994 monterolabrain17@gmail.com


Name of Last School Bangonay National High School ADMISSION TEST RESULT:
Attended
School Address Bangonay Jabonga Agusan Del
Norte
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 15, 2024_Venue: SNSU Mainit Campus Batch 2: 1:30-3:30
2024-2025 SITE/VENUE AND PM
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Tourism Management (BSTM)
Second Choice: Bachelor of Secondary Education major in English (BSED - English)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Montilla
First Name Maica
Middle Name Dado
Sex Female Civil Status Single Birthdate 4/7/2006
Brgy.Diaz Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09653355520 maicadmontilla01@gmail.com


Name of Last School none ADMISSION TEST RESULT:
Attended
School Address San Francisco National High
School
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 22, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Hospitality Management (BSHM)
Second Choice: Bachelor of Science in Information Technology (BSInfoTech)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Morada
First Name Karryl Jade
Middle Name Fuentes
Sex Female Civil Status Single Birthdate 11/20/2005
Matin-ao Town/City Mainit Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09811279694 karrylmorada99@gmail.com


Name of Last School Matin-ao National high school ADMISSION TEST RESULT:
Attended
School Address Matin-ao mainit SDN
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 7, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Elementary Education (BEED)
Second Choice: Bachelor of Physical Education (BPED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Morales
First Name Gerry jr.
Middle Name Billones
Sex Male Civil Status Single Birthdate 2/14/2006
Ombong Town/City Alegria Province Surigao del norte
PERMANENT ADDRESS Barangay

Contact No./s 09857805849 moralesgerry123@gmail.com


Name of Last School Alegria Stand Alone Senior High ADMISSION TEST RESULT:
Attended School
School Address Alegria Stand Alone Senior High
School
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 26, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Morales
First Name Angel Mae
Middle Name Francisco
Sex Female Civil Status Single Birthdate 1/28/2006
Silop Town/City Surigao City Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09386959493 angelmaemorales530@gmail.com


Name of Last School Cabrera Altres National High ADMISSION TEST RESULT:
Attended School
School Address Bonifacio
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 22, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Science in Computer Science (BSCS)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Morang
First Name Ramil
Middle Name Dumas
Sex Male Civil Status Single Birthdate 9/26/2005
San Isidro Town/City Gigaquit Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09162013863 fernandogang84@gmail.com


Name of Last School Sankanan National Highschool ADMISSION TEST RESULT:
Attended
School Address Gigaquit National School of Home
Industries
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 21, 2024_Venue: SNSU Claver Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Industrial Technology major in Automotive Technology
(BSIT-AT)
Second Choice: Bachelor of Science in Industrial Technology major in Automotive Technology
(BSIT-AT)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name MORANO
First Name JASMINE
Middle Name REMITAR
Sex Female Civil Status Single Birthdate 3/14/0005
Mabini Town/City Mainit Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09811038557 jasminemorano79@gmail.com


Name of Last School Mainit National High School ADMISSION TEST RESULT:
Attended
School Address Mainit Surigao del Norte
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 15, 2024_Venue: SNSU Mainit Campus Batch 2: 1:30-3:30
2024-2025 SITE/VENUE AND PM
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Secondary Education maj English (BSED - English)
Second Choice: Bachelor of Secondary Education major in Sciences (BSED - Sciences)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Morante
First Name Keziah
Middle Name Morante
Sex Female Civil Status Single Birthdate 2/5/2005
Canlanipa Town/City Surigao City Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09096184053 kezaymded@gmail.com


Name of Last School Surigao del Norte National ADMISSION TEST RESULT:
Attended Highschool
School Address Peñaranda Street, Surigao City,
Surigao del Norte
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 22, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Industrial Technology major in Architectural Drafting
Technology (BSIT-ADT)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Moreno
First Name Evangelyn
Middle Name Ballescas
Sex Female Civil Status Single Birthdate 9/13/2006
Brgy. Mat-i Town/City Surigao city Province Surigao del norte
PERMANENT ADDRESS Barangay

Contact No./s 09125590747 morenoevan847@gmail.com


Name of Last School Mat-i national high school ADMISSION TEST RESULT:
Attended
School Address Mat-i national high school
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Science in Computer Engineering (BSCoE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Morta
First Name Van Zoilo
Middle Name Gonzales
Sex Male Civil Status Single Birthdate 12/30/2001
Quezon Town/City Mainit Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09165594301 vanzoilomorta@gmail.com


Name of Last School STI College Surigao ADMISSION TEST RESULT:
Attended
School Address #04220 Narciso Street, Surigao
City, 8400 Surigao del Norte
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Mosenabre
First Name Kc
Middle Name Esmeralda
Sex Female Civil Status Single Birthdate 8/8/2005
Mansayao Mainit Town/City Surigao Province Mainit
PERMANENT ADDRESS Barangay

Surigao del norte

Contact No./s 09630650413 Mansayao Mainit Surigao del norte


Name of Last School Hacienda National high school ADMISSION TEST RESULT:
Attended
School Address San Francisco Mainit Surigao del
norte
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 15, 2024_Venue: SNSU Mainit Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Hospitality Management (BSHM)
Second Choice: Bachelor of Secondary Education major in English (BSED - English)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Mosquite
First Name Jeason
Middle Name Mondas
Sex Male Civil Status Single Birthdate 1/26/2006
Campo Town/City Surigao City Province Surigao
PERMANENT ADDRESS Barangay

Contact No./s 09669032543 jeasonmosquite5@gmail.com


Name of Last School Campo National High School ADMISSION TEST RESULT:
Attended
School Address Campo Bacuag SDN
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor of Secondary Education major in English (BSED - English)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Moster
First Name Jesabel
Middle Name Ruizol
Sex Female Civil Status Single Birthdate 9/22/2004
Cagutsan Town/City Surigao City Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09158438849 jesabelmoster@gmail.com


Name of Last School Manjagao National High School ADMISSION TEST RESULT:
Attended
School Address Brgy. Manjagao, Surigao Dapit
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Tourism Management (BSTM)
Second Choice: Bachelor of Science in Information Technology (BSInfoTech)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name MOZOL
First Name MARRY AIKA
Middle Name LERIO
Sex Female Civil Status Single Birthdate 10/15/2005
BARANGAY TALISAY Town/City SURIGAO CITY Province SURIGAO DEL NORTE
PERMANENT ADDRESS Barangay

Contact No./s 09706791376 mozolmarryaika@gmail.com


Name of Last School TALISAY NATIONAL HIGH ADMISSION TEST RESULT:
Attended SCHOOL
School Address BRGY. TALISAY, SURIGAO CITY
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 20, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor in Mechanical Engineering Technology with concentration in
Mechanical Technology (BMET - MT)
Second Choice: Bachelor in Mechanical Engineering Technology with concentration in
Mechanical Technology (BMET - MT)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Murillon
First Name Jimmy
Middle Name GALANO
Sex Male Civil Status Single Birthdate 9/20/2005
Honrado Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09632424938 Barangayhonrado@gmail.com


Name of Last School San Francisco National High ADMISSION TEST RESULT:
Attended School
School Address San Francisco National High
School
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 28, 2024_Venue: SNSU Malimono Campus Batch 1: 8-10
2024-2025 SITE/VENUE AND AM
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Hospitality Management (BSHM)
Second Choice: Bachelor of Science in Information Technology (BSInfoTech)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Nalam
First Name Zyra Kim
Middle Name Jetajobe
Sex Female Civil Status Single Birthdate 6/8/2006
Binga Town/City Mainit Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09488476916 zyranalam5@gmail.com


Name of Last School Matin-ao National High School ADMISSION TEST RESULT:
Attended
School Address Matin-ao Mainit Surigao del Norte
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 7, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Tourism Management (BSTM)
Second Choice: Bachelor of Physical Education (BPED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name NALDOZA, JR
First Name ARMAND
Middle Name TAVIS
Sex Male Civil Status Single Birthdate 9/24/2004
STO. ROSARIO Town/City BACUAG Province SURIGAO DEL NORTE
PERMANENT ADDRESS Barangay

Contact No./s 09631073996 armandnaldoza@gmail.com


Name of Last School BACUAG NATIONAL AGRO- ADMISSION TEST RESULT:
Attended INDUSTRIAL SCHOOL
School Address BACUAG SURIGAO DEL NORTE
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Hospitality Management (BSHM)
Second Choice: Bachelor of Secondary Education major in English (BSED - English)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Narbay
First Name Jackie
Middle Name S.
Sex Female Civil Status Single Birthdate 6/26/2006
Ipil Town/City Surigao City Province Caraga
PERMANENT ADDRESS Barangay

Contact No./s 6.3985238062e+11 Jackiepaulinne.narbay@gmail.com


Name of Last School Caraga Regional Science High ADMISSION TEST RESULT:
Attended School
School Address Purok 10, Brgy. San Juan,
Surigao City
Senior High School Strand ABM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 5, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Computer Engineering (BSCoE)
Second Choice: Bachelor of Secondary Education major in English (BSED - English)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name NARCISO
First Name LONA
Middle Name GARCES
Sex Female Civil Status Single Birthdate 11/12/2004
RIZAL Town/City SURIGAO Province SURIGAO DEL NORTE
PERMANENT ADDRESS Barangay

Contact No./s 09460721780 lonanarciso1234@gmail.com


Name of Last School SURIGAO DEL NORTE ADMISSION TEST RESULT:
Attended NATIONAL HIGH SCHOOL
School Address PENARANDA ST., BRGY.
WASHINGTON, SURIGAO CITY,
SURIGAO DEL NORTE
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Hospitality Management (BSHM)
Second Choice: Bachelor of Science in Information Technology (BSInfoTech)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name NATAD
First Name CRISMAY FAITH
Middle Name SEMBILLO
Sex Female Civil Status Single Birthdate 5/13/2006
SAN JUAN Town/City SURIGAO CITY Province SURIGAO DEL NORTE
PERMANENT ADDRESS Barangay

Contact No./s 09074088097 crismayfaithn@gmail.com


Name of Last School SURIGAO CITY NATIONAL HIGH ADMISSION TEST RESULT:
Attended SCHOOL
School Address SURIGAO CITY NATIONAL HIGH
SCHOOL
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 22, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Elementary Education (BEED)
Second Choice: Bachelor of Science in Information Technology (BSInfoTech)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Neri
First Name Princess Sharlene
Middle Name Dumaguit
Sex Female Civil Status Single Birthdate 7/21/2005
San Juan Town/City Surigao City Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09079299986 princessneri48@gmail.com


Name of Last School Surigao City National High School ADMISSION TEST RESULT:
Attended
School Address Purok 5 Brgy. San Juan
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION May 3, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Secondary Education maj English (BSED - English)
Second Choice: Bachelor of Physical Education (BPED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name NERZA
First Name JERIC
Middle Name ESTEBAN
Sex Male Civil Status Single Birthdate 1/11/2006
TAGANITO Town/City CLAVER Province SURIGAO DEL NORTE
PERMANENT ADDRESS Barangay

Contact No./s 09464877070 nerzajeric@gmail.com


Name of Last School TAGANITO NATIONAL HIGH ADMISSION TEST RESULT:
Attended SCHOOL
School Address TAGANITO NATIONAL HIGH
SCHOOL
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 21, 2024_Venue: SNSU Claver Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Tourism Management (BSTM)
Second Choice: Bachelor of Science in Information Technology (BSInfoTech)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Nonan
First Name Kimberly Claire
Middle Name Plaza
Sex Female Civil Status Single Birthdate 8/11/2003
Washington Town/City Surigao City Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09507054868 mimikoo1013@gmail.com


Name of Last School Surigao del Norte National High ADMISSION TEST RESULT:
Attended School
School Address Penaranda Street, Surigao City,
Surigao del Norte
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Elementary Education (BEED)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Ocampo
First Name Tj
Middle Name Aclo
Sex Male Civil Status Single Birthdate 3/22/2006
Mapawa Town/City Surigao city Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09461295062 tjo10346@gmail.com


Name of Last School Surigao Del Norte National High ADMISSION TEST RESULT:
Attended School
School Address Peñaranda st. Brgy. Washington
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 11, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Ochada
First Name Kurt
Middle Name Idea
Sex Male Civil Status Single Birthdate 12/29/2005
Matin-ao Town/City Mainit Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09103862127 Kurtlahang29@gmail.com


Name of Last School Matin-ao National High School ADMISSION TEST RESULT:
Attended
School Address Matin-ao Mainit Surigao del Norte
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 15, 2024_Venue: SNSU Mainit Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Industrial Technology major in Welding and Fabrication
Technology (BSIT-WFT)
Second Choice: Bachelor of Secondary Education major in Filipino (BSED - Filipino)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name OCHADA
First Name DANILO
Middle Name JANOZO
Sex Male Civil Status Single Birthdate 3/10/1999
CANLANIPA Town/City SURIGAO CITY Province SURIGAO DEL NORTE
PERMANENT ADDRESS Barangay

Contact No./s 09812354027 Danochada91@gmail.com


Name of Last School TAFT NATIONAL HIGH SCHOOL ADMISSION TEST RESULT:
Attended
School Address BRGY. TAFT, NUEVA, EXT.
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 20, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Science in Computer Engineering (BSCoE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Ocno
First Name Dan Michael
Middle Name
Sex Male Civil Status Single Birthdate 3/29/1995
Buhang Town/City Magallanes Province Agusan del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09998760981 danocno4@gmail.com


Name of Last School Magallanes National High School ADMISSION TEST RESULT:
Attended
School Address Magallanes Agusan del Norte
Senior High School Strand NONE
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 26, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Elementary Education (BEED)
Second Choice: Bachelor of Science in Civil Engineering (BSCE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Ocon
First Name Shienne Ashley
Middle Name Corro
Sex Female Civil Status Single Birthdate 6/10/2006
Wangke Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09635764431 Wangke Claver Surigao Del Norte


Name of Last School Claver National High School ADMISSION TEST RESULT:
Attended
School Address Tayaga Claver Surigao Del Norte
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 21, 2024_Venue: SNSU Claver Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Industrial Technology major in Automotive Technology
(BSIT-AT)
Second Choice: Bachelor of Science in Information Technology (BSInfoTech)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Ogdol
First Name Jhon Andro
Middle Name Dela
Sex Male Civil Status Single Birthdate 8/4/2005
San Juan Town/City Surigao City Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09460135329 ojhonandro@gmail.com


Name of Last School Surigao City High National High ADMISSION TEST RESULT:
Attended School
School Address Purok 2 Brgy. San Juan
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 11, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor of Science in Electrical Engineering (BSEE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Olaco
First Name June Peter
Middle Name Mahinay
Sex Male Civil Status Single Birthdate 6/4/2004
Santiago Town/City Loreto Province Dinagat Islands
PERMANENT ADDRESS Barangay

Contact No./s 09515172632 olacojunepeter@gmail.com


Name of Last School Surigao Education Center ADMISSION TEST RESULT:
Attended
School Address Km. 2 Surigao City
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Elementary Education (BEED)
Second Choice: Bachelor of Elementary Education (BEED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name OLIVERIO
First Name DEO JACOB
Middle Name ALAPAG
Sex Male Civil Status Single Birthdate 5/27/2006
San Roque Town/City Pintuyan Province Southern Leyte
PERMANENT ADDRESS Barangay

Contact No./s 09563672634 cobiiioliverio@gmail.com


Name of Last School Pintuyan National Vocational High ADMISSION TEST RESULT:
Attended School
School Address San Roque, Pintuyan, Southern
Leyte
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 20, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Tourism Management (BSTM)
Second Choice: Bachelor of Science in Hospitality Management (BSHM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Onzaga
First Name Clarize Yvonne
Middle Name Dela Peña
Sex Female Civil Status Single Birthdate 6/10/2006
San Roque Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09859951171 clyonzaga7@gmail.com


Name of Last School Surigao Del Norte National High ADMISSION TEST RESULT:
Attended School
School Address Piñaranda st. Surigao City
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 11, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Secondary Education maj Filipino (BSED - Filipino)
Second Choice: Bachelor of Science in Information Technology (BSInfoTech)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Opon
First Name Anica
Middle Name N/A
Sex Female Civil Status Single Birthdate 10/13/2006
Poctoy Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09705910892 anicavergaraopon@gmail.com


Name of Last School Wilfredo D. Rafols Memorial ADMISSION TEST RESULT:
Attended National High School
School Address Purok-5 Barangay Poctoy Surigao
City Surigao Del Norte
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION May 2, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Science in Electrical Engineering (BSEE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Opon
First Name Joan
Middle Name Orellanida
Sex Female Civil Status Single Birthdate 9/29/2003
Poctoy Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09636782389 oponjoan1@gmail.com


Name of Last School Wilfredo D. Rafols Memorial ADMISSION TEST RESULT:
Attended National High School
School Address purok 5 brgy.poctoy surigao city
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION May 2, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Hospitality Management (BSHM)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Orga
First Name Rose-Ann
Middle Name Ricafort
Sex Female Civil Status Single Birthdate 1/6/2006
Timamana Town/City Tubod Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09518147250 roseannorga06@gmail.com


Name of Last School Timamana National High School ADMISSION TEST RESULT:
Attended
School Address Timamana Tubod Surigao Del
Norte
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 15, 2024_Venue: SNSU Mainit Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Secondary Education maj English (BSED - English)
Second Choice: Bachelor of Elementary Education (BEED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Orias
First Name Gerica
Middle Name Trazo
Sex Female Civil Status Single Birthdate 12/7/2001
Quezon Town/City Mainit Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09153490816 joshlarong2500@gmail.com


Name of Last School Surigao del Norte State University ADMISSION TEST RESULT:
Attended (mainit campus)
School Address Magpayang Mainit SDN
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Science in Electrical Engineering (BSEE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Orillaneda
First Name Princess Dercy
Middle Name Enoya
Sex Female Civil Status Single Birthdate 6/22/2006
Poctoy Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09635681632 princessenoya871@gmail.com


Name of Last School Wilfredo D. Rafols Memorial ADMISSION TEST RESULT:
Attended National High School
School Address Purok 5 brgy. poctoy surigao city
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION May 2, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Secondary Education maj Sciences (BSED - Sciences)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name OSANO
First Name ANGEL
Middle Name ESCOLTORA
Sex Female Civil Status Single Birthdate 3/28/2006
Purok-2 Brgy DAY- Town/City SURIGAO CITY Province SURIGAO CITY, SURIGAO DEL NORTE
PERMANENT ADDRESS Barangay

ASAN

Contact No./s 09811348759 Brgy:DAY-ASAN


Name of Last School DAY-ASAN NATIONAL HIGH ADMISSION TEST RESULT:
Attended SCHOOL
School Address DAY-ASAN NATIONAL HIGH
SCHOOL
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 20, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Secondary Education maj English (BSED - English)
Second Choice: Bachelor of Arts in English Language (AB-EL)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Pabelonia
First Name Reymund
Middle Name Sibay
Sex Male Civil Status Single Birthdate 5/15/2005
Barangay, Canlanipa Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09127032005 pabeloniaraymond3@gmail.com


Name of Last School Surigao Del Norte National High ADMISSION TEST RESULT:
Attended School
School Address Peñaranda Street, Washington,
Surigao City, Surigao Del Norte
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION May 2, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Hospitality Management (BSHM)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Paculanang
First Name Mary Rhine
Middle Name Bacubas
Sex Female Civil Status Single Birthdate 6/20/2005
Carmen Town/City Loreto Province Dinagat Island
PERMANENT ADDRESS Barangay

Contact No./s 09703957723 engelrosm@gmail.com


Name of Last School Loreto National High School A ADMISSION TEST RESULT:
Attended stand alone Senior High School
LNHS-SHS
School Address Brgy. San Juan, Loreto Dinagat
Island
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
note of the page
2. ORDINARY BALLPEN
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Elementary Education (BEED)
Second Choice: Bachelor of Science in Electrical Engineering (BSEE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Paganapan
First Name Melo jean
Middle Name Barrera
Sex Female Civil Status Single Birthdate 3/18/2006
Roxas Town/City Surigao city Province Surigao del norte
PERMANENT ADDRESS Barangay

Contact No./s 09309672548 paganapanmelojean@gmail.com


Name of Last School Magpayang National High School ADMISSION TEST RESULT:
Attended
School Address Magpayang National High School
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 15, 2024_Venue: SNSU Mainit Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Physical Education (BPED)
Second Choice: Bachelor of Physical Education (BPED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name PAGANPAN
First Name ZAIRA
Middle Name MAÑEGOS
Sex Female Civil Status Single Birthdate 12/22/2006
MARGA Town/City SURIGAO DEL Province TUBOD, SURIGAO DEL NORTE
PERMANENT ADDRESS Barangay
NORTE

Contact No./s 09535981612 MARGA, TUBOD, SURIGAO DEL NORTE


Name of Last School TUBOD NATIONAL HIGH ADMISSION TEST RESULT:
Attended SCHOOL
School Address TUBOD, SURIGAO DEL NORTE
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 6, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Industrial Technology major in Automotive Technology
(BSIT-AT)
Second Choice: Bachelor of Science in Industrial Technology major in Electrical Technology
(BSIT-ELC)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name PAGAS
First Name LUIGI
Middle Name ALFORTE
Sex Male Civil Status Single Birthdate 1/15/2006
Rizal Town/City Surigao City Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09274677008 nicolepagas7@gmail.com


Name of Last School Surigao del Norte National High ADMISSION TEST RESULT:
Attended School
School Address Peñarada Street Surigao City
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 7, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor in Electrical Engineering Technology (BEET)
Second Choice: Bachelor in Automotive Engineering Technology (BAET)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Paghunasan
First Name Frince dave
Middle Name Piñero
Sex Male Civil Status Single Birthdate 8/6/2006
Linongganan Town/City Surigao Province San Francisco
PERMANENT ADDRESS Barangay

Contact No./s 09535980317 frincedavepaghunasan@gmail.com


Name of Last School Balite National High School ADMISSION TEST RESULT:
Attended
School Address Balite San Francisco Surigao Del
Norte
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 7, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Hospitality Management (BSHM)
Second Choice: Bachelor of Elementary Education (BEED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Pamil
First Name Nicole
Middle Name Ciabu
Sex Female Civil Status Single Birthdate 9/10/2005
Barangay Diaz Town/City San Francisco, Province Surigao Del Norte
PERMANENT ADDRESS Barangay
Anao-aon

Contact No./s 09972446419 nickyypamil@gmail.com


Name of Last School San Francisco National High ADMISSION TEST RESULT:
Attended School
School Address San Francisco National High
School
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 26, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Science in Information System (BSIS)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Pan
First Name John Benedict
Middle Name Amarille
Sex Male Civil Status Single Birthdate 9/18/2005
P-1 Brgy. Crossing Town/City Kitcharao Province Agusan del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09855305363 john426@gmail.com


Name of Last School Kitcharao National High School ADMISSION TEST RESULT:
Attended
School Address P-2 Crossing Agusan del Norte
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 2, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor of Science in Computer Engineering (BSCoE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Pantuhan
First Name Donalyn
Middle Name Sulapas
Sex Female Civil Status Single Birthdate 8/21/2005
Lapinigan Town/City Claver Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09384721526 donalynpantuhan16@gmail.com


Name of Last School Claver National High school ADMISSION TEST RESULT:
Attended
School Address Tayaga Claver Surigao del Norte
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 21, 2024_Venue: SNSU Claver Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Hospitality Management (BSHM)
Second Choice: Bachelor of Physical Education (BPED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name PANUGAN
First Name JHATE MARL
Middle Name MAGALLANO
Sex Male Civil Status Single Birthdate 1/4/2006
Brgy.Poblacion Town/City Tubod Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09503857080 jetjetp2006@gmail.com


Name of Last School STI COLLEGE SURIGAO ADMISSION TEST RESULT:
Attended
School Address Brgy. Washington, Narciso street
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor of Science in Civil Engineering (BSCE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Panugan
First Name Meca Avegelle
Middle Name Tomacmol
Sex Female Civil Status Single Birthdate 3/10/2006
Baranggay Washington Town/City Surigao City Province Caraga Region Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09457491154 mecapanugan10@gmail.com


Name of Last School DON JOSE ECLEO MEMORIAL ADMISSION TEST RESULT:
Attended COLLEGE
School Address P5 justiniana San Jose Dinagat
islands
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 20, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Secondary Education maj English (BSED - English)
Second Choice: Bachelor of Elementary Education (BEED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Paramo
First Name Cristhel Jane
Middle Name Lumanta
Sex Female Civil Status Single Birthdate 10/17/2005
Capayan Town/City Tubod Province Surigao
PERMANENT ADDRESS Barangay

Contact No./s 09703568249 cristheljanep@gmail.com


Name of Last School Timamana National High School ADMISSION TEST RESULT:
Attended
School Address Timamana National High School
Senior High School Strand ABM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 15, 2024_Venue: SNSU Mainit Campus Batch 2: 1:30-3:30
2024-2025 SITE/VENUE AND PM
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Physical Education (BPED)
Second Choice: Bachelor of Physical Education (BPED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name PAREDO
First Name QUEENIE MAE
Middle Name AUSTRIA
Sex Female Civil Status Single Birthdate 7/30/2001
Rizal Town/City Surigao Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09564334383 dimpleparedo19@gmail.com


Name of Last School Rizal National High School ADMISSION TEST RESULT:
Attended
School Address Rizal National High School
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Hospitality Management (BSHM)
Second Choice: Bachelor of Science in Information Technology (BSInfoTech)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Pareja
First Name Tina Marie
Middle Name Elumba
Sex Female Civil Status Single Birthdate 1/19/2005
Togbongon Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09709543840 tinamariepareja09@gmail.com


Name of Last School Wilfredo D. Rafols Memorial ADMISSION TEST RESULT:
Attended National High School
School Address Purok 5 brgy. poctoy surigao city
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION May 2, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Technical, Vocational Teacher Education major in Food & Service
Management (BTVTEd-FSM)
Second Choice: Bachelor of Science in Information Technology (BSInfoTech)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Parpan
First Name Jasmine
Middle Name Mahusay
Sex Female Civil Status Single Birthdate 12/18/2004
Mat-i Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09955727966 jasmineparpan018@gmail.com


Name of Last School Mat-i National High School ADMISSION TEST RESULT:
Attended
School Address Brgy. Mat-i S.C
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Elementary Education (BEED)
Second Choice: Bachelor of Science in Computer Science (BSCS)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name PASANA
First Name JOAN
Middle Name CAL
Sex Female Civil Status Single Birthdate 6/13/2004
LISONDRA Town/City SURIGAO CITY Province SURIGAO DEL NORTE
PERMANENT ADDRESS Barangay

Contact No./s 09276714259 joanpasanacal@gmail.com


Name of Last School ZARAGOZA NATIONAL HIGH ADMISSION TEST RESULT:
Attended SCHOOL
School Address BARANGAY ZARAGOZA,
SURIGAO CITY
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 20, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Industrial Technology major in Automotive Technology
(BSIT-AT)
Second Choice: Bachelor of Science in Industrial Technology major in Welding and Fabrication
Technology (BSIT-WFT)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Patagan
First Name Ryan
Middle Name Morales
Sex Male Civil Status Single Birthdate 4/17/2005
Magsaysau Town/City Surigao del norte Province Placer
PERMANENT ADDRESS Barangay

Contact No./s 9154736629 Magsaysay, placer, surigao del norte


Name of Last School Placer national high school ADMISSION TEST RESULT:
Attended
School Address Placer national high school
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 21, 2024_Venue: SNSU Claver Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Physical Education (BPED)
Second Choice: Bachelor of Secondary Education major in Filipino (BSED - Filipino)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Patan
First Name Melveriz
Middle Name Lubiano
Sex Female Civil Status Single Birthdate 2/20/2006
Ladgaron Town/City Claver Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09163785188 patanmelveriz@gmail.com


Name of Last School Claver National High School ADMISSION TEST RESULT:
Attended
School Address Tayaga, Claver Surigao del Norte
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 21, 2024_Venue: SNSU Claver Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Technical, Vocational Teacher Education major in Food & Service
Management (BTVTEd-FSM)
Second Choice: Bachelor of Physical Education (BPED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name PEDARSE
First Name LIAMAE
Middle Name N/A
Sex Female Civil Status Single Birthdate 2/6/2003
CANLANIPA Town/City SURIGAO CITY Province SURIGAO DEL NORTE
PERMANENT ADDRESS Barangay

Contact No./s 09811124100 liamaepedarse02@gmail.com


Name of Last School ST.JUDE THADDEUS ADMISSION TEST RESULT:
Attended INSTITUTE OF TECHNOLOGY
School Address SURIGAO CITY
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Tourism Management (BSTM)
Second Choice: Bachelor of Science in Hospitality Management (BSHM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Pedere
First Name Aiza mae
Middle Name Guerra
Sex Female Civil Status Single Birthdate 12/14/2004
P-1 Motorpool Town/City Tubod Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09265506643 aizamaepedere14@gmail.com


Name of Last School Timamana National High School ADMISSION TEST RESULT:
Attended
School Address Timamana National High School
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 15, 2024_Venue: SNSU Mainit Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Environmental Science (BSES)
Second Choice: Bachelor of Science in Hospitality Management (BSHM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name PEGARES
First Name JERALYN
Middle Name PEPITO
Sex Female Civil Status Single Birthdate 9/27/2004
TALISAY Town/City SURIGAO CITY Province SURIGAO DEL NORTE
PERMANENT ADDRESS Barangay

Contact No./s 09269383573 jeralynpegares44@gmail.com


Name of Last School TALISAY NATIONAL HIGH ADMISSION TEST RESULT:
Attended SCHOOL
School Address BRGY. TALISAY, SURIGAO CITY
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 20, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information System (BSIS)
Second Choice: Bachelor of Science in Information Technology (BSInfoTech)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name PENZA
First Name NELJOHN LOYD
Middle Name CATULMO
Sex Male Civil Status Single Birthdate 6/15/2006
SAN JUAN Town/City SURIGAO CITY Province SURIGAO DEL NORTE
PERMANENT ADDRESS Barangay

Contact No./s 09485915057 neljohnpenza773@gmail.com


Name of Last School SURIGAO CITY NATIONAL HIGH ADMISSION TEST RESULT:
Attended SCHOOL
School Address PUROK 3- BRGY SAN JUAN S.C
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Tourism Management (BSTM)
Second Choice: Bachelor of Science in Hospitality Management (BSHM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Pilada
First Name Jessa May
Middle Name Dolosa
Sex Female Civil Status Single Birthdate 1/9/2006
Taft Town/City Surigao City Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09262782102 piladajessa@gmail.com


Name of Last School Surigao del Norte national high ADMISSION TEST RESULT:
Attended school
School Address Peñaranda street brgy.
Washington
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor in Electrical Engineering Technology (BEET)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Pilan
First Name Ronel
Middle Name Galuran
Sex Male Civil Status Single Birthdate 2/14/2005
Canlanipa Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09855688008 ronelpilan877@gmail.com


Name of Last School Taft National High School ADMISSION TEST RESULT:
Attended
School Address Taft National High School
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 22, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Tourism Management (BSTM)
Second Choice: Bachelor of Arts in English Language (AB-EL)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Pimentel
First Name Marjorie
Middle Name Ga
Sex Female Civil Status Single Birthdate 8/13/2006
Washington Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09481192729 jefferson.pimentel173@gmail.com


Name of Last School Surigao Del Norte National High ADMISSION TEST RESULT:
Attended School
School Address Peniaranda Street Barangay
Washington Surigao City
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Industrial Technology major in Welding and Fabrication
Technology (BSIT-WFT)
Second Choice: Bachelor of Science in Industrial Technology major in Welding and Fabrication
Technology (BSIT-WFT)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Piñeda
First Name Carlo
Middle Name Deberto
Sex Male Civil Status Single Birthdate 5/3/2005
Magsaysay Town/City Placer Province Surigao
PERMANENT ADDRESS Barangay

Contact No./s 09815338797 carlopineda468@gmail.com


Name of Last School Placer national high school ADMISSION TEST RESULT:
Attended
School Address Magsaysay placer
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 7, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Elementary Education (BEED)
Second Choice: Bachelor of Secondary Education major in Filipino (BSED - Filipino)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Pinongpoong
First Name Me-Ann
Middle Name Magbanua
Sex Female Civil Status Single Birthdate 7/7/2006
ANAHAW Town/City ALEGRIA Province SURIGAO DEL NORTE
PERMANENT ADDRESS Barangay

Contact No./s 09925653841 meannemagbanua7@gmail.com


Name of Last School Alegria Stand Alone Senior High ADMISSION TEST RESULT:
Attended School
School Address brgy. Ouano Alegria Surigao Del
Norte
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Hospitality Management (BSHM)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Pintor
First Name Freschel
Middle Name Rosinas
Sex Female Civil Status Single Birthdate 1/23/2006
Tagbuyacan Town/City Santiago Province Agusan Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09306189761 pintorfreschel@gmail.com


Name of Last School Santiago national high school ADMISSION TEST RESULT:
Attended
School Address Santiago Agusan Del Norte
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 22, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Hospitality Management (BSHM)
Second Choice: Bachelor of Physical Education (BPED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Placeros
First Name Nicole
Middle Name
Sex Female Civil Status Single Birthdate 9/19/2003
Brgy togbongon Town/City Surigao city Province Surigao del Norte
PERMANENT ADDRESS Barangay

surigao city

Contact No./s 09700242103 placerosnicole39@gmail.com


Name of Last School Rizal national high school ADMISSION TEST RESULT:
Attended
School Address Rizal national high school
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
note of the page
2. ORDINARY BALLPEN
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Computer Science (BSCS)
Second Choice: Bachelor of Science in Hospitality Management (BSHM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Placeros
First Name Princess Kyla
Middle Name Montaner
Sex Female Civil Status Single Birthdate 2/14/2006
San Francisco Town/City Mainit Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09661862695 arviensignar@gmail.com


Name of Last School Hacienda National High School ADMISSION TEST RESULT:
Attended
School Address Hacienda National High School
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 5, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Hospitality Management (BSHM)
Second Choice: Bachelor of Physical Education (BPED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Plaza
First Name Jessa mae
Middle Name Tagnipez
Sex Female Civil Status Single Birthdate 9/18/2005
Himama-ug Town/City Tagana-an Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09813443633 jessaplaza981@gmail.com


Name of Last School Himama-ug National High School ADMISSION TEST RESULT:
Attended
School Address Tagana-an National High School
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 5, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Tourism Management (BSTM)
Second Choice: Bachelor of Arts in English Language (AB-EL)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Ponce
First Name Irish Catherine
Middle Name Opolentisima
Sex Female Civil Status Single Birthdate 9/14/2006
Brgy.Taft, Surigao City Town/City Surigao City Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09387397466 irishcatherineponce@gmail.com


Name of Last School Surigao del Norte National High ADMISSION TEST RESULT:
Attended School
School Address Peñaranda street
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 30, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Elementary Education (BEED)
Second Choice: Bachelor of Secondary Education major in Filipino (BSED - Filipino)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Presilda
First Name Rose Jean
Middle Name Betito
Sex Female Civil Status Single Birthdate 10/18/2005
Wangke Town/City Surigao City Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09556287207 Wangke,Claver Surigao del Norte


Name of Last School Claver National High School ADMISSION TEST RESULT:
Attended
School Address Tayaga Claver Surigao del Norte
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 21, 2024_Venue: SNSU Claver Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Secondary Education maj English (BSED - English)
Second Choice: Bachelor of Science in Hospitality Management (BSHM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Pueblos
First Name Christene
Middle Name Caponong
Sex Female Civil Status Single Birthdate 2/7/2006
Baleguian Town/City Jabonga Province Agusan Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09151226895 puebloschristene@gmail.com


Name of Last School Cuyago National High School ADMISSION TEST RESULT:
Attended
School Address Cuyago National High School
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 15, 2024_Venue: SNSU Mainit Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor in Automotive Engineering Technology (BAET)
Second Choice: Bachelor of Science in Industrial Technology major in Automotive Technology
(BSIT-AT)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name QUIÑO
First Name JUNRETH
Middle Name BALANON
Sex Male Civil Status Single Birthdate 9/24/2001
BRGY. RIZAL Town/City SURIGAO CITY Province SURIGAO DEL NORTE
PERMANENT ADDRESS Barangay

Contact No./s 09203500283 JUNRETHQUINO@GMAIL.COM


Name of Last School N/A ADMISSION TEST RESULT:
Attended
School Address SURIGAO DEL NORTE STATE
UNIVERSITY - MALIMONO
CAMPUS
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Elementary Education (BEED)
Second Choice: Bachelor of Elementary Education (BEED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Quinto
First Name Abby
Middle Name Amper
Sex Female Civil Status Single Birthdate 9/13/2005
Cansayong Town/City Surigao del Norte Province Malimono
PERMANENT ADDRESS Barangay

Contact No./s 09816032506 abbyamperquinto@gmail.com


Name of Last School Bunyasan national high school ADMISSION TEST RESULT:
Attended
School Address Bunyasan malimono surigao del
Norte
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 28, 2024_Venue: SNSU Malimono Campus Batch 2: 1:30-
2024-2025 SITE/VENUE AND 3:30 PM
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Elementary Education (BEED)
Second Choice: Bachelor of Elementary Education (BEED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Quinto
First Name Jianne
Middle Name Sernido
Sex Female Civil Status Single Birthdate 4/22/2005
Bunyasan Town/City Surigao Province Malimono
PERMANENT ADDRESS Barangay

Contact No./s 09705421231 jiannequinto30@gmail.com


Name of Last School Bunyasan National high school ADMISSION TEST RESULT:
Attended
School Address Bunyasan Malimono Surigao Del
Norte
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 28, 2024_Venue: SNSU Malimono Campus Batch 2: 1:30-
2024-2025 SITE/VENUE AND 3:30 PM
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Secondary Education maj English (BSED - English)
Second Choice: Bachelor of Secondary Education major in Filipino (BSED - Filipino)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Quisto
First Name Jhamaica
Middle Name Dorola
Sex Female Civil Status Single Birthdate 6/19/2006
San Juan Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09203558878 jhamaicaquisto143@gmail.com


Name of Last School Northeastern Mindanao Colleges ADMISSION TEST RESULT:
Attended
School Address Rizal Street Surigao City 8400
Surigao Del Norte
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 5, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Science in Information System (BSIS)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Racho
First Name Niel Markchris
Middle Name Torregosa
Sex Male Civil Status Single Birthdate 3/25/2005
Barangay Luna Town/City Surigao City Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09666972860 recnacslasher@gmail.com


Name of Last School Surigao del Norte National ADMISSION TEST RESULT:
Attended Highschool
School Address Peñaranda Street, Surigao City,
Surigao del Norte
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 11, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Elementary Education (BEED)
Second Choice: Bachelor of Science in Hospitality Management (BSHM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Radaza
First Name Erica Jean
Middle Name Clarang
Sex Female Civil Status Single Birthdate 12/10/2004
Barangay Washington Town/City Surigao City Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09679070734 ericajeanradaza48@gmail.com


Name of Last School Surigao del Norte National High ADMISSION TEST RESULT:
Attended School
School Address Peñaranda street, Barangay
Washington
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION May 3, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Industrial Technology major in Electronics Technology
(BSIT-ELX)
Second Choice: Bachelor of Science in Industrial Technology major in Electrical Technology
(BSIT-ELC)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Rasonabe
First Name Ludylyn
Middle Name Gastales
Sex Female Civil Status Single Birthdate 7/23/2001
Purok-2 Brgy Lipata Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09302842128 ludylynrasonabe@gmail.com


Name of Last School Northeastern Mindanao Colleges ADMISSION TEST RESULT:
Attended (Nemco)
School Address Amat St. Cor Rizal Surigao City
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Electrical Engineering (BSEE)
Second Choice: Bachelor of Science in Electronics Engineering (BSECE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name RAVELO
First Name EDDIE PHILIP
Middle Name NIEPEZ
Sex Male Civil Status Single Birthdate 3/16/2006
Magsaysay Town/City Placer Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09639713264 eddiephilipravelo@gmail.com


Name of Last School Placer National High School ADMISSION TEST RESULT:
Attended
School Address Magsaysay, Placer, Surigao del
Norte
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 20, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor in Mechanical Engineering Technology with concentration in
Mechanical Technology (BMET - MT)
Second Choice: Bachelor of Science in Computer Engineering (BSCoE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name REFORMINA
First Name JOMAR
Middle Name OPALIA
Sex Male Civil Status Single Birthdate 11/21/2005
POBLACION Town/City KITCHARAO Province AGUSAN DEL NORTE
PERMANENT ADDRESS Barangay

Contact No./s 09267388643 reforminajomar8@gmail.com


Name of Last School KITCHARAO NATIONAL HIGH ADMISSION TEST RESULT:
Attended SCHOOL
School Address P-1 CROSSING, KITCHARAO,
AGUSAN DEL NORTE
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Tourism Management (BSTM)
Second Choice: Bachelor of Science in Hospitality Management (BSHM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Reganit
First Name Arnielie
Middle Name Badana
Sex Female Civil Status Single Birthdate 10/26/2005
Tagbuyawan Town/City Mainit Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09669359629 arnieliereganit@gmail.com


Name of Last School Hacienda National High School ADMISSION TEST RESULT:
Attended
School Address Hacienda National High School
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION May 3, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor of Secondary Education major in English (BSED - English)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Regidor
First Name Arlando
Middle Name Cadena
Sex Male Civil Status Single Birthdate 10/5/2004
Lipata Town/City Surigao Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09079652274 aregidor04@gmail.com


Name of Last School Surigao Norte National High ADMISSION TEST RESULT:
Attended School
School Address Surigao Norte National High
School
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Electrical Engineering (BSEE)
Second Choice: Bachelor in Automotive Engineering Technology (BAET)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Regidor
First Name Arcelino
Middle Name Cadena
Sex Male Civil Status Single Birthdate 9/29/1999
Lipata Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09709647364 regidorarcel7@gmail.com


Name of Last School Surigao Norte National High ADMISSION TEST RESULT:
Attended school
School Address Surigao Norte National High
school
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 7, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Electronics Engineering (BSECE)
Second Choice: Bachelor of Science in Industrial Technology major in Welding and Fabrication
Technology (BSIT-WFT)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Requina
First Name Jomari
Middle Name Basadre
Sex Male Civil Status Single Birthdate 6/30/2004
Brgy mat-i Town/City Surigao city Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09667634460 apriljom25@gmail.com


Name of Last School Mat-i National High school ADMISSION TEST RESULT:
Attended
School Address Mat-i National High school
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 25, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor in Automotive Engineering Technology (BAET)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Reyes
First Name Maria Fel
Middle Name Mahinay
Sex Female Civil Status Single Birthdate 2/18/2006
Linongganan Town/City Surigao City Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09050241436 mzelreyes@gmail.com


Name of Last School Balite National High School ADMISSION TEST RESULT:
Attended
School Address Balite National High School
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 20, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor of Secondary Education major in Mathematics (BSED - Mathematics)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Reyes
First Name Joshua Kyll
Middle Name Polotan
Sex Male Civil Status Single Birthdate 9/26/2006
Sabang Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09633415299 joshuakylljk@gmail.com


Name of Last School Saint Joseph Institute of ADMISSION TEST RESULT:
Attended Technology-Annex Campus
School Address T.Calo, Butuan City
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 5, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor in Automotive Engineering Technology (BAET)
Second Choice: Bachelor in Automotive Engineering Technology (BAET)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Robantes
First Name Jems Robert
Middle Name Edradan
Sex Male Civil Status Single Birthdate 3/24/2006
Magsaysay Town/City Dinagat Dinagat Province Dinagat Islands
PERMANENT ADDRESS Barangay
Island's

Contact No./s 09482457819 jemsrobertrobantes11@gmail.com


Name of Last School Primitivo J ebol Memorial National ADMISSION TEST RESULT:
Attended Highschool
School Address PJEMNHS
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Hospitality Management (BSHM)
Second Choice: Bachelor of Science in Information Technology (BSInfoTech)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name ROCULAS
First Name MARIEL
Middle Name CONCHA
Sex Female Civil Status Single Birthdate 10/23/2003
SABANG 3, SITIO Town/City SURIGAO CITY Province SURIGAO DEL NORTE
PERMANENT ADDRESS Barangay

BANAHAW

Contact No./s 09563103613 marielroculas41@gmail.com


Name of Last School SURIGAO CITY NATIONAL HIGH ADMISSION TEST RESULT:
Attended SCHOOL
School Address SURIGAO CITY NATIONAL HIGH
SCHOOL
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 22, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Romagos
First Name Justine Dave
Middle Name Canto
Sex Male Civil Status Single Birthdate 9/30/2006
Washington Town/City Surigao City Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09953125129 justinedave058@gmail.com


Name of Last School N/A ADMISSION TEST RESULT:
Attended
School Address Surigao del Norte National High
School,. Piñaranda St., SC
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 5, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Tourism Management (BSTM)
Second Choice: Bachelor of Science in Hospitality Management (BSHM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name RONDILLOS
First Name MARIAME
Middle Name LONGOS
Sex Female Civil Status Single Birthdate 6/7/2005
SAN JUAN Town/City SURIGAO CITY Province SURIGAO DEL NORTE
PERMANENT ADDRESS Barangay

Contact No./s 09073784474 rondillosmariame@gmail.com


Name of Last School SURIGAO CITY NATIONAL HIGH ADMISSION TEST RESULT:
Attended SCHOOL
School Address SURIGAO CITY NATIONAL HIGH
SCHOOL
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 22, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Secondary Education maj Filipino (BSED - Filipino)
Second Choice: Bachelor of Elementary Education (BEED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Rosal
First Name Shielo
Middle Name Dela Cruz
Sex Female Civil Status Single Birthdate 10/16/2002
Canlanipa Town/City Surigao city Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09639083529 shielodelacruz8@gmail.com


Name of Last School Taft National High School ADMISSION TEST RESULT:
Attended
School Address Nueva ext.barangay Taft,Surigao
city
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Tourism Management (BSTM)
Second Choice: Bachelor of Secondary Education major in English (BSED - English)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Rosales
First Name Debbie Jane
Middle Name Fuentes
Sex Female Civil Status Single Birthdate 3/22/2006
Cantugas Town/City Surigao city Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09166926454 rosalesdebbiejane290@gmail.com


Name of Last School Matin-ao National high school ADMISSION TEST RESULT:
Attended
School Address Matin-ao National high school
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 7, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Industrial Technology major in Automotive Technology
(BSIT-AT)
Second Choice: Bachelor of Science in Industrial Technology major in Mechanical Technology
(BSIT-MT)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Rosales
First Name Aurelio
Middle Name Lampad
Sex Male Civil Status Single Birthdate 3/17/2002
Cambuayon Town/City Bacuag Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09350635415 herolerosales21@gmail.com


Name of Last School Payapag National High School ADMISSION TEST RESULT:
Attended
School Address Payapag Bacuag Surigao del
Norte
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 15, 2024_Venue: SNSU Mainit Campus Batch 2: 1:30-3:30
2024-2025 SITE/VENUE AND PM
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Electrical Engineering (BSEE)
Second Choice: Bachelor of Science in Electronics Engineering (BSECE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Rosillo
First Name Erick
Middle Name Tanguihan
Sex Male Civil Status Single Birthdate 9/11/2006
Barangay Taganito Town/City Claver Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09632414887 erickrosillo5@gmail.com


Name of Last School Taganito National High School ADMISSION TEST RESULT:
Attended
School Address Taganito National High School
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 22, 2024_Venue: SNSU Claver Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Science in Information Technology (BSInfoTech)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Ruaya
First Name Razor
Middle Name Galigao
Sex Male Civil Status Single Birthdate 2/2/2005
Washington Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09384471397 ruayasesem@gmail.com


Name of Last School Northeastern Mindanao Colleges ADMISSION TEST RESULT:
Attended (NEMCO)
School Address Rizal Street, Surigao City,
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Secondary Education maj English (BSED - English)
Second Choice: Bachelor of Physical Education (BPED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Ruaya
First Name Leah
Middle Name Legaspi
Sex Female Civil Status Single Birthdate 1/14/2006
Mapaso Town/City Surigao city Province Surigao Del norte
PERMANENT ADDRESS Barangay

Contact No./s 09703567852 Magsaysay placer Surigao Del norte


Name of Last School Placer National high school ADMISSION TEST RESULT:
Attended
School Address Placer National high school
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Hospitality Management (BSHM)
Second Choice: Bachelor of Science in Industrial Technology major in Welding and Fabrication
Technology (BSIT-WFT)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Ruaya
First Name Rj
Middle Name Basiga
Sex Male Civil Status Single Birthdate 10/17/0005
San Francisco Town/City Mainit Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 0910 862 0263 Rjruaya077@gmail.com


Name of Last School Hacienda National High School ADMISSION TEST RESULT:
Attended
School Address Purok 3 San Francisco mainit
surigao del norte
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 15, 2024_Venue: SNSU Mainit Campus Batch 2: 1:30-3:30
2024-2025 SITE/VENUE AND PM
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Industrial Technology major in Welding and Fabrication
Technology (BSIT-WFT)
Second Choice: Bachelor of Science in Industrial Technology major in Heating, Ventilating, Air-
Conditioning and Refrigeration (BSIT-HVACR)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Ruiz
First Name Lorenz
Middle Name Jacob
Sex Male Civil Status Single Birthdate 9/28/2005
Banbanon Town/City Surigao del Norte Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09859674252 ruizlorenz74@gmail.com


Name of Last School None ADMISSION TEST RESULT:
Attended
School Address San Francisco National High
School
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 21, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Elementary Education (BEED)
Second Choice: Bachelor of Elementary Education (BEED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Ruizol
First Name Jerald
Middle Name Arces
Sex Male Civil Status Single Birthdate 2/9/2001
Mat-i Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09458695127 jeraldruizol288@gmail.com


Name of Last School Mat-i National High School ADMISSION TEST RESULT:
Attended
School Address Barangay. Mat-i
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION May 3, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Elementary Education (BEED)
Second Choice: Bachelor of Secondary Education major in Mathematics (BSED - Mathematics)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Rutor
First Name Alyssa Jane
Middle Name Azon
Sex Female Civil Status Single Birthdate 8/19/0006
Capalayan Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09853251251 rutoralyssajane@gmail.com


Name of Last School Capalayan National High School ADMISSION TEST RESULT:
Attended
School Address Barangay Capalayan Surigao City
Surigao Del Norte
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION May 2, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Science in Industrial Technology major in Welding and Fabrication
Technology (BSIT-WFT)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Sabandal
First Name Reyjhon
Middle Name Lacre
Sex Male Civil Status Single Birthdate 12/13/0004
Tayaga Town/City Claver Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09639066957 sabandalreyjhon@gmail.com


Name of Last School Northeastern Mindanao college ADMISSION TEST RESULT:
Attended
School Address Rizal St. Surigao City
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Electronics Engineering (BSECE)
Second Choice: Bachelor of Science in Civil Engineering (BSCE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Sabido
First Name Hannalea
Middle Name Taylan
Sex Female Civil Status Single Birthdate 7/10/2006
Ipil Town/City Surigao Del Norte Province Surigao City
PERMANENT ADDRESS Barangay

Contact No./s 09058882091 hannaleasabido9@gmail.com


Name of Last School Ipil National High School ADMISSION TEST RESULT:
Attended
School Address Brgy.Ipil Surigao City
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 7, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Hospitality Management (BSHM)
Second Choice: Bachelor of Science in Electrical Engineering (BSEE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Sajebudin
First Name Nelson
Middle Name Gemina
Sex Male Civil Status Single Birthdate 9/30/2000
Oslao Town/City San Francisco Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09465664722 nelsonsajebudin427@gmail.com


Name of Last School Northeastern Mindanao Colleges ADMISSION TEST RESULT:
Attended
School Address Rizal Corner, Amat Street,
Surigao City, Philippines
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor of Secondary Education major in Mathematics (BSED - Mathematics)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Sajulga
First Name Cristine
Middle Name Luminarias
Sex Female Civil Status Single Birthdate 12/8/2005
Bagakay Town/City Claver Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09510949900 cristinesajulga0805@gmail.com


Name of Last School Claver national high school ADMISSION TEST RESULT:
Attended
School Address Claver national high school
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 21, 2024_Venue: SNSU Claver Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Computer Engineering (BSCoE)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Salapa
First Name Arnold
Middle Name Simblante
Sex Male Civil Status Single Birthdate 9/28/2004
Poblacion Town/City Surigao city Province Surigao del norte
PERMANENT ADDRESS Barangay

Contact No./s 09562172372 arnoldsalapa96@gmail.com


Name of Last School San Francisco National High ADMISSION TEST RESULT:
Attended School
School Address San Francisco,Anao-aon, Surigao
del norte
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Hospitality Management (BSHM)
Second Choice: Bachelor of Secondary Education major in English (BSED - English)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Salar
First Name Rouella Sofia
Middle Name Jacol
Sex Female Civil Status Single Birthdate 10/17/2006
Matin-ao Town/City Mainit Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09385774195 salarsofia704@gmail.com


Name of Last School San Nicolas Academy of Mainit ADMISSION TEST RESULT:
Attended Inc.
School Address San Nicolas Academy of Mainit
Inc.
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 20, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Hospitality Management (BSHM)
Second Choice: Bachelor of Arts in English Language (AB-EL)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Salem
First Name Valerie
Middle Name Desierto
Sex Female Civil Status Single Birthdate 1/16/2006
Roxas Town/City Mainit Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s +639647289175 valeriesalem991@gmail.com


Name of Last School Alegria Stand Alone Senior High ADMISSION TEST RESULT:
Attended School
School Address Brgy. Julio Ouano, Alegria,
Surigao del Norte
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Science in Environmental Science (BSES)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name SALOMON
First Name ELEMAR CEZAR
Middle Name ABANZA
Sex Male Civil Status Single Birthdate 3/26/2006
SABANG Town/City SURIGAO CITY Province SURIGAO DEL NORTE
PERMANENT ADDRESS Barangay

Contact No./s 09631992496 salomonelemarcezar.crshs@gmail.com


Name of Last School CARAGA REGIONAL SCIENCE ADMISSION TEST RESULT:
Attended HIGH SCHOOL
School Address PUROK 10, ROLAND SERING
ST., BRGY. SAN JUAN,
SURIGAO CITY, SURIGAO DEL
NORTE
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 20, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Secondary Education maj English (BSED - English)
Second Choice: Bachelor of Secondary Education major in Mathematics (BSED - Mathematics)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Salupan
First Name Aira Mae
Middle Name Guballa
Sex Female Civil Status Single Birthdate 1/8/2005
Barangay Taft Town/City Surigao City Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09519522508 salupanairamae@gmail.com


Name of Last School Northeastern Mindanao Colleges ADMISSION TEST RESULT:
Attended
School Address Rizal Street, Surigao City
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 21, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Tourism Management (BSTM)
Second Choice: Bachelor of Secondary Education major in Mathematics (BSED - Mathematics)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Salutan
First Name Jashlyn
Middle Name Matin-aw
Sex Female Civil Status Single Birthdate 8/3/2006
P-3 Arellano Libjo Town/City Libjo Province Dinagat Islands
PERMANENT ADDRESS Barangay

Dinagat Islands

Contact No./s 09093071512 jashlynsalutanm@gmail.com


Name of Last School Plaridel National High School ADMISSION TEST RESULT:
Attended
School Address Plaridel National High School
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 4, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
note of the page
2. ORDINARY BALLPEN
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Electrical Engineering (BSEE)
Second Choice: Bachelor of Science in Civil Engineering (BSCE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Salva
First Name Elger
Middle Name Tucong
Sex Male Civil Status Single Birthdate 8/15/2006
Cagdianao Town/City Claver Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09535727263 salvaelger15@gmail.com


Name of Last School Taganito National High School ADMISSION TEST RESULT:
Attended
School Address Taganito Claver Surigao Del
Norte
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 22, 2024_Venue: SNSU Claver Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Elementary Education (BEED)
Second Choice: Bachelor of Science in Civil Engineering (BSCE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Samontina
First Name Queen Mariel
Middle Name Dador
Sex Female Civil Status Single Birthdate 4/26/2006
Panatao Town/City Claver Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09362673583 samontinamariel@gmail.com


Name of Last School Claver National High School ADMISSION TEST RESULT:
Attended
School Address Tayaga, claver Surigao del Norte
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 22, 2024_Venue: SNSU Claver Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Elementary Education (BEED)
Second Choice: Bachelor of Science in Hospitality Management (BSHM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Samontina
First Name Leyra Mae
Middle Name Manalo
Sex Female Civil Status Single Birthdate 10/13/2006
Brgy Luna river side Town/City Surigao city Province Surigao del Norte
PERMANENT ADDRESS Barangay

airport

Contact No./s 09856359752 leyramaesamontina@gmail.com


Name of Last School Surigao del Norte National High ADMISSION TEST RESULT:
Attended school
School Address Peñaranda street Brgy
Washington
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION May 3, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Computer Engineering (BSCoE)
Second Choice: Bachelor of Science in Computer Science (BSCS)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Sandigan
First Name Aires
Middle Name Selisana
Sex Female Civil Status Single Birthdate 11/22/2005
San Juan Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09383489323 sandiganaires@gmail.com


Name of Last School SURIGAO DEL NORTE ADMISSION TEST RESULT:
Attended NATIONAL HIGH SCHOOL
School Address Penaranda Street
Senior High School Strand ABM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information System (BSIS)
Second Choice: Bachelor of Science in Industrial Technology major in Electrical Technology
(BSIT-ELC)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name SANJORJO
First Name JANSEN
Middle Name TIMBAL
Sex Male Civil Status Single Birthdate 12/15/2005
Navarro Town/City Basilisa Province Dinagat Islands
PERMANENT ADDRESS Barangay

Contact No./s 09503057630 sanjorojansen@gmail.com


Name of Last School Science Technology Institute ADMISSION TEST RESULT:
Attended College of Surigao
School Address Narciso st., Surigao City
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Computer Science (BSCS)
Second Choice: Bachelor of Science in Computer Engineering (BSCoE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Santillana
First Name Brinn Jeremiah
Middle Name Zerda
Sex Female Civil Status Single Birthdate 4/11/2005
Brgy. Cagniog Town/City Surigao City Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09302826718 brinnsantillana@gmail.com


Name of Last School Surigao del Norte National High ADMISSION TEST RESULT:
Attended School
School Address Peñeranda St., Surigao City
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Elementary Education (BEED)
Second Choice: Bachelor of Elementary Education (BEED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name SARCO
First Name MIKAILAH
Middle Name LIMATO
Sex Female Civil Status Single Birthdate 6/29/2006
HINIMBANGAN Town/City KITCHARAO Province AGUSAN DEL NORTE
PERMANENT ADDRESS Barangay

Contact No./s 09055432324 sarcomikailah21@gmail.com


Name of Last School KITCHARAO NATIONAL HIGH ADMISSION TEST RESULT:
Attended SCHOOLCCROSSING
School Address CROSSING KITCHARAO
AGUSAN DEL NORTE
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 15, 2024_Venue: SNSU Mainit Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Industrial Technology major in Automotive Technology
(BSIT-AT)
Second Choice: Bachelor of Secondary Education major in English (BSED - English)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Sardovia
First Name Zeine
Middle Name
Sex Male Civil Status Single Birthdate 9/30/2004
Amoslog Town/City Surigao Province Caraga
PERMANENT ADDRESS Barangay

Contact No./s 09197266366 Amoslog placer Surigao Del Norte


Name of Last School Placer national high school ADMISSION TEST RESULT:
Attended
School Address Placer national high school
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Tourism Management (BSTM)
Second Choice: Bachelor of Science in Hospitality Management (BSHM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name SARONG
First Name JORIELLE
Middle Name MERIDA
Sex Female Civil Status Single Birthdate 10/16/2005
SAN ROQUE Town/City BUTUAN CITY Province AGUSAN DEL NORTE
PERMANENT ADDRESS Barangay

Contact No./s 09356813952 joriellemerida@gmail.com


Name of Last School KITCHARAO NATIONAL HIGH ADMISSION TEST RESULT:
Attended SCHOOL
School Address CROSSING, KITCHARAO
AGUSAN DEL NORTE
Senior High School Strand ABM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Elementary Education (BEED)
Second Choice: Bachelor of Secondary Education major in English (BSED - English)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Sarong
First Name Jonamarie
Middle Name Pizon
Sex Female Civil Status Single Birthdate 7/4/2006
Motorpool Town/City Tubod Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09059452824 jona17185@gmail.com


Name of Last School Timamana National High School ADMISSION TEST RESULT:
Attended
School Address Timamana Tubod Surigao Del
Norte
Senior High School Strand ABM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 15, 2024_Venue: SNSU Mainit Campus Batch 2: 1:30-3:30
2024-2025 SITE/VENUE AND PM
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor of Science in Civil Engineering (BSCE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Savandal
First Name Jemar Angelo
Middle Name Cañete
Sex Male Civil Status Single Birthdate 10/10/2002
Purok 4,barangay Silop Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09565475540 LadnavasRamej@gmail.com


Name of Last School Surigao Education Center ADMISSION TEST RESULT:
Attended
School Address Km 2,National
Highway,8400,Surigao City
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 20, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Computer Engineering (BSCoE)
Second Choice: Bachelor of Science in Electrical Engineering (BSEE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Seclon
First Name Dan Lloyd
Middle Name Manliguez
Sex Male Civil Status Single Birthdate 11/27/2004
Amontay Town/City San Francisco Province Surigao del norte
PERMANENT ADDRESS Barangay

Contact No./s 09858858159 danlloydseclon20@gmail.com


Name of Last School San Francisco national high ADMISSION TEST RESULT:
Attended School
School Address San Francisco national high
School
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Technical, Vocational Teacher Education major in Food & Service
Management (BTVTEd-FSM)
Second Choice: Bachelor of Science in Hospitality Management (BSHM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Segarra
First Name Jenny Rose
Middle Name Ego-Ogan
Sex Female Civil Status Single Birthdate 3/13/2004
Luna Town/City Surigao city Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09385827474 jheanjennysegarra@gmail.com


Name of Last School Surigao del Norte national ADMISSION TEST RESULT:
Attended highschool
School Address Penaranda Street Surigao City,
Surigao del Norte
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 2, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Secondary Education maj Mathematics (BSED - Mathematics)
Second Choice: Bachelor of Science in Civil Engineering (BSCE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Segarra
First Name Joanna Jhane
Middle Name Ego-Ogan
Sex Female Civil Status Single Birthdate 6/24/2006
Barangay Luna Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09505940828 joannasegarra802@gmail.com


Name of Last School Surigao Del Norte National High ADMISSION TEST RESULT:
Attended School
School Address Peñaranda Street. Surigao City ,
Surigao Del Norte
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 2, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Segarra
First Name Cj
Middle Name Balili
Sex Male Civil Status Single Birthdate 7/24/2006
Luna Town/City Surigao city Province Surigao del norte
PERMANENT ADDRESS Barangay

Contact No./s 09091598025 Surigao city


Name of Last School Surigao Del Norte National High ADMISSION TEST RESULT:
Attended School
School Address Penaranda Street Surigao City
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 28, 2024_Venue: SNSU Malimono Campus Batch 1: 8-10
2024-2025 SITE/VENUE AND AM
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Secondary Education maj Filipino (BSED - Filipino)
Second Choice: Bachelor of Science in Environmental Science (BSES)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Seguis
First Name Crisalyn
Middle Name Lanquino
Sex Female Civil Status Single Birthdate 10/11/2004
Brgy. Togbongon Town/City Surigao city Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09635686848 Crisalynlanquinoseguis@gmail.com


Name of Last School Surigao del Norte National High ADMISSION TEST RESULT:
Attended
School Address Peñaranda street
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 30, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor of Science in Environmental Science (BSES)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Selisana
First Name Klydol
Middle Name Virtudazo
Sex Male Civil Status Single Birthdate 6/30/2006
Brgy. Washington Town/City Surigao city Province Surigao city
PERMANENT ADDRESS Barangay

Contact No./s 09771369262 manto.dems@gmail.com


Name of Last School Surigao del Norte National high ADMISSION TEST RESULT:
Attended school
School Address Peñaranda st. Surigao city
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION May 3, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Environmental Science (BSES)
Second Choice: Bachelor of Science in Information Technology (BSInfoTech)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Seville
First Name Mariz Joy
Middle Name Trajano
Sex Female Civil Status Single Birthdate 3/30/2005
Puerto Princesa Town/City Basilisa Province Dinagat Islands
PERMANENT ADDRESS Barangay

Contact No./s 09382558583 marizjoys30@gmail.com


Name of Last School Puerto Princesa-Moleta National ADMISSION TEST RESULT:
Attended High School
School Address Puerto Pincesa Basilisa Dinagat
Islands
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Computer Engineering (BSCoE)
Second Choice: Bachelor of Science in Civil Engineering (BSCE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Siguan
First Name Mathew Nhoslein
Middle Name Biong
Sex Male Civil Status Single Birthdate 8/25/0006
Ombong Town/City Alegria Surigao del Province Surigao del norte
PERMANENT ADDRESS Barangay
norte

Contact No./s 09942540467 nhosleinsiguan@gmail.com


Name of Last School Alegria Stand Alone Senior High ADMISSION TEST RESULT:
Attended School
School Address Alegria Stand Alone Senior High
School
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 15, 2024_Venue: SNSU Mainit Campus Batch 2: 1:30-3:30
2024-2025 SITE/VENUE AND PM
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Computer Engineering (BSCoE)
Second Choice: Bachelor of Science in Information Technology (BSInfoTech)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Sisnorio
First Name Patrick
Middle Name Cuevas
Sex Male Civil Status Single Birthdate 11/10/2005
Taft. Bob Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09685823846 haijover234@gmail.com


Name of Last School Surigao Norte National High ADMISSION TEST RESULT:
Attended School
School Address Penaranda Street, Surigao City,
Surigao del Norte
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 20, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Environmental Science (BSES)
Second Choice: Bachelor of Science in Information Technology (BSInfoTech)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Solar
First Name Sharifel
Middle Name Apole
Sex Female Civil Status Single Birthdate 9/4/2003
Lower Libas Town/City Tagana-an Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09103690269 sharifelsolar@gmail.com


Name of Last School Amando A. Fabio Memorial ADMISSION TEST RESULT:
Attended National High School
School Address Sta. Cruz Placer, Surigao del
Norte
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Elementary Education (BEED)
Second Choice: Bachelor of Secondary Education major in English (BSED - English)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Suacillo
First Name Kristine Jean
Middle Name Galinea
Sex Female Civil Status Single Birthdate 8/15/2001
Aurora Town/City Tagana-an Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09279746214 suacillokristine@gmail.com


Name of Last School Nemco(Northeastern Mindanao ADMISSION TEST RESULT:
Attended colleges)
School Address Surigao city
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Electrical Engineering (BSEE)
Second Choice: Bachelor of Science in Civil Engineering (BSCE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Suano
First Name Jayger
Middle Name Bantilan
Sex Male Civil Status Single Birthdate 11/23/2005
Cantugas Town/City Mainit Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09700241956 jaygersuano@gmail.com


Name of Last School Matin-ao National High School ADMISSION TEST RESULT:
Attended
School Address Matin-ao National High School
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Tourism Management (BSTM)
Second Choice: Bachelor of Science in Computer Engineering (BSCoE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Sueles
First Name Mary-ann
Middle Name Senerez
Sex Female Civil Status Single Birthdate 6/24/2004
CENTRAL Town/City PLACER Province SURIGAO DEL NORTE
PERMANENT ADDRESS Barangay

Contact No./s 09853452197 maryannsueles940@gmail.com


Name of Last School PLACER NATIONAL ADMISSION TEST RESULT:
Attended HIGHSCHOOL
School Address PLACER NATIONAL
HIGHSCHOOL
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 21, 2024_Venue: SNSU Claver Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Physical Education (BPED)
Second Choice: Bachelor of Physical Education (BPED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Sulapas
First Name Jeril jun
Middle Name Ampinon
Sex Male Civil Status Single Birthdate 7/26/2005
lapinigan Town/City claver surigao del Province Surigao del Norte
PERMANENT ADDRESS Barangay
Norte

Contact No./s 09063829877 Lapinigan claver surigao del Norte


Name of Last School Claver national high school ADMISSION TEST RESULT:
Attended
School Address claver surigao del Norte
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 21, 2024_Venue: SNSU Claver Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Tourism Management (BSTM)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Sulibaga
First Name Karylle
Middle Name Hale
Sex Female Civil Status Single Birthdate 5/21/2005
Porok 3 baranggay Town/City Alegria Province Surigao del Norte
PERMANENT ADDRESS Barangay

camp eduard

Contact No./s +639925642282 abascalkarylle@gmail.com


Name of Last School Alegria stand alone senior high ADMISSION TEST RESULT:
Attended school
School Address Ouano alegria surigao del norte
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 15, 2024_Venue: SNSU Mainit Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
note of the page
2. ORDINARY BALLPEN
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Secondary Education maj Filipino (BSED - Filipino)
Second Choice: Bachelor of Elementary Education (BEED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Sulit
First Name Charyl
Middle Name Vega
Sex Female Civil Status Single Birthdate 8/20/2006
Brgy Taft Town/City Surigao city Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09269384299 charylsulit60@email.com


Name of Last School Taft National High School ADMISSION TEST RESULT:
Attended
School Address Brgy. Taft, Surigao City
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 22, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor of Science in Electrical Engineering (BSEE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Sumaylo
First Name Mark John paul
Middle Name Tanasas
Sex Male Civil Status Single Birthdate 8/6/0005
Bagakay Town/City Surigao city Province Claver
PERMANENT ADDRESS Barangay

Contact No./s 09851879529 markjohn@gmail.com


Name of Last School Claver national high school ADMISSION TEST RESULT:
Attended
School Address Claver national high school
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 22, 2024_Venue: SNSU Claver Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Industrial Technology major in Architectural Drafting
Technology (BSIT-ADT)
Second Choice: Bachelor of Science in Environmental Science (BSES)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Sumaylo
First Name Yeshamy
Middle Name Jabian
Sex Female Civil Status Single Birthdate 6/13/2006
Daywan Town/City Claver Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09639254007 sumayloyeshamy@gmail.com


Name of Last School Claver National High school ADMISSION TEST RESULT:
Attended
School Address Tayaga, Claver, Surigao del Norte
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 22, 2024_Venue: SNSU Claver Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Tourism Management (BSTM)
Second Choice: Bachelor of Secondary Education major in Filipino (BSED - Filipino)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Sumido
First Name Ella Mae
Middle Name Bunyog
Sex Female Civil Status Single Birthdate 9/14/2005
Daywan Town/City Claver Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09671602106 ellamaesumido16@gmail.com


Name of Last School Claver National Highschool ADMISSION TEST RESULT:
Attended
School Address Tayaga, Claver, Surigao del Norte
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Computer Engineering (BSCoE)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Tabar
First Name Charish
Middle Name De Asis
Sex Female Civil Status Single Birthdate 9/1/2006
San Francisco Town/City Surigao del Norte Province Mainit
PERMANENT ADDRESS Barangay

Contact No./s 09811279871 San Francisco mainit Surigao del


Name of Last School Hacienda national high school ADMISSION TEST RESULT:
Attended
School Address Hacienda national high school
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Environmental Science (BSES)
Second Choice: Bachelor of Elementary Education (BEED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Taguba
First Name Kimberly Jade
Middle Name Gonzales
Sex Female Civil Status Single Birthdate 10/31/2005
Cayawan Town/City Surigao del Norte Province Malimono
PERMANENT ADDRESS Barangay

Contact No./s 09630531649 kimberlytaguba744@gmail.com


Name of Last School Malimono National Highschool ADMISSION TEST RESULT:
Attended
School Address Malimono National Highschool
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 7, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Tourism Management (BSTM)
Second Choice: Bachelor of Science in Hospitality Management (BSHM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Takeuchi
First Name Nikka Andrea
Middle Name Macato
Sex Female Civil Status Single Birthdate 12/11/2005
Taft Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09380217488 nikstakeuchi@gmail.com


Name of Last School SNNHS ADMISSION TEST RESULT:
Attended
School Address Peñaranda Street
Senior High School Strand ABM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Industrial Technology major in Electrical Technology
(BSIT-ELC)
Second Choice: Bachelor of Science in Information Technology (BSInfoTech)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Talic
First Name Jeraldine
Middle Name Odias
Sex Female Civil Status Single Birthdate 11/13/2005
Matin -ao Town/City Mainit Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09480396949 talicjeraldine13@gmail.com


Name of Last School Matin -ao National High School ADMISSION TEST RESULT:
Attended
School Address Matin -ao Mainit Surigao Del
Norte
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 15, 2024_Venue: SNSU Mainit Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Electrical Engineering (BSEE)
Second Choice: Bachelor of Science in Electrical Engineering (BSEE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Tamayo
First Name Zenmar
Middle Name Degamon
Sex Male Civil Status Single Birthdate 5/24/2006
Tagbuyawan Town/City Surigao city Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09708858779 zenmartamayo84@gmail.com


Name of Last School Matin-ao National high school ADMISSION TEST RESULT:
Attended
School Address Matin-ao National high school
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 7, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Elementary Education (BEED)
Second Choice: Bachelor of Secondary Education major in Filipino (BSED - Filipino)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Taypa
First Name Kate Carla
Middle Name Daytoc
Sex Female Civil Status Single Birthdate 5/30/2006
San Roque Town/City Tubajon Province Dinagat Island
PERMANENT ADDRESS Barangay

Contact No./s 09811543706 k00996038@gmail.com


Name of Last School Tubajon National High School ADMISSION TEST RESULT:
Attended
School Address San Vicente, Tubajon, Dinagat
Island
Senior High School Strand ABM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 23, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Industrial Technology major in Electrical Technology
(BSIT-ELC)
Second Choice: Bachelor of Physical Education (BPED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Taypa
First Name Ma. Ella
Middle Name Galinsuga
Sex Female Civil Status Single Birthdate 7/10/2006
San Vicente Town/City Tubajon Province Dinagat Islands
PERMANENT ADDRESS Barangay

Contact No./s 09700920426 San Vicente, Tubajon, Dinagat Islands


Name of Last School Tubajon National High School ADMISSION TEST RESULT:
Attended
School Address San Vicente, Tubajon, Dinagat
Islands
Senior High School Strand ABM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 23, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor in Mechanical Engineering Technology with concentration in
Mechanical Technology (BMET - MT)
Second Choice: Bachelor of Physical Education (BPED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name TEMPLO
First Name PETER PAUL
Middle Name BERNADAS
Sex Male Civil Status Single Birthdate 6/29/2004
TALAVERA Town/City SURIGAO CITY Province SURIGAO DEL NORTE
PERMANENT ADDRESS Barangay

Contact No./s 09631954509 templopeterpaul2@gmail.com


Name of Last School TALAVERA NATIONAL HIGH ADMISSION TEST RESULT:
Attended SCHOOL
School Address TALAVERA NATIONAL HIGH
SCHOOL
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 2, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Tourism Management (BSTM)
Second Choice: Bachelor of Science in Hospitality Management (BSHM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Tenolite
First Name Angel
Middle Name Costin
Sex Female Civil Status Single Birthdate 8/2/2005
P-3 Brgy. Nabago Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 0981 604 5844 maissubarashii@gmail.com


Name of Last School Surigao Del Norte National High ADMISSION TEST RESULT:
Attended School
School Address Peñaranda st. Surigao City,
Surigao Del Norte
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 20, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Hospitality Management (BSHM)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Tesado
First Name Jhon Nicole
Middle Name Sulima
Sex Male Civil Status Single Birthdate 11/25/2003
San Jose Town/City Del Carmen Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09631210652 tesadojhonnicole@gamil.com


Name of Last School Northeastern Mindanao Colleges ADMISSION TEST RESULT:
Attended
School Address Rizal Street, Surigao City
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Tourism Management (BSTM)
Second Choice: Bachelor of Secondary Education major in English (BSED - English)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Ticong
First Name Rosemarie
Middle Name Guibao
Sex Female Civil Status Single Birthdate 7/1/2004
Campo Town/City Bacuag Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09535897775 ticongrosemarie@gmail.com


Name of Last School NEMSU-CANTILAN ADMISSION TEST RESULT:
Attended
School Address Cantilan, Surigao del Sur
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 21, 2024_Venue: SNSU Claver Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Science in Electrical Engineering (BSEE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Tisang
First Name Janus
Middle Name Cantillas
Sex Male Civil Status Single Birthdate 7/29/2005
Brgy San Juan Purok 6 Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09197142691 janustisang@gmail.com


Name of Last School Surigao City National High School ADMISSION TEST RESULT:
Attended
School Address Surigao City National High,
Surigao del Norte
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION May 2, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Elementary Education (BEED)
Second Choice: Bachelor of Arts in English Language (AB-EL)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Tormento
First Name Larlyn
Middle Name Laplana
Sex Female Civil Status Single Birthdate 11/30/2005
Mabini Town/City Sta.Monica Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09810668423 tormentolarlyn2005@gmail.com


Name of Last School Northeastern Mindanao Colleges ADMISSION TEST RESULT:
Attended
School Address Rizal Street, Surigao City
Senior High School Strand ABM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 5, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name TOROTORO
First Name BENJAMEN II
Middle Name ANGOB
Sex Male Civil Status Single Birthdate 3/4/2006
Brgy. San Roque Town/City Tubajon Province Dinagat Islands
PERMANENT ADDRESS Barangay

Contact No./s 09515197192 benjamentorotoro4@gmail.com


Name of Last School Surigao del Norte National High ADMISSION TEST RESULT:
Attended
School Address Peñaranda St., Brgy. Washington,
Surigao City, Surigao del Norte
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION May 3, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Secondary Education maj Filipino (BSED - Filipino)
Second Choice: Bachelor of Elementary Education (BEED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Torremocha
First Name Janelyn
Middle Name Eras
Sex Female Civil Status Single Birthdate 11/19/2005
Arellano Town/City Libjo Province Dinagat Islands
PERMANENT ADDRESS Barangay

Contact No./s 09467651604 lynjane37@gmail.com


Name of Last School Surigao del Norte National High ADMISSION TEST RESULT:
Attended School
School Address Peñaranda St., Brgy. Washington,
Surigao City
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION April 25, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Hospitality Management (BSHM)
Second Choice: Bachelor of Arts in English Language (AB-EL)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Trigo
First Name Jericho
Middle Name Laurejas
Sex Male Civil Status Single Birthdate 10/8/2005
honrado Town/City surigao city Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09564791674 jerichotrigo362@gmail.com


Name of Last School San Francisco National High ADMISSION TEST RESULT:
Attended School
School Address Brgy. Poblacion San Francisco
SDN
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Industrial Technology major in Electronics Technology
(BSIT-ELX)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name TUDTOD
First Name AIVY ROSE
Middle Name YANTE
Sex Female Civil Status Single Birthdate 4/14/2005
SABANG Town/City SURIGAO Province SURIGAO DEL NORTE
PERMANENT ADDRESS Barangay

Contact No./s 09367983227 tudtodaivyrose@gmail.com


Name of Last School SURIGAO CITY NATIONAL HIGH ADMISSION TEST RESULT:
Attended SCHOOL
School Address SAN JUAN
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Hospitality Management (BSHM)
Second Choice: Bachelor of Science in Information Technology (BSInfoTech)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name TUDTOD
First Name LIMUEL
Middle Name MORALES
Sex Male Civil Status Single Birthdate 10/4/2005
ANAHAW Town/City ALEGRIA SURIGAO Province SURIGAO DEL NORTE
PERMANENT ADDRESS Barangay
DEL NORTE

Contact No./s 09936389779 jakerevena@gmail.com


Name of Last School ALEGRIA STAND ALONE ADMISSION TEST RESULT:
Attended SENIOR HIGH SCHOOL
School Address JULIO OUANO ALEGRIA
SURIGAO DEL NORTE
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 15, 2024_Venue: SNSU Mainit Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor of Science in Information Technology (BSInfoTech)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Tumalon
First Name Sadannah rose
Middle Name Dalanan
Sex Female Civil Status Single Birthdate 10/14/2005
Matin-ao Town/City Mainit Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09502315320 sadannahtumalon@gmail.com


Name of Last School Matin -ao National high school ADMISSION TEST RESULT:
Attended
School Address Matin-ao Mainit Surigao del Norte
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 15, 2024_Venue: SNSU Mainit Campus Batch 2: 1:30-3:30
2024-2025 SITE/VENUE AND PM
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Science in Electronics Engineering (BSECE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Tutor
First Name Rysa
Middle Name Sitoy
Sex Female Civil Status Single Birthdate 4/9/2006
Mat-i Town/City surigao del norte Province Surigao del norte
PERMANENT ADDRESS Barangay

Contact No./s 09381564384 rysatutor1@gmail.com


Name of Last School Mat-i national high school ADMISSION TEST RESULT:
Attended
School Address Mat-i national high school
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Elementary Education (BEED)
Second Choice: Bachelor of Physical Education (BPED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Ubar
First Name Marchie
Middle Name Alingasa
Sex Female Civil Status Single Birthdate 3/1/2006
Del Rosario, Tubod Town/City Tubod Surigao del Province Surigao del Norte
PERMANENT ADDRESS Barangay
Norte
Surigao del Norte

Contact No./s 09105230911 reyesjane135@gmail.com


Name of Last School Tubod national high school ADMISSION TEST RESULT:
Attended
School Address Poblacion, Tubod Surigao del
Norte
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 6, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Civil Engineering (BSCE)
Second Choice: Bachelor of Science in Computer Engineering (BSCoE)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Uy
First Name Joanna joan
Middle Name Luca
Sex Female Civil Status Single Birthdate 11/28/2005
Taft Town/City Surigao city Province Surigao del norte
PERMANENT ADDRESS Barangay

Contact No./s 09203570261 uyjoanna29@gmail.com


Name of Last School Surigao Del Norte National High ADMISSION TEST RESULT:
Attended School
School Address Peñaranda street
Senior High School Strand STEM
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Elementary Education (BEED)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name UY
First Name LOREWENA
Middle Name ELUDO
Sex Female Civil Status Single Birthdate 12/22/2006
PUROK-1 BRGY. Town/City SURIGAO CITY Province SURIGAO DEL NORTE
PERMANENT ADDRESS Barangay

BILABID SURIGAO CITY

Contact No./s 09460200777 rosheleludo@gmail.com


Name of Last School SURIGAO DEL NORTE ADMISSION TEST RESULT:
Attended NATIONAL HIGH SCHOOL
School Address PENARANDA STREET
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
note of the page
2. ORDINARY BALLPEN
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Secondary Education maj Filipino (BSED - Filipino)
Second Choice: Bachelor of Physical Education (BPED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Valencia
First Name Maria Dorathy
Middle Name Diones
Sex Female Civil Status Single Birthdate 7/15/2006
URBIZTONDO Town/City Claver Province SURIGAO DEL NORTE
PERMANENT ADDRESS Barangay

Contact No./s 09154924056 m.d.valencia0715@gmail.com


Name of Last School Claver national highschool ADMISSION TEST RESULT:
Attended
School Address Tayaga,claver, SURIGAO DEL
NORTE
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 21, 2024_Venue: SNSU Claver Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Electrical Engineering (BSEE)
Second Choice: Bachelor of Science in Industrial Technology major in Architectural Drafting
Technology (BSIT-ADT)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Velarde
First Name Kathleen Mhae
Middle Name Peosang
Sex Female Civil Status Single Birthdate 5/23/2006
Canlanipa Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09510946495 kv.peosang@gmail.com


Name of Last School STI College Surigao ADMISSION TEST RESULT:
Attended
School Address Narciso street, Surigao City
Senior High School Strand GAS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 22, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Secondary Education maj English (BSED - English)
Second Choice: Bachelor of Physical Education (BPED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Verano
First Name Lordelyn
Middle Name Gravino
Sex Female Civil Status Single Birthdate 2/9/2006
Daywan Town/City Claver Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09292976586 lordelynverano09@gmail.com


Name of Last School Claver National High School ADMISSION TEST RESULT:
Attended
School Address Tayaga, Claver, Surigao del Norte
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 21, 2024_Venue: SNSU Claver Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Secondary Education maj English (BSED - English)
Second Choice: Bachelor of Elementary Education (BEED)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Vienes
First Name Joshua
Middle Name Labadan
Sex Male Civil Status Single Birthdate 1/28/2006
Cansayong Town/City Malimono Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09460819002 vienesjoshua@gmail.com


Name of Last School Bunyasan National High School ADMISSION TEST RESULT:
Attended
School Address Bunyasan Malimono Surigao Del
Norte
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 28, 2024_Venue: SNSU Malimono Campus Batch 2: 1:30-
2024-2025 SITE/VENUE AND 3:30 PM
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor in Automotive Engineering Technology (BAET)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Villacencio
First Name B.J Dave
Middle Name
Sex Male Civil Status Single Birthdate 6/15/2004
Rizal Town/City Surigao City Province Surigao Del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09106966761 villacenciobjdave93@gmail.com


Name of Last School Socorro National High School ADMISSION TEST RESULT:
Attended
School Address Socorro Bukas Grande Island
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 20, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Science in Computer Science (BSCS)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name VILLACORTE
First Name NUTCHIE
Middle Name JALAGAT
Sex Female Civil Status Single Birthdate 10/21/2006
P-4 BOA Town/City SURIGAO CITY Province CAGDIANAO DINAGAT ISLANDS
PERMANENT ADDRESS Barangay

Contact No./s 09350616630 vnutchie@gmail.com


Name of Last School VALENCIA NATIONAL HIGH ADMISSION TEST RESULT:
Attended SCHOOL
School Address SURIGAO DEL NORTE
NATIONAL HIGH SCHOOL
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 7, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM


2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Hospitality Management (BSHM)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name VILLAR
First Name MARLYN
Middle Name TUPAS
Sex Female Civil Status Single Birthdate 1/19/2005
STA. RITA Town/City CAGDIANAO Province DINAGAT ISLANDS
PERMANENT ADDRESS Barangay

Contact No./s 09461055466 villarmarlyn07@gmail.com


Name of Last School CAGDIANAO NATIONAL HIGH ADMISSION TEST RESULT:
Attended SCHOOL
School Address BARANGAY POBLACION,
CAGDIANAO, DINAGAT
ISLANDS
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 22, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Information Technology (BSInfoTech)
Second Choice: Bachelor of Science in Tourism Management (BSTM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Vista
First Name Jason
Middle Name Mainit
Sex Male Civil Status Single Birthdate 10/23/2003
Silop Town/City Surigao City Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09383559076 Jasonvista18@gmail.com


Name of Last School Cabrera Altres National High ADMISSION TEST RESULT:
Attended School
School Address Cabrera Altres National High
School
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor in Automotive Engineering Technology (BAET)
Second Choice: Bachelor in Electrical Engineering Technology (BEET)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name Yu
First Name Kleint
Middle Name Belaya
Sex Male Civil Status Single Birthdate 4/27/2005
San Isidro Town/City Mainit Province Surigao del Norte
PERMANENT ADDRESS Barangay

Contact No./s 09152692941 nikyubelaya@gmail.com


Name of Last School Mainit National Highschool ADMISSION TEST RESULT:
Attended
School Address Brgy. Quezon,Mainit,Surigao del
Norte
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION February 15, 2024_Venue: SNSU Mainit Campus Batch 1: 8-10 AM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice:
Second Choice:
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name
First Name
Middle Name
Sex Civil Status Birthdate
Barangay Town/City Province
PERMANENT ADDRESS

Contact No./s
Name of Last School ADMISSION TEST RESULT:
Attended
School Address
Senior High School Strand
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice:
Second Choice:
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name
First Name
Middle Name
Sex Civil Status Birthdate
Barangay Town/City Province
PERMANENT ADDRESS

Contact No./s
Name of Last School ADMISSION TEST RESULT:
Attended
School Address
Senior High School Strand
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice:
Second Choice:
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name
First Name
Middle Name
Sex Civil Status Birthdate
Barangay Town/City Province
PERMANENT ADDRESS

Contact No./s
Name of Last School ADMISSION TEST RESULT:
Attended
School Address
Senior High School Strand
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice:
Second Choice:
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name
First Name
Middle Name
Sex Civil Status Birthdate
Barangay Town/City Province
PERMANENT ADDRESS

Contact No./s
Name of Last School ADMISSION TEST RESULT:
Attended
School Address
Senior High School Strand
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice:
Second Choice:
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name
First Name
Middle Name
Sex Civil Status Birthdate
Barangay Town/City Province
PERMANENT ADDRESS

Contact No./s
Name of Last School ADMISSION TEST RESULT:
Attended
School Address
Senior High School Strand
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice:
Second Choice:
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name
First Name
Middle Name
Sex Civil Status Birthdate
Barangay Town/City Province
PERMANENT ADDRESS

Contact No./s
Name of Last School ADMISSION TEST RESULT:
Attended
School Address
Senior High School Strand
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice:
Second Choice:
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name
First Name
Middle Name
Sex Civil Status Birthdate
Barangay Town/City Province
PERMANENT ADDRESS

Contact No./s
Name of Last School ADMISSION TEST RESULT:
Attended
School Address
Senior High School Strand
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice:
Second Choice:
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name
First Name
Middle Name
Sex Civil Status Birthdate
Barangay Town/City Province
PERMANENT ADDRESS

Contact No./s
Name of Last School ADMISSION TEST RESULT:
Attended
School Address
Senior High School Strand
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice:
Second Choice:
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name
First Name
Middle Name
Sex Civil Status Birthdate
Barangay Town/City Province
PERMANENT ADDRESS

Contact No./s
Name of Last School ADMISSION TEST RESULT:
Attended
School Address
Senior High School Strand
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice:
Second Choice:
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name
First Name
Middle Name
Sex Civil Status Birthdate
Barangay Town/City Province
PERMANENT ADDRESS

Contact No./s
Name of Last School ADMISSION TEST RESULT:
Attended
School Address
Senior High School Strand
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice:
Second Choice:
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name
First Name
Middle Name
Sex Civil Status Birthdate
Barangay Town/City Province
PERMANENT ADDRESS

Contact No./s
Name of Last School ADMISSION TEST RESULT:
Attended
School Address
Senior High School Strand
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice:
Second Choice:
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name
First Name
Middle Name
Sex Civil Status Birthdate
Barangay Town/City Province
PERMANENT ADDRESS

Contact No./s
Name of Last School ADMISSION TEST RESULT:
Attended
School Address
Senior High School Strand
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice:
Second Choice:
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name
First Name
Middle Name
Sex Civil Status Birthdate
Barangay Town/City Province
PERMANENT ADDRESS

Contact No./s
Name of Last School ADMISSION TEST RESULT:
Attended
School Address
Senior High School Strand
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice:
Second Choice:
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name
First Name
Middle Name
Sex Civil Status Birthdate
Barangay Town/City Province
PERMANENT ADDRESS

Contact No./s
Name of Last School ADMISSION TEST RESULT:
Attended
School Address
Senior High School Strand
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice:
Second Choice:
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name
First Name
Middle Name
Sex Civil Status Birthdate
Barangay Town/City Province
PERMANENT ADDRESS

Contact No./s
Name of Last School ADMISSION TEST RESULT:
Attended
School Address
Senior High School Strand
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice:
Second Choice:
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name
First Name
Middle Name
Sex Civil Status Birthdate
Barangay Town/City Province
PERMANENT ADDRESS

Contact No./s
Name of Last School ADMISSION TEST RESULT:
Attended
School Address
Senior High School Strand
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice:
Second Choice:
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name
First Name
Middle Name
Sex Civil Status Birthdate
Barangay Town/City Province
PERMANENT ADDRESS

Contact No./s
Name of Last School ADMISSION TEST RESULT:
Attended
School Address
Senior High School Strand
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice:
Second Choice:
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name
First Name
Middle Name
Sex Civil Status Birthdate
Barangay Town/City Province
PERMANENT ADDRESS

Contact No./s
Name of Last School ADMISSION TEST RESULT:
Attended
School Address
Senior High School Strand
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice:
Second Choice:
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name
First Name
Middle Name
Sex Civil Status Birthdate
Barangay Town/City Province
PERMANENT ADDRESS

Contact No./s
Name of Last School ADMISSION TEST RESULT:
Attended
School Address
Senior High School Strand
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice:
Second Choice:
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name
First Name
Middle Name
Sex Civil Status Birthdate
Barangay Town/City Province
PERMANENT ADDRESS

Contact No./s
Name of Last School ADMISSION TEST RESULT:
Attended
School Address
Senior High School Strand
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice:
Second Choice:
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name
First Name
Middle Name
Sex Civil Status Birthdate
Barangay Town/City Province
PERMANENT ADDRESS

Contact No./s
Name of Last School ADMISSION TEST RESULT:
Attended
School Address
Senior High School Strand
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice:
Second Choice:
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name
First Name
Middle Name
Sex Civil Status Birthdate
Barangay Town/City Province
PERMANENT ADDRESS

Contact No./s
Name of Last School ADMISSION TEST RESULT:
Attended
School Address
Senior High School Strand
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice:
Second Choice:
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name
First Name
Middle Name
Sex Civil Status Birthdate
Barangay Town/City Province
PERMANENT ADDRESS

Contact No./s
Name of Last School ADMISSION TEST RESULT:
Attended
School Address
Senior High School Strand
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice:
Second Choice:
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name
First Name
Middle Name
Sex Civil Status Birthdate
Barangay Town/City Province
PERMANENT ADDRESS

Contact No./s
Name of Last School ADMISSION TEST RESULT:
Attended
School Address
Senior High School Strand
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice:
Second Choice:
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name
First Name
Middle Name
Sex Civil Status Birthdate
Barangay Town/City Province
PERMANENT ADDRESS

Contact No./s
Name of Last School ADMISSION TEST RESULT:
Attended
School Address
Senior High School Strand
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice:
Second Choice:
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name
First Name
Middle Name
Sex Civil Status Birthdate
Barangay Town/City Province
PERMANENT ADDRESS

Contact No./s
Name of Last School ADMISSION TEST RESULT:
Attended
School Address
Senior High School Strand
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice:
Second Choice:
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name
First Name
Middle Name
Sex Civil Status Birthdate
Barangay Town/City Province
PERMANENT ADDRESS

Contact No./s
Name of Last School ADMISSION TEST RESULT:
Attended
School Address
Senior High School Strand
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice:
Second Choice:
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name
First Name
Middle Name
Sex Civil Status Birthdate
Barangay Town/City Province
PERMANENT ADDRESS

Contact No./s
Name of Last School ADMISSION TEST RESULT:
Attended
School Address
Senior High School Strand
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Electrical Engineering (BSEE)
Second Choice: Bachelor in Electrical Engineering Technology (BEET)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name YUIPCO
First Name PAUL VICENT
Middle Name GOTOSTOS
Sex Male Civil Status Single Birthdate 4/1/2005
LUNA Town/City SURIGAO CITY Province Surigao del Norte
PERMANENT ADDRESS Barangay
(Capital)

Contact No./s 09708985977 gotostosjeaneth@gmail.com


Name of Last School SURIGAO NORTE NATIONAL ADMISSION TEST RESULT:
Attended HIGHSCHOOL
School Address BARANGAY WASHINGTON,
SURIGAO CITY
Senior High School Strand OTHERS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.
Document
Republic of the Philippines Code No. FM-SNSU- GUID-01-1
SURIGAO DEL NORTE STATE UNIVERSITY Revision No. 00
Narciso Street, Surigao City, 8400 Philippines Effective
05 September 2022
Date
“For Nation’s Greater Heights”
Page No. 1 of 1
“For Nation’s Greater Heights”

ADMISSION TEST APPLICATION FORM


__1ST___SEMESTER A.Y _2024-2025_

COURSES APPLIED FOR:


First Choice: Bachelor of Science in Tourism Management (BSTM)
Second Choice: Bachelor of Science in Hospitality Management (BSHM)
NAME OF APPLICANT: PLEASE WRITE LEGIBLY
1X1 ID PICTURE
Last Name ZABALA
First Name JANELLE
Middle Name LAMAY
Sex Female Civil Status Single Birthdate 5/13/2005
Mat-i Town/City Surigao City Province Surigao del norte
PERMANENT ADDRESS Barangay

Contact No./s 09690307451 Janellezabala278@gmail.com


Name of Last School Surigao del Norte National High ADMISSION TEST RESULT:
Attended School
School Address Peñaranda Street Surigao City
Senior High School Strand HUMSS
PLEASE READ CAREFULLY:
I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are
to be used for placement purposes only and will be treated with utmost confidentiality. I am likewise informed that
admission test results will be released online through a Google Link, thus, I agree to provide my personal information
correctly.

__________________________
SIGNATURE

ENTRANCE EXAMINATION March 19, 2024_Venue: SNSU CITY Campus Batch 2: 1:30-3:30 PM
2024-2025 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND


BRING ON YOUR EXAM SCHEDULE WITH YOUR HOW TO PRINT:
COMPLETE REQUIREMENTS. Download this file,
REQUIREMENTS: look for your
1. MONGOL 2 PENCIL (NO OTHER PENCIL ALLOWED) application form, take
2. ORDINARY BALLPEN
note of the page
3. ERASER, SHARPENER, GLUE
number and then
4. WATER AND UMBRELLA
print.

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