2/13/24, 6:38 PM

On-Line Application for PLMAT of Pamantasan ng Lungsod ng Maynila

PLM Admission Form 1 (2020)
PLM Application Form

Pamantasan ng Lungsod ng Maynila

University of the City of Manila
Intramuros, Manila Paste 2 X 2
ID Picture Here
PLM Application Form

APPLICANT ID: 202432173

PERSONAL INFORMATION:
FULL NAME: Ezra Ella Encio Guazon
First Name Middle Name Last Name Extension Name
ADDRESS: 3 Maginoo St. Magsaysay vlg, Baranggay 105 Tondo Manila - Barangay 105 TONDO I/II , CITY OF
MANILA
PROVINCE: NCR, CITY OF MANILA, FIRST DISTRICT (Not a
Province) REGION: NATIONAL CAPITAL REGION (NCR)
BIRTH DATE: May 08, 2006 BIRTH PLACE: MANILA GENDER: F
CONTACT NO: 09639310337 EMAIL-ADDRESS:ezraeIIaguazon9@gmaiI.com

FAMILY INFORMATION:
Particulars Father Mother Guardian
Full Name Edmund Griar Guazon | Jennifer Becina Encio Guazon, Jennifer Encio
3 Maginoo St. Magsaysay vig 3 Maginoo St. Magsaysay vig 3 Maginoo St. Magsaysay
Address vig
Baranggay 105 Tondo Manila Baranggay 105 Tondo Manila Baranggay 105 Tondo Ma
Contact No. | 09089930078 | 09296700934 | 09296700934
Occupation Government Employee | Government Employee Relationship: MOTHER
Family Monthly Income: Between PHP 10,481 and PHP 20,962

SCHOOL INFORMATION:
LRN : 136434110107
STRAND GAS
School Name Dr. Juan G. Nolasco High School
School Address
NCR, CITY OF MANILA, FIRST DISTRICT (Not a Province)
School Email Address
drjuangnolascohs.maniIa@deped.gov.ph
General Weighted Average (GWA)
Grade 11: 84.00
Program Choice 1:
Bachelor of Science in Architecture
Program Choice 2:
Bachelor of Science in Tourism
Program Choice 3:
Management Bachelor of Science in
Computer Science

[X] I confirmed that I have read and understood the Data Privacy Consent Form.

Ezra Ella E. Guazon 02/13/2024

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