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Xavier University - Ateneo de Cagayan College Cod xu ‘Application No xu-7174 Xavier University For College use | Program Applied For: SCIENCE, TECHNOLOGY ENGINEERING AND MATHEMATICS only 1. Personal Information Section ‘Student Full Name : GRANT ADRIAN BARING DE GUZMAN Date of Birth : Feb 08, 2008 Gender : Male 2. Entrance Test Details Section Apply As: FRESHMAN, Programs Apply For: Regular 3. Program Preference Programs Group : Senior High School Scholarship Preference No. Program 1 SCIENCE TECHNOLOGY ENGINEERING AND MATHEMATICS 4, Payment Details Payment Date: FEB 20, 2024 Payment Mode: Online Total Balance :0 Payment Status : OK 5. Entrance Test Schedule Details. Entrance Exam Name: SCHOLARSHIP EXAM Date of Exam: 28/02/2024 Mod ‘Venue : Senior High Schoo! Online Score: Room: 6. Attached Documents St No. Name of Documents/Certificate 1 RECENT PHOTO (WITH WHITE BACKGROUND 2x2), 2 TH CERTIFICATE NSO/PSA 2 VAUD SCHOOL 10 OR CERTIICATE OF ENROLLMENT WITH YOUR PHOTO (FRONT AND BACK. PAGE Subtion Date Tie: 2002/2024 0616 Print st: 20022024

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