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OSAS

This document contains admission information for John Zedrick Iglesia, a Filipino male applying as a transferee. His first choice for a degree program is Bachelor of Science in Information Technology, second choice is Bachelor of Science in Computer Science, and third choice is Bachelor of Science in Industrial Technology majoring in Electronics. It includes his personal details, family background, educational background from elementary through senior high school, and a list of submitted requirements for admission.

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Zed Deguzman
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75 views2 pages

OSAS

This document contains admission information for John Zedrick Iglesia, a Filipino male applying as a transferee. His first choice for a degree program is Bachelor of Science in Information Technology, second choice is Bachelor of Science in Computer Science, and third choice is Bachelor of Science in Industrial Technology majoring in Electronics. It includes his personal details, family background, educational background from elementary through senior high school, and a list of submitted requirements for admission.

Uploaded by

Zed Deguzman
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Generated: June 17, 2020 - 02:21:11 pm

Admission Information - 37253 - No sched


Entry: Transferee Applicant Type: Filipino
Preferred Courses
1st Choice: 2nd Choice: 3rd Choice:
Bachelor of Science in Information Bachelor of Science in Computer Bachelor of Science in Industrial
Technology (BSIT) Science (BS CS) Technology major in Electronics
(BS IndT – ELEX)

Personal Information
Name: Iglesia, John Zedrick Sex: Male
Address: 9452 Rosal, Maduya Carmona Cavite,Maduya,Carmona,Cavite,9452
Email: [email protected] Mobile#: 09070167320
Birthdate: 2002-03-03 Nationality: Filipino Civil Status: Single
Family Background
Contact Occupation
Father: Alvin M. De Guzman 09096641432 Tricycle Driver
Mother: Sharlane I. De 09096641432 House Wife
Guzman
Guardian: Alvin M. De Guzman 09096641432 Tricycle Driver
Educational Background
Elementary
Maduya Elementary School 4116 Bulangan, Maduya 2014 Public
Carmona Cavite
High School
Carmona National High School 4116 Rosario, Carmona Cavite 2018 Public
Senior High School
Angelo Levardo Loyola Senior High School Alfonso Macha Street, Carmona 2020 Public
Cavite
College-Transferee
N/A N/A N/A Public
Medical History Information
Medications: N/A To be filled up by the OSAS/Guidance Staff
Medical Exam date and time:

Condition/s: SUBMITTED REQUIREMENTS


I hereby certify that all the information stated above are true and __ 2 copies of 1x1 ID Picture with name tag
correct as to the best of my knowledge. I hereby give consent for my __ Short ordinary folder
personal data included in my offer to processed for the purposes of New Student (SHS,ALS)
admission and enrollment in accordance with Republic Act 10173 - __ Certified True Copy of G12 report/Certificate of ALS Rating
Data Privacy Act of 2012. __ Certified True Copy of Good Moral Certificate
Transferee
__ Certified True Copy of Transcript of Records/Certificate of Grades
__ Certified True Copy of Transfer Credentials/Honorable Dismissal
__ Certified True Copy of Good Moral Certificate
Signature over printed name __ Photocopy NBI Clearance
__ Photocopy Accomplished Interview Slip
Second Courser
__ Certified True Copy of Transcript of Records
__ Photocopy of Accomplished Interview Slip

Assessed by:___________________________
Control No.:A20-1-_____________

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