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    LAQEappinother Form 2021

    Uploaded by

    Maryangeline Peralta
    This document contains an application for lateral admission to the Philippine Science High School System. It requests information such as the applicant's personal details, academic performance, and reason for applying. The applicant and parent must certify that the applicant has no pending immigration applications. The applicant's school must fill out a certification of the applicant's academic standing and character. Finally, the document is a permit that will allow the applicant to take the qualifying examination at a specified PSHS campus.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    LAQEappinother Form 2021

    Uploaded by

    Maryangeline Peralta
    24 views2 pages
    This document contains an application for lateral admission to the Philippine Science High School System. It requests information such as the applicant's personal details, academic performance, and reason for applying. The applicant and parent must certify that the applicant has no pending immigration applications. The applicant's school must fill out a certification of the applicant's academic standing and character. Finally, the document is a permit that will allow the applicant to take the qualifying examination at a specified PSHS campus.

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    LAQEappinother form 2021

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    This document contains an application for lateral admission to the Philippine Science High School System. It requests information such as the applicant's personal details, academic performance, and reason for applying. The applicant and parent must certify that the applicant has no pending immigration applications. The applicant's school must fill out a certification of the applicant's academic standing and character. Finally, the document is a permit that will allow the applicant to take the qualifying examination at a specified PSHS campus.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    24 views2 pages

    LAQEappinother Form 2021

    Uploaded by

    Maryangeline Peralta
    This document contains an application for lateral admission to the Philippine Science High School System. It requests information such as the applicant's personal details, academic performance, and reason for applying. The applicant and parent must certify that the applicant has no pending immigration applications. The applicant's school must fill out a certification of the applicant's academic standing and character. Finally, the document is a permit that will allow the applicant to take the qualifying examination at a specified PSHS campus.

    Copyright:

    © All Rights Reserved
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    Download as pdf or txt
    of 2

    ANNEX A: APPLICATION FOR LATERAL ADMISSION- TO BE FILLED OUT BY THE APPLICANT AND

    HIS/HER PARENT/S

    Republic of the Philippines


    Department of Science and Technology
    PHILIPPINE SCIENCE HIGH SCHOOL SYSTEM
    Diliman, Quezon City

    APPLICATION FOR LATERAL ADMISSIONS QUALIFYING EXAMINATION


    (To be filled out by the applicant in his/her own handwriting using ballpen only. Application should be accompanied by a
    photocopy of the student’s report card, with the original copy brought along for verification purposes.)

    Complete Name:
    __________________________________________________________________________________________
    (Last Name) (First Name) (Middle Name)

    Complete Home Address:


    __________________________________________________________________________________________

    Tel. No.: _________________________________ Birthday: ____________________________________

    School Last Attended: ______________________________________________________________________

    School Address: ___________________________________________________________________________

    Grade Level Finished: __________________________ Grade Point Average (GPA): _____________________

    Final Grades in Specific Areas: Science - ________________


    Math - ________________
    English - ________________
    Previous PSHS test data: Did you participate in any PSHS test when you were in Grade VI or Grade VII?

    [ ] Yes, in Grade _____________; [ ] No

    Reason/s for application for lateral admission:


    ___________________________________________________________________________________________
    ___________________________________________________________________________________________
    ___________________________________________________________________________________________

    APPLICANT’S AND PARENT’S CERTIFICATION

    This is to certify that ________________________________________________________


    (Name Of Applicant)

    has no pending application as immigrant in any foreign country.

    ____________________________________ ____________________________________
    Name in Print of Applicant/ Name in Print of Parent/
    Signature Above the Name Signature Above the Name

    Date: _______________________________ Date: ______________________________

    LAST DAY FOR FILING IS ON __JULY 30, 2021__.

    PSHS-00-F-REG-17-Rev0-04/17/17
    ANNEX B: CERTIFICATION FROM SCHOOL - TO BE FILLED OUT BY THE SCHOOL AUTHORITY CONCERNED

    PHOTO
    CERTIFICATION 1X1

    This is to certify that ______________________________________________________, a bonafide student of


    (Name of Student)

    ____________________________________________________________, is highly recommended to take the


    (Full Name of Present School)

    Accreditation Examination for Grade 8/9 to be administered by the Philippine Science High School (PSHS)

    ___________________________Campus. He/She ranks ______________ in a class of ________________ .


    (Name of PSHS Campus) (1st/2nd/3rd/etc.) (Number of students)

    He/ She has no grade lower than 85% in any subject. He s/he has not been involved in any disciplinary

    case and has achieved a character rating of ________________________________.


    (Excellent/Outstanding/Very Good/etc.)

    _____________________________________________ ______________________________________
    Full Name of School Name in Print of Principal

    _____________________________________________ ______________________________________
    Complete Address Signature of Principal

    Date: ________________________________

    ANNEX C: EXAMINATION PERMIT - TO BE FILLED OUT BY THE PSHS CAMPUS REGISTRAR

    Republic of the Philippines


    Department of Science and Technology
    PHILIPPINE SCIENCE HIGH SCHOOL SYSTEM PHOTO
    1X1
    QUALIFYING EXAMINATION PERMIT
    This certifies that ______________________________________________ is qualified to take the
    Philippine Science High School Lateral Admissions Qualifying Examination on ________________ at 8:00 a.m., at

    [ ] Philippine Science High School – Main Campus, Diliman, Quezon City


    [ ] Philippine Science High School – Southern Mindanao Campus, Mintal, Davao City
    [ ] Philippine Science High School – Western Visayas Campus, Jaro, Iloilo City
    [ ] Philippine Science High School – Eastern Visayas Campus, Palo, Leyte
    [ ] Philippine Science High School – Bicol Region Campus, Goa, Camarines Sur
    [ ] Philippine Science High School – Cagayan Valley Campus, Bayombong, Nueva Vizcaya
    [ ] Philippine Science High School – Central Mindanao Campus, Balo-i, Lanao Del Norte
    [ ] Philippine Science High School – Ilocos Region Campus, San Ildefonso, Ilocos Sur
    [ ] Philippine Science High School – Central Visayas Campus, Argao, Cebu
    [ ] Philippine Science High School – Central Luzon Campus, Angeles City, Pampanga
    [ ] Philippine Science High School – Cordillera Administrative Region Campus, Baguio City
    [ ] Philippine Science High School – SOCCSKSARGEN Region Campus, Koronadal City
    [ ] Philippine Science High School – Caraga Region Campus, Butuan City
    [ ] Philippine Science High School – CALABARZON Campus, Batangas City
    [ ] Philippine Science High School – MIMAROPA Campus, Odiongan, Romblon
    [ ] Philippine Science High School – Zamboanga Peninsula Campus, Olingan, Dipolog City

    _____________________________________
    Campus Registrar

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