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    Application For Admission

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    metahelpcentermanagement

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    © All Rights Reserved
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    Application For Admission

    Uploaded by

    metahelpcentermanagement
    6 views2 pages

    Original Title

    APPLICATION FOR ADMISSION (7) (1)

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    6 views2 pages

    Application For Admission

    Uploaded by

    metahelpcentermanagement

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Republic of the Philippines

    Bangsamoro Autonomous Region in Muslim Mindanao


    GANI L. ABPI COLLEGE INCORPORATED
    Buayan, Datu Piang, Maguindanao Del Sur

    GLACI - CMI 2024-2025

    APPLICATION FOR ADMISSION


    2x2
    Date _______________ Picture
    Semester/Summer _____
    SY __________

    Name ______________________________________________________ Sex________ Civil Status ____________


    Last Name First Name M.I.

    Mailing Address ___________________________________________________________ Tel. Number ___________

    City Address ____________________________________________________________ Cell. Number __________

    Name of Landlady/Landlord _________________________________________________________________________

    Citizenship ______________________________________________ Religion____________________________

    Date of Birth ______________________________________________ Place of Birth _______________________

    Name of Parents ___________________________________________________________________________________

    Secondary School Graduated __________________________________________ Address _______________________________

    Awards/Honors Received _____________________________________________ Gen. Ave. Rating ________________________

    College(s) attended before GLACI.

    Name of School Address Course Enrolled Semester/Year Reason for Leaving

    ________________________ _____________________ __ ___________________ _____________ _________________

    ________________________ _____________________ __ ___________________ _____________ _________________

    ________________________ _____________________ __ ___________________ _____________ _________________

    ________________________ _____________________ __ ___________________ _____________ _________________

    Special Skills __________________________________________________________


    Organization(s) Affiliated Positions Held Term

    _____________________________________ _________________________ __________________

    _____________________________________ _________________________ __________________

    _____________________________________ _________________________ __________________

    _____________________________________ _________________________ __________________

    Have you ever been disciplined for any infraction or violation of school rules and regulations?
    [ ] Yes, specify ________________________ [ ] No

    Do you promise not to take any prohibited drugs as long as you are connected with GLACI?
    [ ] Yes [ ] No

    Do you promise not to participate in any unlawful act or any illegal assembly?
    [ ] Yes [ ] No

    STUDENT’S PLEDGE
    I promise to faithfully perform my duties and responsibilities as a student in this college and abide by its policies,
    rules and regulations, and certify that all statements and information are true and correct.

    Attested by: _____________________


    Relationship: ____________________
    ________________________________
    Student’s Signature
    *************************************************************************************

    List of requirements submitted:


    [ ] Form 138A/HS Card [ ] PSA Birth Certificate
    [ ] Certificate for Transfer Credential [ ] Pre-registration Form
    [ ] Good Moral Certificate [ ] Marriage Contract, if married
    [ ] 2 x 2 Picture [ ] others, specify ___________________

    Action Taken: [ ] Admitted

    [ ] Not Admitted

    [ ] Admitted on Probation

    Remarks: [ ] admitted but has to meet deficiencies


    ________ Major pre-requisites (_________ units)
    ________ Others, pls. specify ________________

    [ ] enrolled temporarily pending submission of credentials/other


    admission requirements for the program applied for (waiver must be
    submitted to the College Registrar's Office.

    ____________________________
    MELODY ARANDELA-AMBANGAN, RSW, MSSW JOHN RAY D. GARCIA, LPT
    College Dean Admission Supervising Head

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