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    (AdC) Request For Reconsideration

    Uploaded by

    Chaela Gonzaga

    Copyright:

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

    (AdC) Request For Reconsideration

    Uploaded by

    Chaela Gonzaga
    2 views1 page

    Original Title

    [AdC] Request for Reconsideration

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    © © All Rights Reserved

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    Copyright:

    © All Rights Reserved
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    Download as pdf or txt
    2 views1 page

    (AdC) Request For Reconsideration

    Uploaded by

    Chaela Gonzaga

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    (As stated in Birth Certificate. Please PRINT or TYPE.

    )
    STUDENT APPLICANT Surname
    Center for Admissions
    2544 Taft Avenue, Manila, Philippines 1004
    First Name
    Tel Nos: (+63) 2 8230-5100 1801 to 1803
    Email: [email protected]
    Website: www.benilde.edu.ph Middle Name
    Office Hours: Monday-Friday 8:00am-12:00nn
    & 1:30pm-5:00pm Nickname

    Gender Male Female

    Request for Reconsideration Form

    1. Kindly accomplish and submit this form via email: [email protected].

    2. The release date of the reconsideration request will be sent to your email address upon submission of this form. Additional
    documents and/or interviews may be needed to complete the processing of your request.

    Application Form Type:

    First Year College student Transferee student Second Degree student Others: ____________________
    For the Academic Year: 202___ - 202___

    1st Trimester 2nd Trimester 3rd Trimester

    School ____________________________________________________________________________________________
    School Address _____________________________________________________________________________________

    To the Center for Admissions

    Please reconsider my application to De La Salle-College of Saint Benilde.


    My reasons are as follows (Print or type your answer. Please attach additional sheet if necessary.)
    _____________________________________________________________________________________________________
    _____________________________________________________________________________________________________
    _____________________________________________________________________________________________________
    _________________________________________________________________________________________________

    If qualified, I would like to pursue the following programs at Benilde.


    First choice __________________________________________________________________________________________
    Second choice _______________________________________________________________________________________

    _______________________________________ _______________________________________
    Printed Name & Signature of Student Applicant Printed Name & Signature of Parent(s)/Guardian

    ACKNOWLEDGMENT

    This acknowledges that I have read and understood the procedures outlining my Request for Reconsideration.

    I also understand that my Request for Reconsideration is subject to the approval of the College Admissions Committee
    based on my qualifications and the availability of slots in the desired degree program.

    _______________________________________ ____________________________
    Printed Name & Signature of Student Applicant Date Signed

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