Você está na página 1de 1

Republic of the Philippines

PhilSCA ADM Form No. 1


PHILIPPINE
PHILIPPINE STATE COLLEGE OF AERONAUTICS
Series No. 17-02-V
Piccio Garden, Villamor, Pasay City

PhilSCA ADMISSION TEST APPLICATION FORM


1X1
latest picture
Important Reminders:
1. Accomplish this Form correctly and legibly (Pls. PRINT)
2. Submit this form together with the other requirements and one (1) pc 1x1 latest picture
3. Application Fee of ₱300.00 is non-refundable
4. In compliance with Article V Section 35.K of PhilSCA Student Manual, applicants
with visible tattoos in the arms, neck, face,
face, hands and legs will not be accepted.
accepted.

 Applicant No.: ____________ __________________ Date of Application: ______________ _______


Please Check:
Freshmen Transferee Second Course Post Graduate Studies Date of Exam ______________
______________ O.R. # ________

Application for: ______ Sem/Trimester,


Sem/Trimester, Acad. Year ________ Course Preferences: 1 st  Choice: ___________ 2 nd Choice:
_________

Last Name: Date of Birth: Nationality:

First Name: Place of Birth: Gender:


Middle Name : Middle Initial: Age: Civil Status: Contact No:
 Address: Religion: Email address:
Father’s/Guardian
Father’s/Guardian Name: Occupation: Contact No.
Mother’s Name: Occupation: Contact No.
School Last Attended School Year: GWA:

Submitted Document: (Certified Photocopy only)


Please Check: High School Card Copy of Grade Transcript of Records Certificate of Good Moral Character

I hereby certify that the above information is true and correct.


 __________________________
 Applicant’s Signature
---------------------
--------------------------------------------
------------------------------------------------
------------------------------------------------
------------------------------------------------
------------------------------------
-----------
Republic of the Philippines
PhilSCA ADM Form No. 1
PHILIPPINE
PHILIPPINE STATE COLLEGE OF AERONAUTICS
Series No. 17-02-V
Piccio Garden, Villamor, Pasay City

PhilSCA ADMISSION TEST APPLICATION FORM


1X1
latest
Important Reminders:
picture
1. Accomplish this Form correctly and legibly (Pls. PRINT)
2. Submit this form together with the other requirements and one (1) pc 1x1 latest picture
3. Application Fee of ₱300.00 is non-refundable
4. In compliance with Article V Section 35.K of PhilSCA Student Manual, applicants
with visible tattoos in the arms, neck, face,
face, hands and legs will not be accepted.
accepted.

 Applicant No.: ____________ __________________ Date of Application: ______________ _______


Please Check:
Freshmen Transferee Second Course Post Graduate Studies Date of Exam ______________
______________ O.R. # ________

Application for: ______ Sem/Trimester,


Sem/Trimester, Acad. Year ________ Course Preferences: 1 st  Choice: ___________ 2 nd Choice:
_________

Last Name: Date of Birth: Nationality:

First Name: Place of Birth: Gender:


Middle Name : Middle Initial: Age: Civil Status: Contact No.:
 Address: Religion: Email address:
Father’s/Guardian
Father’s/Guardian Name: Occupation: Contact No.
Mother’s Name: Occupation: Contact No.
School Last Attended School Year: GWA:

Submitted Document: (Certified Photocopy only)


Please Check: High School Card Copy of Grade Transcript of Records Certificate of Good Moral Character

I hereby certify that the above information is true and correct.


 __________________________
 Applicant’s Signature

Interesses relacionados