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SHS Entrance Examination Application

1) The document is a senior high school entrance examination application form for the University of Perpetual Help System Laguna. 2) It requests basic information about the student such as name, date of birth, place of birth, nationality, junior high school attended, preferred SHS track and program, home address, and contact details. 3) The application requirements include filling out the pre-registration form, submitting 2 pieces of 2x2 photos, a long brown envelope, and a photocopy of the student's school ID. The student and parent must sign to consent to the use of the provided information.

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Keeshia Nicole
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713 views

SHS Entrance Examination Application

1) The document is a senior high school entrance examination application form for the University of Perpetual Help System Laguna. 2) It requests basic information about the student such as name, date of birth, place of birth, nationality, junior high school attended, preferred SHS track and program, home address, and contact details. 3) The application requirements include filling out the pre-registration form, submitting 2 pieces of 2x2 photos, a long brown envelope, and a photocopy of the student's school ID. The student and parent must sign to consent to the use of the provided information.

Uploaded by

Keeshia Nicole
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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UNIVERSITY OF PERPETUAL HELP SYSTEM LAGUNA Attach 2” x 2”

City of Biñan, Laguna


photo here
Senior High School Entrance Examination Application Form
SY 2017 - 2018

TO THE STUDENT AND PARENT/GUARDIAN: Print legibly all information required. Place X marks in appropriate boxes.
1. NAME OF STUDENT: Print your full name in the following sequence: LAST, FIRST, MIDDLE. 2. GENDER Male Female
Place one letter in each box. Leave one box blank between names.

LAST 3. DATE OF BIRTH (Month, day, Year)

FIRST

MIDDLE

4. PLACE OF BIRTH (City/Town or Province) 5. NATIONALITY

5. JUNIOR HIGH SCHOOL (JHS) (Where you completed/are completing JHS / Grade 10)
Junior High School Name (Do not Abbreviate) Month/Year of Completion

Address (City/Town or Province) Region

6. SENIOR HIGH SCHOOL (SHS) PROGRAM APPLIED FOR: Put an X mark in the box of the track (Academics, TVL, Sports, Arts and Design) you intend to enroll.
Please write also your specific stand/specialization.
Track:

ACADEMIC TVL SPORTS ARTS AND DESIGN

Strand:___________________________________________________Specialization:_____________________________________________________
THIS REGISTRATION FORM IS NOT FOR SALE AND MAY BE REPRODUCED Page 1/2

7. PROGRAM or COURSE YOU INTEND TO ENROLL IN COLLEGE __________________________________________________________________________


(MUST BE IDENTIFIED)
8. PERMANENT HOME ADDRESS

House Number and Street

Subdivision/Barangay

Town/City

Province Postal/Zip Code

9. CONTACT INFORMATION

Telephone Number Cellphone Number

Email Address
Application Requirement:
(1) Pre-registration Form (Downloadable) LEARNER REFERENCE NUMBER (LRN)
(2) 2 pieces of 2” x 2” photo
(3) 1 Long Brown Envelope
(4) Photocopy of School ID

I understand that all information I provide in this form may be used by the UPHSL or Department of Education and I consent to such with the assurance
that my personal details will be kept confidential.

Signature over Printed Name of the Student Signature over Printed Name of the Parent/Guardian
__________________ __________________
Date Date

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