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Declaration Form

El-Jeie Ignaco Aviles is applying for admission as a College Freshman at De La Salle University - Dasmariñas and certifies that he has not previously enrolled in any college. The document requires verification from a school representative and emphasizes the importance of accurate information to avoid non-admission. The applicant must upload the completed declaration form to the DLSU-D Admissions Portal.

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eljeieiaviles
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22 views

Declaration Form

El-Jeie Ignaco Aviles is applying for admission as a College Freshman at De La Salle University - Dasmariñas and certifies that he has not previously enrolled in any college. The document requires verification from a school representative and emphasizes the importance of accurate information to avoid non-admission. The applicant must upload the completed declaration form to the DLSU-D Admissions Portal.

Uploaded by

eljeieiaviles
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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Applicant’s Name (Last, First, MI)

AVILES , EL-JEIE IGNACO

Name of School
PHILIPPINE CHRISTIAN UNIVERSITY - DASMARIÑAS

School Address
BRGY. SAMPALOC 1, AGUINALDO HIGHWAY, DASMARIÑAS CITY,
CAVITE

I am applying for COLLEGE FRESHMAN

This is to certify that I have not enrolled in any school/college/university as College Freshman
before.

This is to certify that the information above is true and correct. I understand that any
misdeclaration and withholding of information employed by me or on my behalf in relation to
this shall be a ground for non-admission or exclusion from DLSU-D.

EL-JEIE AVILES
------------------------------------------------
Signature over printed name of applicant
05/14/24
Date:-------------------------------------------
***************************************************************************************************************
INSTRUCTIONS:
This declaration form must be filled out by the applicant’s School Representative either of the
following: Class Adviser, Guidance Counselor, School Registrar, and School Principal

After accomplishing the applicant Declaration Form, the student applicant must upload the
form to DLSU-D Admissions Portal account.
________________________________________________________________

To the EVALUATOR:

The above–named person is applying for admission at De La Salle University - Dasmariñas.


Please check whichever is applicable to the student applicant:
• He/She is presently enrolled in your school.
Yes No What is the last Academic Year attended? ____________________
• He/She is eligible to apply as and for:
Senior High School - Grade 11 admission for AY 2024-2025
College freshman admission for AY 2024-2025

EVALUATOR’S INFORMATION
Name (Last, First, MI) Designation (Please select the appropriate
designation) Class Adviser / Guidance
Counselor / School Registrar / School
Principal
Signature and Date Email Address / School’s Contact No.

The DLSU-D Declaration Form does not need to bear the School’s Dry Seal.
By uploading this document to DLSU-D Admissions Portal, the student applicant is stating that all information written on this
form is true and correct. The student applicant understands that any falsification or misrepresentation on this document
shall void this declaration form and shall be a ground for non-admission to De La Salle University - Dasmariñas.

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