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DEPARTMENT OF EDUCATION
Cordillera Administrative Region
Schools Division of Benguet
Cordillera Regional Science High School ATTACH ID HERE
Wangal, La Trinidad, Benguet
Tel. Fax (074) 422-5662 1.5 x 1.5
SchooI lD No.305140
Please print legibly all information required. Place X marks in appropriate blanks.
PERSONAL DATA
FAMILY NAME:
FIRST NAME:
MIDDLE NAME:
PARENTS PROFILE
Last Name First Name M.I. Last Name First Name M.I.
PRESENT ADDRESS: PRESENT ADDRESS:
I (we) certify that all information on this application is accurate and complete.
_________________________________ __________________________________
Signature over printed name of STUDENT Signature over printed name of PARENT
ACKNOWLEDGEMENT RECEIPT
Date:________________________
Attach ID here
1.5x1.5 Received from ___________________________________________________________________
the sum of Two Hundred Pesos only (P200.00) as payment for CRSHS examination fee.
___________________________________________
Signature over Printed Name
Dear Parents/Guardians,
Thank you for considering Cordillera Regional Science High School. This form contains the admission
process of our institution and we are more than willing to assist you in the process. For your queries and
more information, please contact the school at telephone number: 422-5662.
For the First Screening: For the Second and Third Screening:
Bring 2 pieces #2 Mongol pencil Bring 2 pieces #2 Mongol pencil, and snack
Applicants should be at the testing area before
First batch should be at the testing 7:30 a.m.
area at 8:00 a.m. while the second While the applicants are having their test, their
batch should be at the testing area parents will be interviewed at the CRSHS Library.
at 9:00 a.m. The applicants will be interviewed just after their
test.