Republic of the Philippines

PHILIPPINE STATE COLLEGE OF AERONAUTICS

Piccio Garden, Villamor, Pasay City

PhilSCA ADMISSION TEST APPLICATION FORM

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, hands and legs will not be accepted.

Applicant No.: ______________________________ Date of Application: _____________________

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

PHILIPPINE STATE COLLEGE OF AERONAUTICS

Piccio Garden, Villamor, Pasay City

PhilSCA ADMISSION TEST APPLICATION FORM

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, hands and legs will not be accepted.

Applicant No.: ______________________________ Date of Application: _____________________

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