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APPLICATION GUIDELINES
1. A candidate for graduation of any DepEd-recognized Senior High School;
2. Must have a General Point Average of 85% or better for the First and Second Semesters of their Grade 11, for courses with Board
Examinations;
3. General Point Average of 83% or better for the First and Second Semesters of their Grade 11, for non-board program;
4. For College of Industrial Technology, there is no particular GWA requirement, preferably coming from the TVL Track, with relevant
National Certificate (NCI, NC2);
5. Possesses good moral character and in good health.
6. The Medical/Admission Permit shall be distributed on a specified date to be posted at the Office of Admissions on the date of release
of qualifiers.
APPLICATION DETAILS
APPLICANT INFORMATION
MENANDRO +63-921-8777-067
First Name Landline Number Mobile Number
TALLA Menandroeugenio1028@gmail.com
Middle Name Email Address
0109 DEL PILAR STREET SAN SEBASTIAN HAGONOY BULACAN HAGONOY, BULACAN 3002
Permanent Mailing Address Zip Code
PROGRAM PREFERENCES
First Choice:
BACHELOR OF SCIENCE IN INFORMATION TECHNOLOGY
Second Choice:
BACHELOR OF SCIENCE IN COMPUTER ENGINEERING
PARENT'S DETAILS
FATHER MOTHER
OTHER INFORMATION
Disability:
NONE
What language/s and/or dialect/s do you use at home?
TAGALOG
Is your family belonging to Indigenous People (IP) e.g. ethnic group / native people or aborigines? If yes, inidicate the group.
NO
Is your family included in the DWSD Listahan (4Ps):
NO
I hereby affirm that I have read and understood all the instructions in connection with my application for the ATBulSU. I likewise affirm that all information supplied herein are
complete and accurate. I am aware that any or all of the information furnished in this application form may be checked against documents. Withholding or giving false information
will make me ineligible for admissions or subject to dismissal. If admitted, I agree to abide by the policies, rules and regulations of the Bulacan State University
________________________________________________________ ________________________
Signature over Printed Name of Applicant Date
I hereby certify the veracity and completeness of the above information in this application.
________________________________________________________ ________________________
Signature over Printed Name of Authorized Contact Person Date
ISO 9001:2015 CERTIFIED TEST PERMIT NUMBER
BULACAN STATE UNIVERSITY
OSAS STUDENT SERVICES DIVISION
OFFICE OF ADMISSIONS AND ORIENTATION SERVICES
20-16685
GRADES FORM
Applicant Name:
MENANDRO TALLA EUGENIO, JR.
Grade 11
Certified By:
Classification PUBLIC SCHOOL
Principal / Registrar
Date:
TO WHOM IT MAY CONCERN:
This is to certify that MENANDRO TALLA EUGENIO, JR. has NO DEROGATORY RECORDS
extant in this Office while studying in this school, for he/she is known to be a person of unquestionable moral character.
Name in Print
PRINCIPAL'S CERTIFICATION
Date:
TO WHOM IT MAY CONCERN:
This is to certify that MENANDRO TALLA EUGENIO, JR. is a candidate for graduation for
the school year _______________________ and belongs to the top 10% of the graduating students.
Signature of Principal
Name in Print