APPLICATION PERMIT (AY 2022-2023)
Name: REYES, NICKIE ANGELYN BELBAR
______________________________________________________________________
Surname First Name Middle Name
Grade Level: FRESHMAN Gender: FEMALE
Intended Academic Program:
Bachelor of Science in Pharmacy (BSP)
Last School Attended:
Commonwealth High School
Applicant No. #161430
___________________________________
Signature of Admission Officer
This is an auto-generated copy of your application permit. Only the applicant whose name appears in this permit has the right to use it for the applying term.
--------------------------------------------------------------------------------------------------------------------------
WAIVER FOR CREDENTIAL
To Whom It May Concern:
May I request your good office to please allow me to enroll even without my
( ) Grade 12 (Report Card) ( ) For Passers of Philippine Educational Placement Test (PEPT) and
( ) Certificate of Good Moral Character Alternative Learning System Accreditation and Equivalency (ALS
( ) PSA-authenticated Birth Certificate A&E), Certificate of Rating
( ) 2 X 2 colored ID Picture ( ) For ALS A&E passers, Diploma
( ) Form 137 ( ) For graduates of 2015 and below, Form 138 (Report Card)
( ) For Passers of Philippine Educational Placement Test (PEPT) and ( ) others ________________________
Alternative Learning System Accreditation and Equivalency (ALS
A&E), Certificate of Passing
because ________________________________________________________________________________.
I promise to submit my credential / s on or before __________________. I understand that failure to submit my credential / s
on the said date will automatically forfeit my enrollment in the University without any refund. I also understand that release of
my transfer credentials will depend on my full payment of any remaining balance due the university.
Respectfully yours,
REYES, NICKIE ANGELYN BELBAR
____________________________________
Printed Name & Signature of the Student
ADDRESS: Kalayaan C Extension, Batasan Hills,
BATASAN HILLS, Quezon City, Metro Manila
CONTACT #: (63) 96577-4468
For questions and concerns regarding your NU application, please contact the Admissions Office of the NU branch where
you applied.
Powered by TCPDF (www.tcpdf.org)
