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MSU Admission Form 2023-2024

The document is an application for admission to Mindanao State University. It contains personal information about the applicant such as name, date of birth, address, contact details, parents' occupation and income. It also lists the documents submitted, including results from the MSU Scholarship Aptitude Examination, birth certificate, good moral certificate. If admitted, the applicant would enroll in the Diploma in Fish Technology program under the College of Fisheries and Aquaculture. The second page contains additional information for guidance such as family background, skills, and course choices. It requires signatures from the academic adviser and approval from the Dean of Admissions.

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Jarvee Pelayre
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55 views2 pages

MSU Admission Form 2023-2024

The document is an application for admission to Mindanao State University. It contains personal information about the applicant such as name, date of birth, address, contact details, parents' occupation and income. It also lists the documents submitted, including results from the MSU Scholarship Aptitude Examination, birth certificate, good moral certificate. If admitted, the applicant would enroll in the Diploma in Fish Technology program under the College of Fisheries and Aquaculture. The second page contains additional information for guidance such as family background, skills, and course choices. It requires signatures from the academic adviser and approval from the Dean of Admissions.

Uploaded by

Jarvee Pelayre
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Republic of the Philippines

Mindanao State University


Fatima, General Santos City
OFFICE OF ADMISSIONS

APPLICATION FOR ADMISSION


(OFAD Form No. 1, s.2018)

INSTRUCTION: Print all entries clearly and legibly.


Name: PELAYRE, JARVEE LAHOY LAHOY
(Family Name) (First Name) (Middle Name)
Date of Birth: April 26, 2005 Sex: Male Civil Status: Citizenship:
Religion: Roman Catholic Tribe: Place of Birth: Email:
Present Address: ,
Home Address: , Mobile number: 9635954215
Last School Attended: General Santos City National High School
Father's Name: Tribe: Occupation: Annual Income:
Mother's Name: Tribe: Occupation: Annual Income:
Address: ,
MSU SASE Result: AP: 9 LU: 40 MA: 9 SC: 12 GR: 70 Strand: GAS Date Taken:
Person to be notified in case of emergency:
(Name)
Mother , , ,
(Relationship) (Contact Number) (Address)

(Student's Signature)

(TO BE FILLED UP BY THE ADMISSION OFFICE PERSONNEL)


Admitted as: FRESHMEN ( ) TRANSFEREE ( ) SECOND DEGREE ( ) UNITING ( ) RETURNEE ( )
SEMESTER AND ACADEMIC YEAR ADMITTED: First semester, Academic Year: 2023 - 2024
Admitted in: Diploma in Fish Tech - Aquaculture COLLEGE OF FISHERIES - AQUACULTURE DEPARTMENT
(Course/Major) (College)
Academic Status upon Admission:
Credentials submitted:
MSU SASE/CET Result Photocopy of Birth Certificate (PSA Copy)
Form 138/HS Card OMA Certification (if Muslim)
Good Moral Certificate NCIP Certification (if Tribal)
Transcript of Record Employee Dependent Certification
Honorable Dismissal

Documents Complete Not Complete Checked By: Infirmary:


_____________ _____________
RECOMMENDED BY:
REMARKS: Guidance Office:
(Academic Adviser, Print Name & Sign)

Approved BY: PROF. JERRY J. DELA CRUZ Date:

STUDENT'S PLEDGE

In consideration of my admission to the MINDANAO STATE UNIVERSITY and of the privileges of the student of this institution, I hereby promise
and pledge to abide by and comply with all rules and regulation laid down by competent authority in the University in which I am enrolled.

(Student's Signature)
Date of Enrollment:
Mindanao State University
Guidance Office
GUIDANCE INFORMATION SHEET
First semester, Academic Year 2023 - 2024

Name: PELAYRE, JARVEE LAHOY LAHOY Course & Major: Diploma in Fish Tech - Aquaculture SASE Score: 70
BirthDate: April 26, 2005 Sex: Male Age: 18 Religion: Roman CatholicTribe:
Civil Status: Contact number: 9635954215
Home Address: , Present Address: ,
Honors received:_______________________ Scholarship:____________________ Other Scholarship:______________
School Last Attended: General Santos City National High SchoolDate of Graduation:__________________________
Course choice: Diploma in Fish Tech - Aquaculture (1st choice) (2nd choice) Bachelor of Arts in Islamic Studies Major in Shariah
Family Background:

Name Age Tribe Educational attainment Occupation


Father:
Mother:
Number of Brothers:
Number of Sisters:

Are your parents living together? Yes No. if no, why?___________________________

How much is your family monthly income? Kindly check the box on the left:
Below P1,000 P3,000 - P5,000 P7,000 - P9,000 P11,000 - P13,000
P1,001 - P3,000 P5,001 - P7,000 P9,001 - P11,000 P13,001 - P15,000
Above P15,001

What are your skills?______________________________________________________________________________________

Signature______________________________ Verified by:______________________________

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