Requirements: Kabacan National High School
a. Duly accomplished application form
b. Letter of application/intent
Kabacan Cotabato
c. Certified true copy of Grade 10 report
card by the School Head Science, Technology, 2x2 PHOTO
d. Certificate of good moral character
signed by the school head
Engineering and
e. Health declaration form Mathematics (STEM) Program
f. Photocopy of PSA Birth Certificate
Admission Test
Application Form
A.
Name
________________________________ _____________________________ __________________
Last Name First Name Middle Name
Address: _____________________________________________________________________________
Date of Birth: ___________ Place of Birth: _________________________ Age: _________ Sex: _______
Father’s Name: ______________________________ Occupation: __________________ Contact #: ___________
Mother’s Name: _____________________________ Occupation: __________________ Contact #: ___________
We hereby agree to bind ourselves in accordance with the admission policy of Kabacan National High
School, Science, Technology, Engineering and Mathematics Program.
__________________________________ ___________________________________
Student Applicants’ Signature Parent/Guardian’s Signature over Printed Name
B.
Name of School (Grade 10): ____________________________________________________________
School Address: ____________________________________________________________________________
Adviser’s Name: _________________________________________________ Contact #: ___________________
Grades in the last Three Grading Period (to be filled up by the adviser)
Subject First Grading Second Grading Third Grading Average
Math
Science
English
This is to certify that the applicant has no grade below 85 in Math, Science and English and no grade
below 83 in any subject area.
__________________________
Signature of Adviser
C.
TEST PERMIT
Name: ______________________________________ Sex: ________
Date of Admission Test: ________________ Time: ______________ Room #: _________
Reminder:
2x2 PHOTO
Please bring (2) Mongol Pencil no. 2, School ID, Good rubber eraser, this test permit
Credentials Submitted: (Please check)
_______ Duly Accomplished application Form
_______ Letter of Application/Intent
_______ Certified true copy of grade 10 report card by the school
_______ Certificate of good moral character
_______ Health declaration Form
_______ Photocopy of PSA Birth Certificate
Deadline of Submission of requirements will be on or before JULY 12, 2023
Admission Test: AUGUST 14, 2023, 7:30 AM
Evaluated by: Interview by:
