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The document is an application form for the College Entrance Test at Laguna State Polytechnic University in the Philippines. It includes personal information about the applicant, Paul Andrei Brazil Celones, such as age, address, educational background, and intended course. The form must be filled out completely, and instructions for admission and application requirements are provided on the back page.

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L.a. Brazil Celones
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22 views1 page

Print Application Form

The document is an application form for the College Entrance Test at Laguna State Polytechnic University in the Philippines. It includes personal information about the applicant, Paul Andrei Brazil Celones, such as age, address, educational background, and intended course. The form must be filled out completely, and instructions for admission and application requirements are provided on the back page.

Uploaded by

L.a. Brazil Celones
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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2/17/24, 11:01 AM Print Application Form

Republic of the Philippines


Laguna State Polytechnic University
Province of Laguna

APPLICATION FOR COLLEGE ENTRANCE TEST

Instructions: READ ADMISSION AND APPLICATION REQUIREMENTS AT THE BACK PAGE


Fill in all the required information. DO NOT leave an item blank. if item is not applicable, indicate "N/A".

STATUS OF APPLICANT

☑ Freshmen ☐ Transferee ☐ Returnee ☐ Shifter ☐ Continuer

PERSONAL INFORMATION
Name Celones Paul Andrei Brazil B
AGE DATE OF BIRTH SEX CIVIL STATUS CITIZENSHIP
2006-08-27
17
☑ Male ☐ Female ☑ Single ☑ Filipino
COMPLETE PERMANENT MAILING ADDRESS
(HOUSE NUMBER) (Street/Subdivision) (Barangay) (Municipality/City) (Province) (Zipcode)

20 Block 5, Lot 20 Banlik Cabuyao Laguna 4025

MOBILE NUMBER TRACK/STRAND INTENDED First Choice: EMAIL ADDRESS


COURSE Second Choice:
09567123840 paulandreicelones@gmail.com

EDUCATIONAL ATTAINMENT
NAME OF SCHOOL SCHOOL ADDRESS TYPE OF SCHOOL YEAR ATTENDED
ELEMENTARY:
Talim Elementary School
Binangonan, Rizal ☐ Public ☐ Private 2018

HIGHSCHOOL:
Talim Point National High School
Binangonan, Rizal ☐ Public ☐ Private 2022

SENIOR HIGH SCHOOL:


Talim Point National High School
Binangonan, Rizal ☐ Public ☐ Private 2024

COLLEGE: (For Transferee)


☐ Public From:
To:
☐ Private

Course REASON FOR TRANSFERRING:


RAW SCORE: GWA: GUIDANCE COUNSELOR/GUIDANCE PERSONNEL: DATE FILED:
February 17, 2024
LRN: 109391110012 SIGNATURE OF THE APPLICANT:

Application Number: LSPU ENTRANCE TEST PERMIT


To be filled-out by applicant
Applicant's Name: Paul Andrei Brazil Celones
Intended Course:
SCHEDULE OF EXAMINATION
Date: ____________ Approved:
Time: ____________ ___________________________________
Room No: ____________ Examiner's/Proctor's Signature

https://www.lspuonline.com/print_form/144033 1/1

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