PhilSCA Admission Test Application Form

Republic of the Philippines PhilSCA ADM Form No. 1

PHILIPPINE PHILIPPINE STATE COLLEGE OF AERONAUTICS

Series No. 17-02-V

Piccio Garden, Villamor, Pasay City PhilSCA ADMISSION TEST APPLICATION FORM 1X1 latest picture

Important Reminders: 1. Accomplish this Form correctly and legibly (Pls. PRINT) 2. Submit this form together with the other requirements and one (1) pc 1x1 latest picture 3. Application Fee of ₱300.00 is non-refundable 4. In compliance with Article V Section 35.K of PhilSCA Student Manual, applicants with visible tattoos in the arms, neck, face, face, hands and legs will not be accepted. accepted.

 Applicant No.: ____________ __________________ Please Check: Freshmen

Transferee

Second Course

Date of Application: ______________ _______ Post Graduate Studies

Date of Exam ______________ ______________ O.R. # ________

Application for: ______ Sem/Trimester, Sem/Trimester, Acad. Year ________

Course Preferences: 1 st  Choice: ___________ 2 nd Choice: _________

Last Name:

Date of Birth:

Nationality:

First Name:

Place of Birth:

Gender:

Middle Name :

Middle Initial:

Age:

 Address:

Civil Status:

Contact No:

Religion:

Email address:

Father’s/Guardian Father’s/Guardian Name:

Occupation:

Contact No.

Mother’s Name:

Occupation:

Contact No.

School Last Attended

School Year:

Submitted Document: (Certified Photocopy only) Please Check: High School Card Copy of Grade

Transcript of Records

GWA: Certificate of Good Moral Character

I hereby certify that the above information is true and correct.  __________________________  Applicant’s Signature ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Republic of the Philippines PhilSCA ADM Form No. 1

PHILIPPINE PHILIPPINE STATE COLLEGE OF AERONAUTICS

Series No. 17-02-V

Piccio Garden, Villamor, Pasay City PhilSCA ADMISSION TEST APPLICATION FORM 1X1 latest picture

Important Reminders: 1. Accomplish this Form correctly and legibly (Pls. PRINT) 2. Submit this form together with the other requirements and one (1) pc 1x1 latest picture 3. Application Fee of ₱300.00 is non-refundable 4. In compliance with Article V Section 35.K of PhilSCA Student Manual, applicants with visible tattoos in the arms, neck, face, face, hands and legs will not be accepted. accepted.

 Applicant No.: ____________ __________________ Please Check: Freshmen

Transferee

Second Course

Date of Application: ______________ _______ Post Graduate Studies

Date of Exam ______________ ______________ O.R. # ________

Application for: ______ Sem/Trimester, Sem/Trimester, Acad. Year ________

Course Preferences: 1 st  Choice: ___________ 2 nd Choice: _________

Last Name:

Date of Birth:

Nationality:

First Name:

Place of Birth:

Gender:

Middle Name :

Middle Initial:

Age:

 Address:

Civil Status:

Contact No.:

Religion:

Email address:

Father’s/Guardian Father’s/Guardian Name:

Occupation:

Contact No.

Mother’s Name:

Occupation:

Contact No.

School Last Attended Submitted Document: (Certified Photocopy only) Please Check: High School Card Copy of Grade

School Year: Transcript of Records

GWA: Certificate of Good Moral Character

I hereby certify that the above information is true and correct.  __________________________  Applicant’s Signature