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    DLSU Application Form

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    Yssa Celzo
    1. Christopher Gabriel Celzo is applying for grade 7 for the 2023-2024 academic year. He was born in 2013 in San Pedro, Laguna and lives with his parents and siblings in Cavite. 2. His father Morris Denver Celzo works as a sales manager and his mother Kathryna Yssabel Quiambao Celzo is a homemaker. They want Christopher to attend De La Salle University - Integrated School. 3. Christopher attended Saint Michael Montessori de Carmona for kindergarten through grade 6 and has no known academic, behavioral, or health issues according to the application form.

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    DLSU Application Form

    Uploaded by

    Yssa Celzo
    55 views2 pages
    1. Christopher Gabriel Celzo is applying for grade 7 for the 2023-2024 academic year. He was born in 2013 in San Pedro, Laguna and lives with his parents and siblings in Cavite. 2. His father Morris Denver Celzo works as a sales manager and his mother Kathryna Yssabel Quiambao Celzo is a homemaker. They want Christopher to attend De La Salle University - Integrated School. 3. Christopher attended Saint Michael Montessori de Carmona for kindergarten through grade 6 and has no known academic, behavioral, or health issues according to the application form.

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    1. Christopher Gabriel Celzo is applying for grade 7 for the 2023-2024 academic year. He was born in 2013 in San Pedro, Laguna and lives with his parents and siblings in Cavite. 2. His father Morris Denver Celzo works as a sales manager and his mother Kathryna Yssabel Quiambao Celzo is a homemaker. They want Christopher to attend De La Salle University - Integrated School. 3. Christopher attended Saint Michael Montessori de Carmona for kindergarten through grade 6 and has no known academic, behavioral, or health issues according to the application form.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    55 views2 pages

    DLSU Application Form

    Uploaded by

    Yssa Celzo
    1. Christopher Gabriel Celzo is applying for grade 7 for the 2023-2024 academic year. He was born in 2013 in San Pedro, Laguna and lives with his parents and siblings in Cavite. 2. His father Morris Denver Celzo works as a sales manager and his mother Kathryna Yssabel Quiambao Celzo is a homemaker. They want Christopher to attend De La Salle University - Integrated School. 3. Christopher attended Saint Michael Montessori de Carmona for kindergarten through grade 6 and has no known academic, behavioral, or health issues according to the application form.

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    APPLICATION FORM

    2023-2024
    ACADEMIC YEAR:________________________

    L AST NAME FIRST NAME

    CELZO CHRISTOPHER GABRIEL


    Staple (3)
    MIDDLE NAME NICKNAME 2X2 SIZE
    pictures here
    QUIAMBAO GAB

    7
    GRADE LEVEL APPLIED FOR:

    PERSONAL INFORMATION:
    DATE OF BIRTH AGE PL ACE OF BIRTH GENDER NATIONALIT Y CITIZENSHIP RELIGION

    02 07 2010 13 SAN PEDRO, LAGUNA M FILIPINO FILIPINO CATHOLIC


    month day year

    COMPLETE HOME ADDRESS

    290 SAN JOSE STREET BRGY 2 CARMONA CAVITE 4116


    No. Street Name Village / Subdivision Barangay Town City Zip Code

    FOR NON-FILIPINO CITIZENS:


    N/A
    I-CARD NO.: N/A DATE ISSUED: N/A PL ACE ISSUED:

    REMARKS

    FAMILY INFORMATION
    FATHER MOTHER

    Name
    (Last Name, First Name, Middle Name) MORRIS DENVER M. CELZO KATHRYNA YSSABEL Q. CELZO

    Nationality & Religion FILIPINO, ROMAN CATHOLIC FILIPINO, ROMAN CATHOLIC


    Home Address 290 SAN JOSE ST. BRGY. 2 CARMONA, CAVITE
    290 SAN JOSE ST. BRGY. 2 CARMONA, CAVITE
    Home Number N/A N/A
    Mobile Number 09560835406 09175518425
    Email Address morriscelzo@gmail.com yssa.quiambao@gmail.com
    Highest Educational Attainment COLLEGE UNDERGRADUATE COLLEGE GRADUATE
    Last School Attended MALAYAN COLLEGES LAGUNA ATENEO DE MANILA UNIVERSITY
    Company Name N/A
    EAST ELECTRIC ENGINEERING SALES & SERVICES
    Position SALES MANAGER N/A
    Office Address N/A
    UNIT 206 THOMPSON SQUARE, TOMAS MORATO COR. DON A. ROCES AVE., QUEZON CITY
    Office Number 09989998979 N/A
    NAME OF SIBLINGS
    NAME GR./YR. LEVEL / OCCUPATION SCHOOL / EMPLOYER
    MARCUS DEMITRI Q. CELZO GRADE 1 SAINT MICHAEL MONTESSORI DE CARMONA
    ALEXANDRA ISABELLE Q. CELZO KINDER SAINT MICHAEL MONTESSORI DE CARMONA

    Is the child’s father or mother an alumnus/alumna of any De La Salle school? YES ✔ NO


    If yes, which La Salle school?
    N/A
    N/A Year Graduated
    CHILD ACADEMIC AND HEALTH INFORMATION

    EDUCATIONAL HISTORY
    ACADEMIC YEAR
    PRE-SCHOOL NAME AND ADDRESS OF SCHOOL
    AT TENDED
    Nursery SAINT MICHAEL MONTESSORI DE CARMONA 2015-2016
    Kinder SAINT MICHAEL MONTESSORI DE CARMONA 2016-2017
    GRADE SCHOOL

    Grade 1 SAINT MICHAEL MONTESSORI DE CARMONA 2017-2018


    2 SAINT MICHAEL MONTESSORI DE CARMONA 2018-2019
    3 SAINT MICHAEL MONTESSORI DE CARMONA 2019-2020
    4 HEADWAY SCHOOL FOR GIFTEDNESS 2020-2021
    5 SAINT MICHAEL MONTESSORI DE CARMONA 2021-2022
    6 SAINT MICHAEL MONTESSORI DE CARMONA 2022-2023
    JUNIOR HIGH SCHOOL
    Grade 7
    8
    9

    1. Has the child been placed under academic probation or given any sanction for poor academics? (If yes, please provide details)
    NO
    2. Has the child been placed under disciplinary probation or given any sanction for misbehavior? (If yes, please provide details)
    NO
    3. Has the child been diagnosed with any of the following? (Please check and specify)
    Vision Impairment Please specify N/A
    Speech / Language Delay Please specify N/A
    Learning Disability Please specify N/A
    Behavioral Disorder Please specify N/A

    4. Are there other concerns with the child’s health? (Please provide details)
    NONE

    FINANCIAL DETAILS
    1. Who will be responsible for the payment of tuition and fees?

    Parents ✔ Other family members (grandparents, uncle, aunt, brothers, sisters, etc.)
    ✔

    Educational plan, please specify Parent’s company benefit


    Scholarship

    2. Please check your gross annual family income P1M and above P999,000-P700,000
    ✔
    P699,000-P400,000 P399,000-P100,000
    P99,000 and below
    IN CASE OF AN EMERGENCY, IF UNABLE TO CONTACT PARENT, CONTACT:

    Relative/Guardian
    KATHRYNA YSSABEL Q. CELZO Home Address 290 SAN JOSE ST. BRGY. 2 CARMONA, CAVITE

    Relationship to Applicant PARENT Home Phone Number N/A

    Mobile Number 09175518425 E-mail Address


    yssa.quiambao@gmail.com

    OTHER INFORMATION
    How did you find out about the school?

    Referral Streamers Print Ads Website Others


    By whom? ROWENA R. MOLINA

    I certify that the information provided herein are true and correct, and do hereby give consent
    to DLSU-IS to collect and process all our personal data for purposes of admission/enrollment
    to said school/institution.
    KATHRYNA YSSABEL Q. CELZO
    Signature over printed name

    Relationship to applicant PARENT Date filed

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