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Application For Admission

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11 views

Application For Admission

Uploaded by

metahelpcentermanagement
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

Bangsamoro Autonomous Region in Muslim Mindanao


GANI L. ABPI COLLEGE INCORPORATED
Buayan, Datu Piang, Maguindanao Del Sur

GLACI - CMI 2024-2025

APPLICATION FOR ADMISSION


2x2
Date _______________ Picture
Semester/Summer _____
SY __________

Name ______________________________________________________ Sex________ Civil Status ____________


Last Name First Name M.I.

Mailing Address ___________________________________________________________ Tel. Number ___________

City Address ____________________________________________________________ Cell. Number __________

Name of Landlady/Landlord _________________________________________________________________________

Citizenship ______________________________________________ Religion____________________________

Date of Birth ______________________________________________ Place of Birth _______________________

Name of Parents ___________________________________________________________________________________

Secondary School Graduated __________________________________________ Address _______________________________

Awards/Honors Received _____________________________________________ Gen. Ave. Rating ________________________

College(s) attended before GLACI.

Name of School Address Course Enrolled Semester/Year Reason for Leaving

________________________ _____________________ __ ___________________ _____________ _________________

________________________ _____________________ __ ___________________ _____________ _________________

________________________ _____________________ __ ___________________ _____________ _________________

________________________ _____________________ __ ___________________ _____________ _________________

Special Skills __________________________________________________________


Organization(s) Affiliated Positions Held Term

_____________________________________ _________________________ __________________

_____________________________________ _________________________ __________________

_____________________________________ _________________________ __________________

_____________________________________ _________________________ __________________

Have you ever been disciplined for any infraction or violation of school rules and regulations?
[ ] Yes, specify ________________________ [ ] No

Do you promise not to take any prohibited drugs as long as you are connected with GLACI?
[ ] Yes [ ] No

Do you promise not to participate in any unlawful act or any illegal assembly?
[ ] Yes [ ] No

STUDENT’S PLEDGE
I promise to faithfully perform my duties and responsibilities as a student in this college and abide by its policies,
rules and regulations, and certify that all statements and information are true and correct.

Attested by: _____________________


Relationship: ____________________
________________________________
Student’s Signature
*************************************************************************************

List of requirements submitted:


[ ] Form 138A/HS Card [ ] PSA Birth Certificate
[ ] Certificate for Transfer Credential [ ] Pre-registration Form
[ ] Good Moral Certificate [ ] Marriage Contract, if married
[ ] 2 x 2 Picture [ ] others, specify ___________________

Action Taken: [ ] Admitted

[ ] Not Admitted

[ ] Admitted on Probation

Remarks: [ ] admitted but has to meet deficiencies


________ Major pre-requisites (_________ units)
________ Others, pls. specify ________________

[ ] enrolled temporarily pending submission of credentials/other


admission requirements for the program applied for (waiver must be
submitted to the College Registrar's Office.

____________________________
MELODY ARANDELA-AMBANGAN, RSW, MSSW JOHN RAY D. GARCIA, LPT
College Dean Admission Supervising Head

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