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FINAL INSTRUCTION

Prior to submission, please check that the completed application form has the following:
Validation Code
Attached passport size ID picture
Dry seal of the school
Principal/Guidance Counselor's signature
Submit the printed application form to Counter 17-Student Admissions Office with the
following:
Passport size ID picture (identical with the one attached in the admission form)
Application fee of PHP350.00 (Filipino students) or USD50.00 (International
students)
APPLICATION FOR ADMISSION
APPLICANT'S INFORMATION
Validation Code 22727E117E
DateApplied 08/26/2014
Entrance Category FRESHMAN
Course Preference
First Choice BS Accountancy
Second Choice BS Business Administration Major in Management
Accounting
Third Preference NON
BASIC INFORMATION
Name RESTRIVERA, ERIKA MERCADO
Gender FEMALE
Birth Date 11/22/1998
Birth Place ORIENTAL,MINDORO
Religion ROMAN CATHOLIC
Civil Status SINGLE
Citizenship FILIPINO
Address 11381 BRGY. MABUHAY GOVERNOR'S DRIVE
CAVITE CITY CARMONA PH 0
Email erika.restrivera@yahoo.com
Contact No. (046) 430-04-03
Fathers Name AMBROSIO D RESTRIVERA
Occupation BUSINESSMAN
Mother's Name LUZVIMINDA D RESTRIVERA
Occupation BUSINESSWOMAN
Guardian's Name AMBROSIO RESTRIVERA [FATHER]
Contact No. 63464300403
Guardian Address 11381 BRGY. MABUHAY GOVERNOR'S DRIVE
CAVITE CITY, CARMONA PH
EDUCATION INFORMATION
Grade School MABUHAY ELEMENTARY SCHOOL [YG:2011]
Address BRGY. MABUHAY CARMONA, CAVITE
High School MANILA SOUTHWOODS GUKJE SCHOOL [YG:2015]
Address GATE 5 , THE MANILA SOUTHWOODS GOLF AND
COUNTRY CLUB BRGY. CABILANG BAYBAY,
CARMONA CAVITE












.......................................................................................................................................................
This is to certify the veracity and completeness of all information written on this form. We fully
understand that any misinterpretation shall be a ground for the applicant's right for admission or
revocation of course credit, grades, or degree.
______________________ _____________________________________
Applicant's Signature Signature over printed name of Guardian
.......................................................................................................................................................
CERTIFICATION OF ENROLLMENT
_______________________
(Date)
This is to certify that ERIKA M. RESTRIVERA is a bonafide FOURTH YEAR student of MANILA
SOUTHWOODS GUKJE SCHOOL for school year 2014-2015.
This further certifies that the aforementioned student has no pending case and has not been given any
disciplinary sanction due to violation of any school policy.
_____________________________
Signature over printed name of the
School Principal/Guidance Counselor
Note: This admissions form is not
valid without the school seal