UNIVERSITY OF SAN AGUSTIN oilo City Grade 11 Entrance Application Form A. Pre- Enrollment Procedure 1. Accomplish Grade 11 Entrance Application Form for examination 2. Photocopy of Grade 10 Report Card (Latest Grading Period) 3. ID picture taking (Get ID Claim Stub)- Admissions, Scholarships and Placement Office 4, Secure payment slip — Admissions, Scholarships and Placement Office 5, Pay entrance examination / pre-registration and get receipt of payment ~ USA Accounting Depariment'Cashier 6. Present payment receipt and get the entrance test schedule ~ Admissions, Scholarships and Placement Office 7, Take the scheduled entrance test ~ Guidance Services and Testing Center 8. Get entrance test result — Admission, Scholarships and Placement Office 9, Interview, after the interview get interview results. If admitted, accomplish the Enrollment Information Form (ELF) for the Dean’s approval — Dean's Office (Academie Program of your choice) Fee: Entrance Exam (200.00 ) re- Registration PS00.00)* *Pre-Registration fee is non-refundable but will be credited to the down payment upon enrollment. SP Office- Admission, Scholarship and Placement Office 'GSTC- Guidance Services and Testing Center 1B. Personal Data Information: ‘Name: (Print) (Family Name) (Given Name) Date of Birth: Age: Religion Nationality: Civil Complete Address: (Middle Name) Sex: Status: Phone Number: (Landline) (Cell Phone) Father's Name: Occupation: Mother's Name: ‘Occupation: Junior High School Educational History Level School: School Adaress Date of Attendance Grade 7 Grade 8 Grade 9 Grade 10 C. Please identify your Academic Track Preference: First Choice, Second Choice, Third Choice, Fourth Choice Accountancy, Business and Management Strand (ABM) Humanities and Social Sciences Strand (HUMSS) Science, Technology, Engineering and Mathematics Strand (STEM) General Academic Strand (GAS) * Grade 11 Testing Permit Name: (Print) ‘Family Name) (Given Name) Venue: Examination Date: Time: 7 ASC Skt “Present this on the day of examination ‘(Midale Name)