Attach one (1)

2x2 recent picture

with white background,
name and signature
at the back

OFFICE FOR ADMISSIONS

SENIOR HIGH SCHOOL APPLICATION AND CONFORME
Reference Number:

2022612904
Legal Name (Name in Birth Certificate)

CONCEPCION M
Last Name Auxiliary Name (e.g. Jr., II, etc.) Gender

JAN CEDRIC
Given Name Landline Number

STA.MARIA 09474200409
Middle Name Mobile Number

11 / 06 / 2005 FILIPINO CHRISTIAN (CATHOLIC) jancedric06@gmail.com

Date of Birth (MM/DD/YYYY) Citizenship Religion E-mail Address

#90 TIWALA ST, DALANDANAN, VALENZUELA CITY N.A 1443

Permanent Mailing Address Zip Code

Name of present Junior High School Grade 10 Completion Year

DE LA SALLE ARANETA UNIVERSITY 2022

Address of Junior High School

303 VICTONETA AVE., POTRERO, MALABON CITY

TRACK/STRAND SCIENCE, TECHNOLOGY, ENGINEERING, AND MATHEMATICS

GENERAL GUIDELINES APPLICATION PROCEDURE

1. Application to the University of Santo Tomas is done online. You are done with the pre-registration. Follow the steps below to complete your
2. Only Senior High School applicants who are currently enrolled in Grade 10 may application.
apply. 1. Log back in to your application portal.
3. The following may apply provided they first secure a clearance from the UST 2. Encode your application data:
Office of the Registrar before paying the application fee:
2.1 Complete the Grades Tab
3.1 Passers of the Philippine Educational Placement Test and Alternative
Learning System Accreditation and Equivalency (PEPT/ALS A&E certificate 2.2 Complete the Co-curricular and Extracurricular Tab
is required) 2.3 Complete the Information Survey Tab
3.2 Graduates/Completers of previous school years 3. Prepare the needed documents for uploading:
(original Form 138 - Report Card required)
Signed Application and Conforme Form Student Ranking Certification
3.3 Applicants from foreign schools
(Form 137-Transcript of Records required) PSA/ NS0 Birth Certificate or Passport Proof of Payment
3.4 Foreigners graduating from local schools Certified True Copy of Form 137 or Form 138
(passport and ACR I-CARD required) If applicable:
3.5 Open this Google Form link to request: Honors Class Certification/s Awards Certification/s
https://forms.gle/eZSXsAo2EyiUA7496
Leadership Certification/s International Credential Certification
4. Pay the application fee.
APPLICATION FEES 5. Upload your application documents and click the “Submit” button in the
Documents Uploading Tab.
Php 500.00 - Filipinos studying in the Philippines 6. Your documents will be reviewed upon submission of your application.
Php 500.00 - Filipinos studying abroad 7. Your Application Receipt shall be released if your documents and information
are complete and true.
Php 1,000.00 - Foreigners studying in the Philippines 8. Visit the Activity Log in your USTAR application portal for updates, after
submitting your application.
USD 30.00 or Php 1, 650.00 - Foreigners studying abroad
9. Download your Application Receipt.

I certify and fully understand that:

1. All information in this form is complete and correct to the best of my
knowledge and belief.
2. I have not withheld any information that might affect my admission.
3. The track and strand stated herein can no longer be changed nor altered.
10. The following are grounds for disqualification, forfeiture of slot, and/or
4. The Senior High School may require additional entry assessment in the
form of an interview, talent test, and other similar activities, if necessary.
5. My final admission will also depend on the submission of my official
documents and grades.
6. I have not been admitted to nor debarred from any other senior high
school.
7. I authorize the Office for Admissions of the University of Santo Tomas
to verify all data that I have provided.
8. I authorize that the results and other data herein contained may be
used for research purposes.
9. All submitted documents will become properties of the UST Office for
Admissions and can no longer be retrieved by me or my representative.
debarment in the succeeding term if discovered in the current term:
10.1 Misrepresentation of information entered in the application portal
10.2 Violation of the application instructions
10.3 Non-submission of documents on time to confirm one’s enrollment, if
qualified
10.4 Submission of missing, incomplete, or false documents
10.5 Other acts not in conformity with the University’s policies.

Signature of Parent/ Legal Guardian Date Signed Signature of Applicant Date Signed

UST:S024-00-FO40