POTOTPRINCE KYLE AppForm

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Generated: November 7, 2023 - 08:16:08 am

Submission Schedule - December 13, 2023 AM


Admission Information - 018039- 1st semester 2024-2025
Campus - CvSU-Main
Entry: Transferee Applicant Type: Filipino
Preferred Course:
DVM

Personal Information
Name: POTOT, PRINCE KYLE C. Sex: Male
Address: Bumatay,Barangka Drive,,,
Email: princepotot012@gmail.com Mobile#: 09616250614
Birthdate: 2001-12-02 Nationality: Filipino Civil Status: Single
PWD: No Indigenous: No
Family Background
Contact Occupation
Father: Ronnie G. Potot 09668938889 Seafood Dealer
Mother: Emelita C. Potot 09983199053 Housewife
Guardian: Ronnie G. Potot 09668938889 Seafood Dealer
Family Income: Below 10,000 Number of siblings:2
Educational Background
Elementary
Pedro P. Cruz Elementary School H2FQ+HFH, Busilak, 2014 Public
Mandaluyong, Kalakhang Maynila
High School
Mataas Na Paaralang Neptali A. Gonzales H2MV+9MX, Nueve De Febrero, 2018 Public
Mandaluyong, Kalakhang Maynila
Senior High School
San Felipe Neri Catholic School 85 A.T. Reyes, St, Mandaluyong, 2020 Private
Metro Manila
College-Transferee
Rizal Technological University Boni Ave, Mandaluyong, 1550 Metro Private
Manila
BS - Biology
Medical History Information
Medications: To be filled up by the OSAS/Guidance Staff
Medical SUBMITTED REQUIREMENTS
Condition/s: __ Ordinary A4-size folder
I hereby acknowledge that all information stated above is true and Transferee
correct as to the best of my knowledge. I am submitting the correct __ Copy of accomplished application form for admission
and true document/s in compliance with the admission policy. Further, __ Photocopy of Transcript of Records/Certificate of Grades
I give consent for my personal data included in my offer to be Assessed by:___________________________
processed for the purposes of admission and enrolment in accordance Control No.:018039
with Republic Act 10173 - Data Privacy Act of 2012.

Signature over printed name


Instruction on placing the control number stub in the folder CONTROL NO.

1. After you have printed your application form, kindly cut the control number 018039
stub that you see in the right portion of the form.
2. Paste the control number stub on the label corner of A-4 size folder using (cut the stub above)
glue.

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