Republic of the Philippines

Bangsamoro Autonomous Region in Muslim Mindanao

Ministry of Basic, Higher and Teacher Education
SANDIGAN COLLEGE INC.
Cotabato City
School I.D: 410977
GRADUATE SCHOOL
FOR THE _______SEMESTER
S.Y______-_____
Note: Please Provide Complete Information

For new Enrollees submit the following requirements:

PASTE YOUR 2x2
 Photocopy of Birth Certificate
PICTURE HERE  Card from previous school
 2x2 picture and 1x1 picture for I.D

For your information, you will be paying:

 A monthly due amounting 500 pesos

 Enrollment fee (2,000)
 250 pesos for school I.D and sling
PART 1:

Last Name _______________ Given Name ________________Middle Name _________Date of Birth: _____________

Place of Birth: ______________________Are you a new student? YES____NO____ Address: ____________________

Status: Single ______Married ______ Widowed ______ Guardian Name: _____________________________________

Contact Number of Guardian for Emergency Purposes: ____________________________________________________

PART 2:

Course/Degree: ______________ Year Level: ______________Last School Attended: __________From (Year) ___________
to ____________Nationality: _________________Religion: ______________ Tribe: ______________Complete Address:
Barangay: __________________City/State/Province:_____________________ Postal Code: ____________Personal contact
Number: _________________________ G-mail Account: ________________

I DO SOLEMNLY SWEAR THAT THE INFORMATION PROVIDED ABOVE ARE ALL TRUE AND FACTUAL , IF IN ANY CASE THAT I
PROVIDED MISINFORMATIONS, I SHALL BE FACING THE POSSIBLE CONSEQUENCES.

Signed this __________,_______

Date year

____________________________________

FULL NAME OF ENROLLEE AND SIGNATURE

_______________________________________ SHAHID PEDTULUSAN, MAED

FULL NAME OF ENROLLMENT OFFICER IN-CHARGE SCHOOL DEAN