PLM Admission Form 1 (2020)

PLM Application Form

Pamantasan ng Lungsod ng Maynila

University of the City of Manila
Intramuros, Manila Paste 2 X 2
ID Picture
PLM Application Form Here

APPLICANT ID: 202431902

PERSONAL INFORMATION:

Erica
FULL NAME: Audar Chuquico
Faith
First Name Middle Name Last Name Extension Name
ADDRESS: 2031 E. Oroquieta St. Sta Cruz Manila - Barangay 346 SANTA CRUZ , CITY OF MANILA

PROVINCE: NCR, CITY OF MANILA, FIRST DISTRICT (Not a Province)

REGION: NATIONAL CAPITAL REGION (NCR)
BIRTH DATE: Jul 07, 2005 BIRTH PLACE: Lying-in GENDER: F
CONTACT NO: 09670450297 EMAIL-ADDRESS: chuquico.136618100109@depedqc.ph

FAMILY INFORMATION:
Particulars Father Mother Guardian
Full Name Ricardo Envidia Chuquico Emily Zabat Audar Chuquico, Emily Audar
2031 E. Oroquieta St. Sta 2031 E. Oroquieta St. Sta 2031 E. Oroquieta St. Sta
Address
Cruz Manila Cruz Manila Cruz Manila
Contact No. 09954518321 09270155989 09270155989
Occupation Merchandiser Accounting clerk Relationship: Mother
Family Monthly
Between PHP 10,481 and PHP 20,962
Income:

SCHOOL INFORMATION:
LRN : 136618100109
STRAND ABM
School Name Eulogio Rodriguez Jr. HS
School Address NCR, SECOND DISTRICT (Not a Province)
School Email Address erjhsregistrar@yahoo.com
General Weighted Average
Grade 11: 90.00
(GWA)
Program Choice 1: Bachelor of Science in Tourism Management
Program Choice 2: Bachelor of Science In Hospitality Management
Program Choice 3: Bachelor of Science in Business Administration Major in Marketing Management

https://web1.plm.edu.ph/crs/admission/print_app_form.php 2/8/24, 10 44 PM
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 [X] I confirmed that I have read and understood the Data Privay Consent Form.

Signature Over Printed Name of

Date
Applicant

Signature Over Printed Name of

Date
Guardian

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