SAINT PEDRO POVEDA COLLEGE

EDSA corner P. Poveda St., Quezon City

Telephone Numbers: 6318756 to 58
Website: www. poveda.edu.ph

APPLICATION FORM FOR ADMISSIONS TO COLLEGE

Course and Major:_______________________________________________-

______________________________________

Name:
____________________________________________________________________________________________
Family Name Given Name Middle Name

Date of Birth: _________________ Place of Birth _________________ Age: _____________

Gender: ______ Nationality: ___________ Civil Status: ________ Religion: ____________

2X2
Permanent Mailing Address: ____________________________________________________
PHOTO
E-mail Address: ____________________ Telephone Number: _________________________

Cellphone Number: _______________________ Fax Number: _________________________

Elementary Completed at: __________________________________ School Year:

_______________________________

Secondary Education Completed at: ___________________________ School Year:

______________________________

Name of School Last Attended: _______________________________ School Year:

______________________________

Name of Father: Name of Mother :

_________________________________
Permanent Mailing Address:
_______________________
_______________________________________________
Telephone Number:
______________________________
Cellphone Number:
______________________________
Fax Number:
____________________________________
Nationality:
_____________________________________
Religion:
________________________________________
Occupation:
_____________________________________
Name of Company and Address:
_____________________
________________________________________________
_________________________________
Permanent Mailing Address:
________________________
________________________________________________
Telephone Number:
_______________________________
Cellphone Number:
_______________________________
Fax Number:
_____________________________________
Nationality:
______________________________________
Religion:
________________________________________
Occupation:
_____________________________________
Name of Company and Address:
_____________________
________________________________________________

REQUIRED DOCUMENTS:
FRESHMEN TRANSFEREES
Accomplished Application Form Accomplished Application Form
Form 138 or Report Card ( original and Official Transcript of Records
 clear copy)
Honorable Dismissal
NSO Birth Certificate (original and clear
copy)
Certificate of Good Moral Character from
the Principal and Parish Priest / Pastor
Recommendation from Guidance
Counselor and Adviser (Official Form)
Two copies of 2 x 2 latest picture
Testing and Processing Fee (PHP 600)
OR Number:
____________________
DATE:
Honorable Dismissal
NSO Birth Certificate (original and
clear copy)
Certificate of Good Moral Character
from the Dean and Parish Priest /
Pastor
Recommendation from a Professor
and Head of Discipline (Official Form)
Two copies of 2 x 2 latest picture
Marriage Certificate ( for married
applicants)
Testing and Processing Fee (PHP 600)
REQUIREMENTS RECEIVED BY:
________________________