Republic of the Philippines

SORSOGON STATE UNIVERSITY

Office of the Student Development Services
Admission Services Unit
Magsaysay St., Sorsogon City
E-mail Add: admission.sorsu.edu.ph
__________________________________________________________________

ADS24-181413
________________________
Application Code

Sep 9, 2023 10:50 AM

________________________
Date Submitted

APPLICATION FOR SORSU COLLEGE ADMISSION TEST

C E R T I F I C A T I O N

The undersigned hereby certifies that all the information

submitted in the Online Pre-Admission System are true, correct and
complete to the best of his/her knowledge. The undersigned further
affirms that any false information given can be a ground for
disqualification for admission or dismissal, if admitted.

HANES A. GERNALE
____________________________________ ____________________________
Applicant's Signature Date

____________________________________ ____________________________
Parent's/Guardian's Date
Signature Over Printed Name

Submit this Certification together with the other admission requirements at the nearest SorSU Admission Services Office
not later than Dec 7, 2023 12:00 AM

• Duly signed Certification (FM-ADS-003A) generated by the Online Pre-Admission System

• Authenticated photocopy of Grade 11 SHS Form 137/SF 10 or Form 138/SF9 reflecting the GWA per
semester

• One (1) piece recent 2” x 2” ID Picture (colored picture, white background with full name and signature
above the name)

• 1 piece long size white folder (not plastic)

Doc. Code FM-ADS-003A Revision 03

Effectivity August 31, 2023 Pages 1 of 1