FINAL INSTRUCTION

1. Prior to submission, please check that the completed application form has the following:
Validation Code
Attached passport size ID picture
Dry seal of the school
Principal/Guidance Counselor's signature
2. Submit the printed application form to Counter 17-Student Admissions Office with the
following:
Passport size ID picture (identical with the one attached in the admission form)
Application fee of PHP350.00 (Filipino students) or USD50.00 (International
students)
 APPLICATION FOR ADMISSION

APPLICANT'S INFORMATION
Validation Code 311C3D860E
DateApplied 04/03/2014
Entrance Category FRESHMAN
Course Preference
First Choice BS Computer Engineering
Second Choice BS Information Technology
Third Preference BS Computer Science

BASIC INFORMATION
Name ORBE, CHRISTIAN PAUL DENUM
Gender MALE
Birth Date 12/21/1997
Birth Place MUNTINLUPA CITY
Religion ROMAN CATHOLIC
Civil Status SINGLE
Citizenship FILIPINO
Address BLK4,LOT1,PHASE1,SUNSHINE HOMES,BRGY
FRANCISCO DE GMA CAVITE PH 4117
Email christiandorbe02@yahoo.com
Contact No. 09991752104
Fathers Name CLARK RAMON A ORBE
Occupation CIVIL ENGINEER
Mother's Name JOSEPHINE LANIE D ORBE
Occupation HOUSE WIFE
Guardian's Name MARIA THERESA DENUM [AUNT]
Contact No. 09335232768
Guardian Address POB.5 AREA G BLK 6 LOT 29 , GMA , CAVITE

EDUCATION INFORMATION
Grade School St. Jonah Grace School [YG:2010]
Address Blk 5 lot 6 Phase 2 Sunshine Homes, GMA, Cavite
High School Philippine International English School [YG:2014]
Address PO Box 7879 Fahaheel, Code 64009, Kuwait
.......................................................................................................................................................

This is to certify the veracity and completeness of all information written on this form. We fully
understand that any misinterpretation shall be a ground for the applicant's right for admission or
revocation of course credit, grades, or degree.

______________________ _____________________________________
Applicant's Signature Signature over printed name of Guardian

.......................................................................................................................................................

CERTIFICATION OF ENROLLMENT

_______________________
(Date)

This is to certify that CHRISTIAN PAUL D. ORBE is a bonafide FOURTH YEAR student of PHILIPPINE
INTERNATIONAL ENGLISH SCHOOL for school year 2013-2014.

This further certifies that the aforementioned student has no pending case and has not been given any
disciplinary sanction due to violation of any school policy.

_____________________________
Signature over printed name of the
School Principal/Guidance Counselor

Note: This admissions form is not

valid without the school seal