Osa Admission Form Version 3.0

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AGUSAN DEL SUR STATE COLLEGE OF AGRICULTURE AND TECHNOLOGY

Bunawan, Agusan del Sur


Doc No.: F-ADM-001
website: http://asscat.edu.ph Effective Date: 05/31/2018
email address: [email protected] Rev No.: 1
Page No.: 1 of 2

19084895

ADMISSION FORM OFFICE OF THE STUDENT AFFAIRS (OSA)


ENROLMENT FORM

Family Name: ______________________ Given Name: ________________Middle Name: ________


General Ave. : ____________________ School Year: ________________Semester: ____________

NOTE: REQUIREMENTS FOR ADMISSION


A. OFFICE OF THE STUDENT AFFAIRS (OSA)
a. Students submits the filled out enrolment forms
b. Students is given his/her Identification Number (I.D No.) _______________________
B. GUIDANCE OFFICE/INFO DESK
a. Checking of the filled-out enrolment forms: (SIR) _______________________
( ) 1 Long Brown Folder ( ) 1 Long Brown Envelope Guidance Counselor/staff

C. ENCODING OF STUDENT PROFILE (ICT) _______________________


SSG / Student Assistant
D. COLLEGE WHERE THE STUDENT ENROLS
a. Secure Preliminary Enrolment Form (PEF)
Evaluated by: _________________________________
Program Adviser/College Representative
E. COLLEGE WHERE THE STUDENT ENROLS
a. Secure Preliminary Enrolment Form (PEF) Enrolled
Advised to another course
Evaluated by: _________________________________
Program Adviser/College Representative
F. REGISTRAR’S OFFICE (Submission of Credentials for enrolment)
Freshmen Transferees
( ) Report Card (Original) ( ) TOR/Evaluation Sheet
( ) Birth Certificate NSO Authenticated (Photocopy) ( ) Honorable Dismissal
( ) Certificate of Good Moral Character ( ) Marriage Certificate
(for married only)
( ) Marriage Certificate (for married only) ( ) 1 pc. Long Brown Envelope
( ) 1 pc. Long Brown Envelope ( ) Certificate of Enrollment
( ) Certificate of Enrollment ( ) 1 pc. Long Folder
( ) 1 pc. Long Folder ( ) 1 2x2 Latest Picture
( ) 1 2x2 Latest Picture ( ) NSO Birth Certificate (photocopy)
_____________________
Registrar’s Office
G. SSG OFFICE (for payment of fees) _______________________
SSG Representative
H. SCHOOL CLINIC (Physical Examination) Remarks: _______ _______________________
Laboratory: ( ) CBC ( ) Urinalysis ( ) Urinalysis w/ Pregnancy Test (female) College Nurse
( ) Stool Exam ( ) Medical Certificate issued by registered Physician
( ) 1 pc. 2x2 Picture ( ) 1 pc. Long Brown Envelope

I. SCHOOL LIBRARY (Library I.D No.) _____________ ______________________


( ) 1x1 ID picture College Librarian
AGUSAN DEL SUR STATE COLLEGE OF AGRICULTURE AND TECHNOLOGY
Bunawan, Agusan del Sur
Doc No.: F-ADM-001
website: http://asscat.edu.ph Effective Date: 05/31/2018
email address: [email protected] Rev No.: 1
Page No.: 2 of 2

19084895

ADMISSION FORM OFFICE OF THE STUDENT AFFAIRS (OSA)


ENROLMENT FORM

J. COLLEGE CLERK
Return one copy of Certificate of Enrolment (COR)

Note: Please keep your Student copy for your file and present it to the Instructor during
your class.

K. OFFICE OF STUDENT AFFAIRS (OSA)


ID / Validation

I, __________________________________________, is willing to abide all rules and regulation


of this College.
____________________________________
Signature
Course : ____________________________________
Institute : ____________________________________
Date Enrolled : ____________________________________
NOTE: RETURN THIS FORM (ADMISSION FORM) TO THE OSA FOR RECORD
PROFILE.

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