Republic of the Philippines

PHILIPPINE STATE COLLEGE OF AERONAUTICS

PhilSCA ADM Form No. 1

Series No. 17-02-V

Piccio Garden, Villamor, Pasay City

PhilSCA ADMISSION TEST APPLICATION FORM

1X1

latest picture
Important Reminders:
1. Accomplish this Form correctly and legibly (Pls. PRINT)
2. Submit this form together with the other requirements and one (1) pc 1x1 latest
picture
3. Application Fee of ₱300.00 is non-refundable
4. In compliance with Article V Section 35.K of PhilSCA Student Manual, applicants
with visible tattoos in the arms, neck, face, hands and legs will not be
accepted.

Applicant No.: ______________________________

Date of Application: _____________________
Please Check:
Freshmen Transferee Second Course Post Graduate
Studies Date of Exam ______________ O.R. # ________

Application for: ______ Sem/Trimester, Acad. Year ________ Course

Preferences: 1st Choice: ___________ 2nd Choice:
_________

Last Name: Date of

Birth: Nationality:
First Name: Place of
Birth: Gender:
Middle Name : Middle Initial: Age:
Civil Status: Contact No:
Address:
Religion: Email address:
Father’s/Guardian Name:
Occupation: Contact No.
Mother’s Name:
Occupation: Contact No.
School Last Attended
School Year: GWA:

Submitted Document: (Certified Photocopy only)

Please Check: High School Card Copy of Grade
Transcript of Records Certificate of Good Moral Character

I hereby certify that the above information is true and correct.

__________________________

Applicant’s Signature
-----------------------------------------------------------------------------------
---------------------------------------------
 Republic of the Philippines
PHILIPPINE STATE COLLEGE OF AERONAUTICS
PhilSCA ADM Form No. 1

Series No. 17-02-V

Piccio Garden, Villamor, Pasay City

PhilSCA ADMISSION TEST APPLICATION FORM

1X1

latest
Important Reminders:

picture
1. Accomplish this Form correctly and legibly (Pls. PRINT)
2. Submit this form together with the other requirements and one (1) pc 1x1 latest
picture
3. Application Fee of ₱300.00 is non-refundable
4. In compliance with Article V Section 35.K of PhilSCA Student Manual, applicants
with visible tattoos in the arms, neck, face, hands and legs will not be
accepted.

Applicant No.: ______________________________

Date of Application: _____________________
Please Check:
Freshmen Transferee Second Course Post Graduate
Studies Date of Exam ______________ O.R. # ________

Application for: ______ Sem/Trimester, Acad. Year ________ Course

Preferences: 1st Choice: ___________ 2nd Choice:
_________

Last Name: Date of

Birth: Nationality:
First Name: Place of
Birth: Gender:
Middle Name : Middle Initial: Age:
Civil Status: Contact No.:
Address:
Religion: Email address:
Father’s/Guardian Name:
Occupation: Contact No.
Mother’s Name:
Occupation: Contact No.
School Last Attended
School Year: GWA:

Submitted Document: (Certified Photocopy only)

Please Check: High School Card Copy of Grade
Transcript of Records Certificate of Good Moral Character

I hereby certify that the above information is true and correct.

__________________________
Applicant’s Signature