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ENTRANCE FOR ADMISSIONAPPLICATION FORM REGIONAL SCIENCE HIGH SCHOOL S.Y. 2013-2014 Application Form 1School website: regionalsciencehigh02.blogspot.

com / http://bropitkarldict.wix.com/rshs02 IMPORTANT:1. Entrance for Admission Application Form (AF1) is available at school registrars office and can be downloaded at school website.2. Latest photocopy of F138 (report of rating).3. Bring pencil #2 and blank sheets of bond paper for problem solving in mathematics on examination day.4. Qualifiers will receive a report of rating individually.5. Walk-in /on-site registration of pupil examinees will be allowed provided the following requirements are met:1. 1x1 ID picture2. Accomplished entrance for admission application form3. Latest photocopy of F138 (report of rating) Instructions: Please accomplish this form. Type or print legibly all information needed. DO NOT ABBREVIATE. DO NOTLEAVE ANY ITEM BLANK. Countersign all erasures and corrections made. StapleOnly 1X1 PhotoPERSONALDATA:1) NAMEOFAPPLICANT:(LastName,FirstName,MiddleName)2) BIRTHDAY:3)AGEasofJune30,2012:4)SEX:MALE5)CONTACTMMDDYYYYFEMALENUMBERS:6)COMPLETEHOME/PER MANENTADDRESS:ZipCode7)CongressionalDistrictProvince SCHOOL AND SCHOLASTIC INFORMATION: (To be filled out by the Class Adviser/ Principal) 1) NAME OF SCHOOL: _______________________________________________ 2) COMPLETE SCHOOL ADDRESS:________________________________________________________ 3) SCHOOL TYPE PUBLIC 4) SCHOOL CONTACT NO.:_______________________________________ _________ PRIVATEwithlicenseYN

SY 2011-2012 Performance Rating English Math Science Gen. Weighted Average1 st Quarter Batch Rank2 nd Quarter Honors Received3 rd Quarter (if available) Special Awards:________________________________ Dates to remember:November 5, 2012

January 4, 2013 - Filing and Deadline of PQF1 January 21, 2013 - Posting of 2 nd ScreeningJanuary 5-11, 2013 Posting of Qualified Pupil Applicants Qualifiersto take the Admission Test March 1, 2013 - Second Screening Examination March 5 - April 5, 2013 - Posting of Qualifiers forJanuary 15, 2013 - 1 st Screening Exam for Congressional oral interviewDistricts I & II April 8, 2013 - Oral Interview and EnrolmentJanuary 16, 2013 - 1 st Screening Exam for CongressionalDistricts III & IV, Cauayan City, SantiagoCity, Tuguegarao City, Cagayan, Quirino,and Nueva Vizcaya QUALIFIED NOT QUALIFIED (Include allpossible numbers) SY 2012-2013 (This portion is a MUST for pupil-applicant to supply the needed data) NOTFORSALEREPRODUCTION IS ALLOWED I hereby certify that the pupil applicant is of good moral characterand officially enrolled in this school for S.Y. 2012-2013. This certifies furtherto the accuracy and correctness of the foregoing data/ information. Printed Name and Signature of Class Adviser/Principal

ENTRANCE FOR ADMISSIONAPPLICATION FORM REGIONAL SCIENCE HIGH SCHOOL S.Y. 2013-2014 Application Form 1School website: regionalsciencehigh02.blogspot.com / http://bropitkarldict.wix.com/rshs02 IMPORTANT:1. Entrance for Admission Application Form (AF1) is available at school registrars office and can be downloaded at school website.2. Latest photocopy of F138 (report of rating).3. Bring pencil #2 and blank sheets of bond paper for problem solving in mathematics on examination day.4. Qualifiers will receive a report of rating individually.5. Walk-in /on-site registration of pupil examinees will be allowed provided the following requirements are met:1. 1x1 ID picture2. Accomplished entrance for admission application form3. Latest photocopy of F138 (report of rating) Instructions:

Please accomplish this form. Type or print legibly all information needed. DO NOT ABBREVIATE. DO NOTLEAVE ANY ITEM BLANK. Countersign all erasures and corrections made. StapleOnly 1X1 PhotoPERSONALDATA:1) NAMEOFAPPLICANT:(LastName,FirstName,MiddleName)2) BIRTHDAY:3)AGEasofJune30,2012:4)SEX:MALE5)CONTACTMMDDYYYYFEMALENUMBERS:6)COMPLETEHOME/PER MANENTADDRESS:ZipCode7)CongressionalDistrictProvince SCHOOL AND SCHOLASTIC INFORMATION: (To be filled out by the Class Adviser/ Principal) 1) NAME OF SCHOOL: _______________________________________________ 2) COMPLETE SCHOOL ADDRESS:________________________________________________________ 3) SCHOOL TYPE PUBLIC 4) SCHOOL CONTACT NO.:_______________________________________ _________ PRIVATEwithlicenseYN

SY 2011-2012 Performance Rating English Math Science Gen. Weighted Average1 st Quarter Batch Rank2 nd Quarter Honors Received3 rd Quarter (if available) Special Awards:________________________________ Dates to remember:November 5, 2012 January 4, 2013 - Filing and Deadline of PQF1 January 21, 2013 - Posting of 2 nd ScreeningJanuary 5-11, 2013 Posting of Qualified Pupil Applicants Qualifiersto take the Admission Test March 1, 2013 - Second Screening Examination March 5 - April 5, 2013 - Posting of Qualifiers forJanuary 15, 2013 - 1 st Screening Exam for Congressional oral interviewDistricts I & II April 8, 2013 - Oral Interview and EnrolmentJanuary 16, 2013 - 1 st Screening Exam for CongressionalDistricts III & IV, Cauayan City, SantiagoCity, Tuguegarao City, Cagayan, Quirino,and Nueva Vizcaya QUALIFIED NOT QUALIFIED (Include allpossible numbers) SY 2012-2013 (This portion is a MUST for pupil-applicant to supply the needed data) NOTFORSALEREPRODUCTION IS ALLOWED I hereby certify that the pupil applicant is of good moral characterand officially enrolled in this school for S.Y. 2012-2013. This certifies furtherto the accuracy and correctness of the foregoing data/ information. Printed Name and Signature of Class Adviser/Principal

. All Rights Reserved REGIONAL SCIENCE HIGH SCHOOL EXAMINATION SCHEDULE S.Y. 2012-2013 Dates to remember: November 5 - January 4, 2013 Filling and Deadline of PQF1 January 5-11, 2013 Posting of Qualified Pupil Applicants to take the Admission Test January 15, 2013 1st Screening Exam for Congressional Districts I & II Isabela January 16, 2013 1st Screening Exam for Congressional Districts III & IV, Cauayan, Santiago City, Tuguegarao City, Cagayan, Quirino, and Nueva Vizcaya January 21, 2013 Posting of 2nd Screening Qualifiers March 1, 2013 Second Screening Examination March 5 - April 5, 2013 Posting of Qualifiers for oral interview April 8, 2013 Oral Interview and Enrolment IMPORTANT: 1. Entrance for Admission Application Form (AF1) is available at school can be downloaded at school website. 2. Latest photocopy of F138 (report of rating). 3. Bring pencil #2 and blank sheets of bond paper for problem solving in mathematics on examination day. 4. Qualifiers will receive a report of rating individually. 5. Walk-in /on-site registration of pupil examinees will be allowed provided the following requirements are met: registrars office and

1. 1x1 ID picture 2. Accomplished entrance for admission application form 3. Latest photocopy of F138 (report of rating) APPLICATION FORM Webmaster Login Home Admissions Vision/Mission Curriculum History Contact