4/3/2019 On-Line Application for PLMAT of Pamantasan ng Lungsod ng Maynila

PLMAT Application Form

Pamantasan ng Lungsod ng Maynila

University of the City of Manila
Intramuros, Manila Paste 1.5 X 1.5
ID Picture Here

APPLICANT ID: 202198421

PERSONAL INFORMATION:
FULL NAME: Karl Vincent Caay Maloloy-on
First Name Middle Name Last Name Extension Name
ADDRESS: Sitio Aratan, Aripol Compound. - Pulong Santa Cruz , CITY OF SANTA ROSA
PROVINCE: LAGUNA
REGION: REGION IV-A (CALABARZON)
Pulong Sta. Cruz, Santa
BIRTH DATE: Aug 16, 2001 BIRTH PLACE: GENDER: M
Rosa, Laguna.
CONTACT NO: 09503769705 EMAIL-ADDRESS: karlvincent101@gmail.com DISABILITY: None
FAMILY INFORMATION:
Particulars Father Mother
Full Name Regilo Booc Maloloy-on Grace Pananglitan Caay
Address Pulong Sta. Cruz, Santa Rosa, Laguna. Pulong Sta. Cruz, Santa Rosa, Laguna.
Contact No. 09154625011 09154625011
Occupation Tricycle driver Factory Worker
DSWD Household No.:
Annual Gross Family Income: 25000.00
SCHOOL INFORMATION:
LRN : 108479060246
STRAND STEM
School Name STI College Santa Rosa
School Address STI Building, Balibago, Santa Rosa, Laguna.
Program Choice 1: Bachelor of Science in Architecture
Program Choice 2: Bachelor of Music in Music Performance
Program Choice 3: Bachelor of Science in Computer Engineering
Requirements for PLMAT :
Two (2) copies of Printed School ID with Certified True Copy of Senior High School card 2 pcs. 1.5 X 1.5 Identical Colored ID
Application Form Photocopy for the latest grading period Picture with white background

Print Applicant Name and Signature Date

Exam Permit (bring this on examination day)

Applicant ID: 202198421
Name: Maloloy-on, Karl Vincent Caay
Exam Room No.: ___________
Exam Schedule
March 24, 2019 AM (8:00-12:00) April 7, 2019 AM (8:00-12:00) April 14, 2019 AM (8:00-12:00) April 28, 2019 AM (8:00-12:00)

March 24, 2019 PM (1:00-5:00) April 7, 2019 PM (1:00-5:00) April 14, 2019 PM (1:00-5:00) April 28, 2019 PM (1:00-5:00)

OUR Staff (Print Name and Signature) Date

Reminders: Examinee should come in proper attire. Bring School ID, Test Permit and Two No. 2 Pencil.NO Permit, NO Exam.
NB:Passing the PLMAT is not the sole determinant for admission.The verifiable credentials filed in support of the admission become the
property of PLM and will not be returned.

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4/3/2019 On-Line Application for PLMAT of Pamantasan ng Lungsod ng Maynila
Date Printed: April 3, 2019, 6:17 pm

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