Republic of the Philippines

Sorsogon State College

ADMISSION SERVICES OFFICE
Sorsogon City

ADS19-108350
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Application Code

Feb 19, 2019 4:41 PM

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Date Submitted

APPLICATION FOR SSC COLLEGE ADMISSION TEST

C E R T I F I C A T I O N

The undersigned hereby certifies that all the information

submitted in the Online Pre-Admission System are true, correct and
complete to the best of his/her knowledge. The undersigned further
affirms that any false information given can be a ground for
disqualification for admission or dismissal, if admitted.

____________________________________ ____________________________
Applicant's Signature Date

____________________________________ ____________________________
Parent's/Guardian's Date
Signature Over Printed Name

Submit this Certification together with the other admission requirements at the nearest SSC
Admission Services Office not later than Feb 20, 2019
• Original and photocopy of Form 138 (Report Card)

• Two (2) pieces recent 2” x 2” ID Picture (colored picture with white background)

• 1 piece long size white folder

SSC-ADS-23-F03A