SURIGAO DEL NORTE STATE

UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Information Technology (BSInfoTech)
SECOND CHOICE Bachelor of Science in Information Technology (BSInfoTech)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Abarquez
FIRST NAME Marco Vincent 1X1 ID PICTURE

MIDDLE NAME
SEX Male CIVIL STATUS Single BIRTHDATE 10/19/2004
PERMANENT ADDRESS: BARANGAY barangay ipil TOWN/CITYsurigao city PROVINCE surigao del norte
CONTACT NUMBER 9559729750 [email protected]
NAME OF LAST SCHOOL Ipil national high school ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Ipil national high school

SENIOR HIGH SCHOOL GAS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Information Technology (BSInfoTech)
SECOND CHOICE Bachelor of Science in Information Technology (BSInfoTech)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Aguanta
FIRST NAME Kizzer 1X1 ID PICTURE

MIDDLE NAME Samonte

SEX Male CIVIL STATUS Single BIRTHDATE 12/13/2004
PERMANENT ADDRESS: BARANGAY Cagniog TOWN/CITYSurigao City PROVINCE Surigao Del
Norte
CONTACT NUMBER 9097571782 [email protected]
NAME OF LAST SCHOOL Surigao del Norte National Highschool ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Penaranda Street, Surigao City, Surigao del Norte

SENIOR HIGH SCHOOL GAS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Information Technology (BSInfoTech)
SECOND CHOICE Bachelor of Science in Information Technology (BSInfoTech)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME AGUANTA
FIRST NAME KIZZER 1X1 ID PICTURE

MIDDLE NAME SAMONTE

SEX Male CIVIL STATUS Single BIRTHDATE 12/13/2004
PERMANENT ADDRESS: BARANGAY CAGNIOG TOWN/CITYSURIGAO PROVINCE SURIGAO DEL
CITY NORTE
CONTACT NUMBER 9097571782 [email protected]
NAME OF LAST SCHOOL SURIGAO DEL NORTE NATIONAL ADMISSION TEST RESULT:
ATTENDED HIGHSCHOOL
SCHOOL ADDRESS PEÑARANDA STREET SURIGAO CITY

SENIOR HIGH SCHOOL GAS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Tourism Management (BSTM)
SECOND CHOICE Bachelor of Secondary Education major in English (BSED - English)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Aguila
FIRST NAME Lindi Christine 1X1 ID PICTURE

MIDDLE NAME Tarre

SEX Female CIVIL STATUS Single BIRTHDATE 6/27/2003
PERMANENT ADDRESS: BARANGAY Escolta TOWN/CITYDinagat PROVINCE Dinagat Island
CONTACT NUMBER 9700242230 [email protected]
NAME OF LAST SCHOOL Dinagat School of Fisheries ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS St.Paul University Surigao Sanicolas ST. Surigao
City
SENIOR HIGH SCHOOL STEM Transferee
STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 1: 9:00 AM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Civil Engineering (BSCE)
SECOND CHOICE Bachelor of Science in Computer Engineering (BSCoE)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Alabat
FIRST NAME Whendy Jericca 1X1 ID PICTURE

MIDDLE NAME Lasala

SEX Female CIVIL STATUS Single BIRTHDATE 9/11/2003
PERMANENT ADDRESS: BARANGAY Navarro TOWN/CITYSurigao del PROVINCE Socorro

Norte
CONTACT NUMBER 9105311036 [email protected]
NAME OF LAST SCHOOL Socorro national high school ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Brgy. Taruc Socorro Surigao del Norte

SENIOR HIGH SCHOOL GAS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor in Automotive Engineering Technology (BAET)
SECOND CHOICE Bachelor of Science in Tourism Management (BSTM)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Algabre
FIRST NAME Marjon 1X1 ID PICTURE

MIDDLE NAME Alberto

SEX Male CIVIL STATUS Single BIRTHDATE 3/29/2003
PERMANENT ADDRESS: BARANGAY Aurelio TOWN/CITYSan Jose PROVINCE Dinagat Islands
CONTACT NUMBER 9991640422 [email protected]
NAME OF LAST SCHOOL Don Jose Ecleo Memorial College ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Don Jose Ecleo Memorial College

SENIOR HIGH SCHOOL HUMSS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION April 13, 2023 Batch 2: 1:30 PM Venue: San Jose, Dinagat
2023-2024 SITE/VENUE AND Island
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor in Automotive Engineering Technology (BAET)
SECOND CHOICE Bachelor of Science in Industrial Technology major in Architectural Drafting
Technology (BSIT-ADT)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME ALIPAO
FIRST NAME WILSON 1X1 ID PICTURE

MIDDLE NAME OLIVEROS

SEX Male CIVIL STATUS Single BIRTHDATE 12/3/2004

PERMANENT ADDRESS: BARANGAY MAGSAYSAY TOWN/CITY PROVINCE

PLACER Surigao del Norte
CONTACT NUMBER 9107246884 [email protected]
NAME OF LAST SCHOOL PLACER NATIONAL HIGH SCHOOL ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Magsaysay, Placer, SdN

SENIOR HIGH SCHOOL OTHERS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION April 18, 2023 Batch 1: 8:00 AM Venue: SNSU Del Carmen
2023-2024 SITE/VENUE AND Campus
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Computer Science (BSCS)
SECOND CHOICE Bachelor of Science in Computer Engineering (BSCoE)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Amandoron
FIRST NAME Eric Brent 1X1 ID PICTURE

MIDDLE NAME Casaligan

SEX Male CIVIL STATUS Single BIRTHDATE 9/30/2004
PERMANENT ADDRESS: BARANGAY P-4 Santa Cruz TOWN/CITYSan Jose PROVINCE Dinagat Island
CONTACT NUMBER 9500962805 [email protected]
NAME OF LAST SCHOOL DON RUBEN E. ECLEO SR. MEMORIAL ADMISSION TEST RESULT:
ATTENDED NATIONAL HIGH SCHOOL
SCHOOL ADDRESS DON RUBEN E. ECLEO SR. MEMORIAL
NATIONAL HIGH SCHOOL
SENIOR HIGH SCHOOL OTHERS Freshman
STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Information Technology (BSInfoTech)
SECOND CHOICE Bachelor of Science in Information System (BSIS)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Amores
FIRST NAME Janjerick 1X1 ID PICTURE

MIDDLE NAME Caliso

SEX Male CIVIL STATUS Single BIRTHDATE 1/1/2003
PERMANENT ADDRESS: BARANGAY Luna TOWN/CITYSurigao city PROVINCE Surigao del norte
CONTACT NUMBER 9667041828 [email protected]
NAME OF LAST SCHOOL Doña carmen denia national high school ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS 2021-2022

SENIOR HIGH SCHOOL HUMSS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Civil Engineering (BSCE)
SECOND CHOICE Bachelor of Science in Industrial Technology major in Electrical Technology (BSIT-
ELC)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Angob
FIRST NAME Florence 1X1 ID PICTURE

MIDDLE NAME Paco

SEX Female CIVIL STATUS Single BIRTHDATE 1/27/2023

PERMANENT ADDRESS: BARANGAY P-10 Brgy San Juan TOWN/CITY PROVINCE

Surigao City Surigao Del norte
Surigao City

CONTACT NUMBER 9700261709 [email protected]

NAME OF LAST SCHOOL Surigao City National High School ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Surigao City

SENIOR HIGH SCHOOL GAS Returnee

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 1: 9:00 AM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Electrical Engineering (BSEE)
SECOND CHOICE Bachelor in Mechanical Engineering Technology with concentration in Mechanical
Technology (BMET - MT)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Arguillas
FIRST NAME Reiner 1X1 ID PICTURE

MIDDLE NAME Conjurado

SEX Male CIVIL STATUS Single BIRTHDATE 7/26/2005

PERMANENT ADDRESS: BARANGAY P-4 brgy. Gamuton TOWN/CITY PROVINCE

Carrascal Surigao Del Sur
Carrascal

CONTACT NUMBER 9099105292 [email protected]

NAME OF LAST SCHOOL Gamuton, Carrascal National High School ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Gamuton Carrascal National High School

SENIOR HIGH SCHOOL HUMSS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Industrial Technology major in Architectural Drafting
Technology (BSIT-ADT)
SECOND CHOICE Bachelor of Science in Civil Engineering (BSCE)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Ariate
FIRST NAME Marilyn 1X1 ID PICTURE

MIDDLE NAME -
SEX Female CIVIL STATUS Single BIRTHDATE 4/8/2005

PERMANENT ADDRESS: BARANGAY P-7, brgy. Baybay TOWN/CITY PROVINCE

Carrascal Surigao Del Sur
CONTACT NUMBER 9165628817 [email protected]
NAME OF LAST SCHOOL Gamuton, Carrascal National high school ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Gamuton, Carrascal National high school

SENIOR HIGH SCHOOL HUMSS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Secondary Education major in Sciences (BSED - Sciences)
SECOND CHOICE Bachelor of Technical, Vocational Teacher Education major in Food & Service
Management (BTVTEd-FSM)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Arlan
FIRST NAME Rhiafe 1X1 ID PICTURE

MIDDLE NAME Gajetos

SEX Female CIVIL STATUS Single BIRTHDATE 12/17/2004

PERMANENT ADDRESS: BARANGAY Purok1- poblacion TOWN/CITY PROVINCE

Cagdianao DINAGAT
cagdianao Dinagat island ISLAND
Dinagat island
CONTACT NUMBER 9158418205 [email protected]
NAME OF LAST SCHOOL Cagdianao national high ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Cagdianao national high school

SENIOR HIGH SCHOOL OTHERS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 1: 9:00 AM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Secondary Education major in English (BSED - English)
SECOND CHOICE Bachelor of Elementary Education (BEED)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Autida
FIRST NAME Apple Joy 1X1 ID PICTURE

MIDDLE NAME Yuboc

SEX Female CIVIL STATUS Single BIRTHDATE 5/29/2005
PERMANENT ADDRESS: BARANGAY San Juan TOWN/CITYSurigao City PROVINCE Surigao Del
Norte
CONTACT NUMBER 9512557494 [email protected]
NAME OF LAST SCHOOL Surigao City National High School ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS San Juan Surigao City

SENIOR HIGH SCHOOL GAS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Information Technology (BSInfoTech)
SECOND CHOICE Bachelor of Elementary Education (BEED)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Baldo
FIRST NAME Julito 1X1 ID PICTURE

MIDDLE NAME Bosque

SEX Male CIVIL STATUS Single BIRTHDATE 2/22/2002
PERMANENT ADDRESS: BARANGAY Purok 3 proper TOWN/CITYSurigao city PROVINCE Surigao del norte
brgyCanlanipa

CONTACT NUMBER 9306186751 [email protected]

NAME OF LAST SCHOOL Taft National high School ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Taft National High School

SENIOR HIGH SCHOOL OTHERS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 1: 9:00 AM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Industrial Technology major in Mechanical Technology (BSIT-
MT)
SECOND CHOICE Bachelor of Science in Industrial Technology major in Mechanical Technology (BSIT-
MT)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Bañacia
FIRST NAME R Jay 1X1 ID PICTURE
MIDDLE NAME Dolontap
SEX Male CIVIL STATUS Single BIRTHDATE 8/29/2002
PERMANENT ADDRESS: BARANGAY Ipil TOWN/CITYSurigao PROVINCE Surigao
city Del
Norte
CONTACT NUMBER 9064941300 [email protected]
NAME OF LAST SCHOOL San Francisco National High School ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS San Francisco Anao-aon

SENIOR HIGH SCHOOL OTHERS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION April 11, 2023 Batch 2: 1:30 PM Venue: Tubajon, Dinagat Island
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor in Automotive Engineering Technology (BAET)
SECOND CHOICE Bachelor in Electrical Engineering Technology (BEET)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Bañacia
FIRST NAME Harenz 1X1 ID PICTURE

MIDDLE NAME Humaylab

SEX Male CIVIL STATUS Single BIRTHDATE 8/22/2004
PERMANENT ADDRESS: BARANGAY Brgy.ipil TOWN/CITYSurigao city PROVINCE Surigao del Norte
CONTACT NUMBER 9639165918 [email protected]
NAME OF LAST SCHOOL San Francisco national high school ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS San Francisco national high school

SENIOR HIGH SCHOOL OTHERS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Physical Education (BPED)
SECOND CHOICE Bachelor of Secondary Education major in English (BSED - English)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Banaybanay
FIRST NAME Judy Jr. 1X1 ID PICTURE

MIDDLE NAME Along

SEX Male CIVIL STATUS Single BIRTHDATE 10/29/2003
PERMANENT ADDRESS: BARANGAY Navarro TOWN/CITYSocorro PROVINCE surigao del norte
CONTACT NUMBER 9083917112 [email protected]
NAME OF LAST SCHOOL Socorro National High School ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Taruc

SENIOR HIGH SCHOOL GAS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Civil Engineering (BSCE)
SECOND CHOICE Bachelor of Science in Tourism Management (BSTM)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME BANGCOYO
FIRST NAME JOHN MARK 1X1 ID PICTURE

MIDDLE NAME ORBETA

SEX Male CIVIL STATUS Single BIRTHDATE 12/31/2004
PERMANENT ADDRESS: BARANGAY POBLACION TOWN/CITYSAN JOSE PROVINCE DINAGAT

ISLAND
CONTACT NUMBER 9556445673 [email protected]
NAME OF LAST SCHOOL DON JOSE ECLEO MEMORIAL COLLEGE ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS JUSTINIANA EDERA, SAN JOSE, DINAGAT
ISLAND
SENIOR HIGH SCHOOL HUMSS Freshman
STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION April 13, 2023 Batch 2: 1:30 PM Venue: San Jose, Dinagat
2023-2024 SITE/VENUE AND Island
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Information Technology (BSInfoTech)
SECOND CHOICE Bachelor of Secondary Education major in Sciences (BSED - Sciences)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Bantilan
FIRST NAME Honnelyn 1X1 ID PICTURE

MIDDLE NAME Damayan

SEX Female CIVIL STATUS Single BIRTHDATE 5/6/2005
PERMANENT ADDRESS: BARANGAY Mabini TOWN/CITYCagdianao PROVINCE Dinagat

CONTACT NUMBER 9630731799 [email protected]

NAME OF LAST SCHOOL Cagdianao National High School ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Poblacion Cagdianao Dinagat Island

SENIOR HIGH SCHOOL OTHERS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 1: 9:00 AM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Physical Education (BPED)
SECOND CHOICE Bachelor of Secondary Education major in English (BSED - English)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Barunday
FIRST NAME George 1X1 ID PICTURE

MIDDLE NAME E
SEX Male CIVIL STATUS Single BIRTHDATE 9/6/2004
PERMANENT ADDRESS: BARANGAY Navarro TOWN/CITYSurigao PROVINCE Socorro

CONTACT NUMBER 9304882755 [email protected]

NAME OF LAST SCHOOL Socorro national high school ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Socorro national high school

SENIOR HIGH SCHOOL GAS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 1: 9:00 AM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Information Technology (BSInfoTech)
SECOND CHOICE Bachelor of Science in Hospitality Management (BSHM)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Beberino
FIRST NAME Karyl 1X1 ID PICTURE

MIDDLE NAME M.
SEX Female CIVIL STATUS Single BIRTHDATE 7/11/2005
PERMANENT ADDRESS: BARANGAY Nueva extension TOWN/CITYSurigao City PROVINCE Surigao Del
purok zenia brgy taft Norte
CONTACT NUMBER 9098961412 [email protected]
NAME OF LAST SCHOOL Taft National High school ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Taft National High school

SENIOR HIGH SCHOOL OTHERS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 1: 9:00 AM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Elementary Education (BEED)
SECOND CHOICE Bachelor of Physical Education (BPED)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Becerro
FIRST NAME Jamaica 1X1 ID PICTURE

MIDDLE NAME Lisondra

SEX Female CIVIL STATUS Single BIRTHDATE 1/7/2005
PERMANENT ADDRESS: BARANGAY Brgy. Lisondra TOWN/CITYSurigao City PROVINCE Surigao Del
Norte
CONTACT NUMBER 9101955576 [email protected]
NAME OF LAST SCHOOL Zaragoza National High School ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Zaragoza National High School

SENIOR HIGH SCHOOL GAS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Tourism Management (BSTM)
SECOND CHOICE Bachelor of Science in Hospitality Management (BSHM)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Bernaldez
FIRST NAME Filmar 1X1 ID PICTURE

MIDDLE NAME Datwin

SEX Male CIVIL STATUS Single BIRTHDATE 3/30/2004
PERMANENT ADDRESS: BARANGAY Cansayong TOWN/CITYMalimono PROVINCE Surigao

CONTACT NUMBER 9709202433 [email protected]

NAME OF LAST SCHOOL Masgad National High School ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Masgad Malimono Surigao Del Norte

SENIOR HIGH SCHOOL GAS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION April 11, 2023 Batch 1: 8:00 AM Venue: Loreto, Dinagat Island
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Information Technology (BSInfoTech)
SECOND CHOICE Bachelor of Science in Information System (BSIS)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Berongoy
FIRST NAME Jaymarc 1X1 ID PICTURE

MIDDLE NAME Bano

SEX Male CIVIL STATUS Single BIRTHDATE 11/5/2004
PERMANENT ADDRESS: BARANGAY Villariza TOWN/CITYMalimono PROVINCE Surigao Del
Norte
CONTACT NUMBER 9514591956 [email protected]
NAME OF LAST SCHOOL Surigao City national High school ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Surigao City national High school

SENIOR HIGH SCHOOL GAS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Information Technology (BSInfoTech)
SECOND CHOICE Bachelor of Science in Information Technology (BSInfoTech)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Bincal
FIRST NAME Romil 1X1 ID PICTURE

MIDDLE NAME
SEX Male CIVIL STATUS Single BIRTHDATE 12/19/2004
PERMANENT ADDRESS: BARANGAY Barangay sabang TOWN/CITYSurigao city PROVINCE Surigao del norte
CONTACT NUMBER 9275824687 [email protected]
NAME OF LAST SCHOOL SURIGAO CITY NATIONAL HIGH SCHOOL ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS San Juan

SENIOR HIGH SCHOOL OTHERS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Civil Engineering (BSCE)
SECOND CHOICE Bachelor of Science in Computer Engineering (BSCoE)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Birao
FIRST NAME John Eric 1X1 ID PICTURE

MIDDLE NAME Arbiol

SEX Male CIVIL STATUS Single BIRTHDATE 10/6/2005
PERMANENT ADDRESS: BARANGAY Canlanipa TOWN/CITYSurigao City PROVINCE Surigao Del
Norte
CONTACT NUMBER 9476239364 [email protected]
NAME OF LAST SCHOOL Taft National High School ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Nueva Extension Brgy.Taft

SENIOR HIGH SCHOOL OTHERS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 1: 9:00 AM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Information Technology (BSInfoTech)
SECOND CHOICE Bachelor of Science in Industrial Technology major in Electronics Technology (BSIT-
ELX)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Bonono
FIRST NAME Gylejoe 1X1 ID PICTURE

MIDDLE NAME Dotillos

SEX Male CIVIL STATUS Single BIRTHDATE 11/11/2004

PERMANENT ADDRESS: BARANGAY Centro TOWN/CITY PROVINCE

Pilar Surigao del Norte
CONTACT NUMBER 9270316863 [email protected]
NAME OF LAST SCHOOL Pilar National High School ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Pilar, Surigao del Norte

SENIOR HIGH SCHOOL GAS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION April 19, 2023 Batch 2: 1:30 PM Venue: SNSU Del Carmen
2023-2024 SITE/VENUE AND Campus
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Computer Engineering (BSCoE)
SECOND CHOICE Bachelor of Science in Electrical Engineering (BSEE)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Brandino
FIRST NAME Norjiel Mae 1X1 ID PICTURE

MIDDLE NAME Anting

SEX Female CIVIL STATUS Single BIRTHDATE 5/15/2004
PERMANENT ADDRESS: BARANGAY P-3 Oslao San TOWN/CITYSan Francisco PROVINCE Surigao Del
Francisco, SDN Norte
CONTACT NUMBER 0 [email protected]
NAME OF LAST SCHOOL San Francisco National High School ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Poblacion San Francisco, Surigao del Norte

SENIOR HIGH SCHOOL STEM Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 1: 9:00 AM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Computer Engineering (BSCoE)
SECOND CHOICE Bachelor of Science in Electrical Engineering (BSEE)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Brigole
FIRST NAME Christopher 1X1 ID PICTURE

MIDDLE NAME Daarol

SEX Male CIVIL STATUS Single BIRTHDATE 7/20/2004
PERMANENT ADDRESS: BARANGAY Alipao TOWN/CITYAlegria PROVINCE Surigao

CONTACT NUMBER 9855842349 [email protected]

NAME OF LAST SCHOOL Alegria Stand Alone Senior High School ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Alegria Stand Alone Senior High School

SENIOR HIGH SCHOOL OTHERS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 1: 9:00 AM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Information Technology (BSInfoTech)
SECOND CHOICE Bachelor of Science in Tourism Management (BSTM)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Busbos
FIRST NAME Junrel 1X1 ID PICTURE

MIDDLE NAME Ladrido

SEX Male CIVIL STATUS Single BIRTHDATE 10/9/2004
PERMANENT ADDRESS: BARANGAY Pili TOWN/CITYMalimono PROVINCE Surigao City
CONTACT NUMBER 9507077559 [email protected]
NAME OF LAST SCHOOL Pili National High School ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Pili Malimono Surigao Del Norte

SENIOR HIGH SCHOOL GAS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Tourism Management (BSTM)
SECOND CHOICE Bachelor of Science in Hospitality Management (BSHM)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Cabariban
FIRST NAME Paulyne Mae 1X1 ID PICTURE

MIDDLE NAME Eviota

SEX Female CIVIL STATUS Single BIRTHDATE 11/18/2004
PERMANENT ADDRESS: BARANGAY Brgy San Juan TOWN/CITYSurigao City PROVINCE Surigao Del
Norte
CONTACT NUMBER 9635908770 [email protected]
NAME OF LAST SCHOOL Surigao Del Norte National High School ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Peñaranda street Brgy Washington

SENIOR HIGH SCHOOL OTHERS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 1: 9:00 AM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Secondary Education major in English (BSED - English)
SECOND CHOICE Bachelor of Secondary Education major in Filipino (BSED - Filipino)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME CABAS
FIRST NAME JOSIELYN 1X1 ID PICTURE

MIDDLE NAME GESTA

SEX Female CIVIL STATUS Single BIRTHDATE 1/8/2004
PERMANENT ADDRESS: BARANGAY MAGSAYSAY POB. TOWN/CITYSURIGAO PROVINCE SURIGAO DEL
CITY NORTE
CONTACT NUMBER 9510489695 [email protected]
NAME OF LAST SCHOOL JOSE MARIA COLLEGE FOUNDATION ADMISSION TEST RESULT:
ATTENDED INCORPORATED
SCHOOL ADDRESS PHILIPPINE-JAPAN FRIENDSHIP HIGHWAY,
SASA, DAVAO CITY, DAVAO DEL SUR
SENIOR HIGH SCHOOL GAS Transferee
STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 1: 9:00 AM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Arts in English Language (AB-EL)
SECOND CHOICE Bachelor of Elementary Education (BEED)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME CALACLAN
FIRST NAME LEE-ANN 1X1 ID PICTURE

MIDDLE NAME YABUT

SEX Female CIVIL STATUS Single BIRTHDATE 3/9/2004
PERMANENT ADDRESS: BARANGAY AURELIO TOWN/CITYJOSE PROVINCE DINAGAT

ISLANDS
CONTACT NUMBER 9855221091 [email protected]
NAME OF LAST SCHOOL DON JOSE ECLEO MEMORIAL ADMISSION TEST RESULT:
ATTENDED FOUNDATION COLLEGE OF SCIENCE
AND TECHNOLOGY
SCHOOL ADDRESS JUSTINIANA EDERA,SAN JOSE, DINAGAT
ISLANDS
SENIOR HIGH SCHOOL HUMSS Freshman
STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION April 13, 2023 Batch 2: 1:30 PM Venue: San Jose, Dinagat
2023-2024 SITE/VENUE AND Island
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Civil Engineering (BSCE)
SECOND CHOICE Bachelor of Science in Information Technology (BSInfoTech)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Camaongay
FIRST NAME Jane Dylle 1X1 ID PICTURE

MIDDLE NAME Bontigao

SEX Female CIVIL STATUS Single BIRTHDATE 6/13/2001
PERMANENT ADDRESS: BARANGAY San Juan TOWN/CITYSurigao City PROVINCE Surigao Del
Norte
CONTACT NUMBER 9695984415 [email protected]
NAME OF LAST SCHOOL Surigao City National High School ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS San Juan Surigao City

SENIOR HIGH SCHOOL OTHERS Shiftee

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Civil Engineering (BSCE)
SECOND CHOICE Bachelor of Science in Electrical Engineering (BSEE)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Castillo
FIRST NAME Alfie Jundy 1X1 ID PICTURE

MIDDLE NAME Pansoy

SEX Male CIVIL STATUS Single BIRTHDATE 1/23/2004
PERMANENT ADDRESS: BARANGAY Taft TOWN/CITYSurigao City PROVINCE Surigao del Norte
CONTACT NUMBER 9384070496 [email protected]
NAME OF LAST SCHOOL Surigao del Norte National High School ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Penaranda Street, Surigao City, Surigao del Norte

SENIOR HIGH SCHOOL STEM Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 1: 9:00 AM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Civil Engineering (BSCE)
SECOND CHOICE Bachelor of Science in Tourism Management (BSTM)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Cellona
FIRST NAME Karl Angelo 1X1 ID PICTURE

MIDDLE NAME Conde

SEX Male CIVIL STATUS Single BIRTHDATE 2/18/2004
PERMANENT ADDRESS: BARANGAY Brgy cagniog purok 7 TOWN/CITYSurigao city PROVINCE Surigao del norte
CONTACT NUMBER 9700694234 [email protected]
NAME OF LAST SCHOOL Surigao city national high school ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Peranda Street

SENIOR HIGH SCHOOL ABM Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 1: 9:00 AM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Civil Engineering (BSCE)
SECOND CHOICE Bachelor in Automotive Engineering Technology (BAET)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Cellona
FIRST NAME Leslie Lailanie 1X1 ID PICTURE

MIDDLE NAME A.
SEX Female CIVIL STATUS Single BIRTHDATE 9/30/2004
PERMANENT ADDRESS: BARANGAY P-4 Brgy. Silop TOWN/CITYSurigao City PROVINCE Surigao Del
Norte
CONTACT NUMBER 9851042795 [email protected]
NAME OF LAST SCHOOL SNNHS ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Surigao City

SENIOR HIGH SCHOOL OTHERS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Hospitality Management (BSHM)
SECOND CHOICE Bachelor of Elementary Education (BEED)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Comon
FIRST NAME John russel 1X1 ID PICTURE

MIDDLE NAME Delgado

SEX Male CIVIL STATUS Single BIRTHDATE 12/29/2004
PERMANENT ADDRESS: BARANGAY Esperanza TOWN/CITYDel carmen PROVINCE Surigao del Norte
CONTACT NUMBER 9157110648 [email protected]
NAME OF LAST SCHOOL Siargao Island Institute of Technology ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Dapa Surigao del Norte

SENIOR HIGH SCHOOL GAS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION April 18, 2023 Batch 2: 1:30 PM Venue: SNSU Del Carmen
2023-2024 SITE/VENUE AND Campus
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Civil Engineering (BSCE)
SECOND CHOICE Bachelor of Science in Information Technology (BSInfoTech)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Coñate
FIRST NAME Krizshaine 1X1 ID PICTURE

MIDDLE NAME Malinao

SEX Female CIVIL STATUS Single BIRTHDATE 5/4/2005
PERMANENT ADDRESS: BARANGAY Brgy. Sabang TOWN/CITYSurigao City PROVINCE Surigao Del
Norte
CONTACT NUMBER 9605097593 [email protected]
NAME OF LAST SCHOOL STI College Surigao ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Narciso St., Surigao City, Surigao Del Norte

SENIOR HIGH SCHOOL STEM Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 1: 9:00 AM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Civil Engineering (BSCE)
SECOND CHOICE Bachelor in Mechanical Engineering Technology with concentration in Mechanical
Technology (BMET - MT)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME COTIANGCO
FIRST NAME NICOLE JADE 1X1 ID PICTURE

MIDDLE NAME DIONALDO

SEX Female CIVIL STATUS Single BIRTHDATE 9/6/2004

PERMANENT ADDRESS: BARANGAY Poblacion TOWN/CITY PROVINCE

San Francisco Surigao del Norte
CONTACT NUMBER 9552902872 [email protected]
NAME OF LAST SCHOOL STI COLLEGE SURIGAO ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Narciso St. Surigao City, Surigao del Norte

SENIOR HIGH SCHOOL STEM Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 1: 9:00 AM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Information Technology (BSInfoTech)
SECOND CHOICE Bachelor of Science in Computer Science (BSCS)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Creencia
FIRST NAME Rhea 1X1 ID PICTURE

MIDDLE NAME Calang

SEX Female CIVIL STATUS Single BIRTHDATE 4/27/2005
PERMANENT ADDRESS: BARANGAY Brgy. Ipil TOWN/CITYSurigao City PROVINCE Surigao Del
Norte
CONTACT NUMBER 9201768560 [email protected]
NAME OF LAST SCHOOL Ipil National High School ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Purok- Kahoy, Baragay Ipil, Surigao City

SENIOR HIGH SCHOOL GAS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Arts in English Language (AB-EL)
SECOND CHOICE Bachelor of Secondary Education major in English (BSED - English)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME CRISTINO
FIRST NAME JANNA WAYNE 1X1 ID PICTURE

MIDDLE NAME BARCE

SEX Female CIVIL STATUS Single BIRTHDATE 1/20/2005
PERMANENT ADDRESS: BARANGAY Luna TOWN/CITYSurigao PROVINCE Surigao del Norte
CONTACT NUMBER 9461105712 [email protected]
NAME OF LAST SCHOOL CARAGA REGIONAL SCIENCE HIGH ADMISSION TEST RESULT:
ATTENDED SCHOOL
SCHOOL ADDRESS SAN JUAN, SURIGA CITY

SENIOR HIGH SCHOOL HUMSS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Information Technology (BSInfoTech)
SECOND CHOICE Bachelor of Science in Information System (BSIS)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Cristota
FIRST NAME Roniel 1X1 ID PICTURE

MIDDLE NAME Puno

SEX Male CIVIL STATUS Single BIRTHDATE 6/9/2003
PERMANENT ADDRESS: BARANGAY Washington TOWN/CITYSurigao City PROVINCE Surigao Del
Norte
CONTACT NUMBER 9091598601 [email protected]
NAME OF LAST SCHOOL Surigao City National High School ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Surigao City National high school

SENIOR HIGH SCHOOL GAS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Tourism Management (BSTM)
SECOND CHOICE Bachelor of Science in Tourism Management (BSTM)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME dela Peña
FIRST NAME Lucilie Joyce 1X1 ID PICTURE

MIDDLE NAME N/A

SEX Female CIVIL STATUS Single BIRTHDATE 7/31/2004
PERMANENT ADDRESS: BARANGAY Washington TOWN/CITYSurigao City PROVINCE Surigao del Norte
CONTACT NUMBER 9489556991 [email protected]
NAME OF LAST SCHOOL Caraga Regional Science High School ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Brgy. San Juan, Surigao City

SENIOR HIGH SCHOOL HUMSS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Electrical Engineering (BSEE)
SECOND CHOICE Bachelor of Science in Electrical Engineering (BSEE)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Diaz
FIRST NAME Salvador 1X1 ID PICTURE

MIDDLE NAME Awing

SEX Male CIVIL STATUS Single BIRTHDATE 9/25/2003
PERMANENT ADDRESS: BARANGAY Melgar TOWN/CITYBasilisa PROVINCE Dinagat islands
CONTACT NUMBER 9515197483 [email protected]
NAME OF LAST SCHOOL Don Jose ecleo memorial foundation college ADMISSION TEST RESULT:
ATTENDED of science and technology
SCHOOL ADDRESS Purok 5 Justiniana edera san Jose dinagat islands

SENIOR HIGH SCHOOL HUMSS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Information Technology (BSInfoTech)
SECOND CHOICE Bachelor of Science in Computer Science (BSCS)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Dojenias
FIRST NAME Verwin 1X1 ID PICTURE

MIDDLE NAME Marcelino

SEX Male CIVIL STATUS Single BIRTHDATE 8/7/2004
PERMANENT ADDRESS: BARANGAY Roxas TOWN/CITYSurigao City PROVINCE Mainit

CONTACT NUMBER 9811280080 [email protected]

NAME OF LAST SCHOOL Mainit National High School ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Mainit Mopas st.

SENIOR HIGH SCHOOL GAS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 1: 9:00 AM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Information Technology (BSInfoTech)
SECOND CHOICE Bachelor of Science in Information Technology (BSInfoTech)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME DOLERA
FIRST NAME JULIVER TRISTAN 1X1 ID PICTURE

MIDDLE NAME TESARA

SEX Male CIVIL STATUS Single BIRTHDATE 7/5/2005
PERMANENT ADDRESS: BARANGAY SAN ROQUE TOWN/CITYSURIGAO PROVINCE SURIGAO DEL
CITY NORTE
CONTACT NUMBER 9308523650 [email protected]
NAME OF LAST SCHOOL NORTHEASTERN MINDANAO COLLEGES ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS RIZAL ST., SURIGAO CITY

SENIOR HIGH SCHOOL HUMSS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Computer Science (BSCS)
SECOND CHOICE Bachelor of Science in Information Technology (BSInfoTech)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Edillor
FIRST NAME Julyana 1X1 ID PICTURE

MIDDLE NAME Jansor

SEX Female CIVIL STATUS Single BIRTHDATE 7/15/2023
PERMANENT ADDRESS: BARANGAY Roxas TOWN/CITYBasilisa PROVINCE DINAGAT

ISLANDS
CONTACT NUMBER 9308448968 [email protected]
NAME OF LAST SCHOOL Northeastern Mindanao college ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS RIZAL BASILISA DINAGAT ISLANDS

SENIOR HIGH SCHOOL OTHERS Transferee

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 1: 9:00 AM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor in Electrical Engineering Technology (BEET)
SECOND CHOICE Bachelor of Science in Civil Engineering (BSCE)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Edradan
FIRST NAME Athena 1X1 ID PICTURE

MIDDLE NAME Siga

SEX Female CIVIL STATUS Single BIRTHDATE 7/17/2023
PERMANENT ADDRESS: BARANGAY San Juan TOWN/CITYSurigao City PROVINCE Caraga

CONTACT NUMBER 9632368471 [email protected]

NAME OF LAST SCHOOL Surigao City National High school ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS City higgh

SENIOR HIGH SCHOOL OTHERS Transferee

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION April 19, 2023 Batch 1: 8:00 AM Venue: SNSU Del Carmen
2023-2024 SITE/VENUE AND Campus
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor in Mechanical Engineering Technology with concentration in Mechanical
Technology (BMET - MT)
SECOND CHOICE Bachelor in Mechanical Engineering Technology with concentration in Mechanical
Technology (BMET - MT)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Elan
FIRST NAME Earl Theron 1X1 ID PICTURE
MIDDLE NAME Labuanan
SEX Male CIVIL STATUS Single BIRTHDATE 9/28/2005
PERMANENT ADDRESS: BARANGAY Santiago TOWN/CITYLoreto PROVINCE Dinagat Islands
CONTACT NUMBER 9811459189 [email protected]
NAME OF LAST SCHOOL Loreto Academy ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Carmen Loreto Dinagat Islands

SENIOR HIGH SCHOOL GAS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION April 11, 2023 Batch 1: 8:00 AM Venue: Loreto, Dinagat Island
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Elementary Education (BEED)
SECOND CHOICE Bachelor of Physical Education (BPED)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Eludo
FIRST NAME Bea 1X1 ID PICTURE

MIDDLE NAME Cawas

SEX Female CIVIL STATUS Single BIRTHDATE 9/21/2023
PERMANENT ADDRESS: BARANGAY lisondra Surigao city TOWN/CITYSurigao city PROVINCE SDN

CONTACT NUMBER 0 [email protected]

NAME OF LAST SCHOOL Zaragoza National High School ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Zaragoza National High School

SENIOR HIGH SCHOOL GAS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Information Technology (BSInfoTech)
SECOND CHOICE Bachelor of Science in Hospitality Management (BSHM)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Enteria
FIRST NAME Rhon Benedict 1X1 ID PICTURE

MIDDLE NAME Villacencio

SEX Male CIVIL STATUS Single BIRTHDATE 7/14/2005
PERMANENT ADDRESS: BARANGAY Brgy. Washington TOWN/CITYSurigao City PROVINCE Surigao Del
Norte
CONTACT NUMBER 9510374181 [email protected]
NAME OF LAST SCHOOL Surigao City National High School ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Brgy. San Juan

SENIOR HIGH SCHOOL GAS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Information Technology (BSInfoTech)
SECOND CHOICE Bachelor of Science in Information Technology (BSInfoTech)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Esaga
FIRST NAME James Jukhem 1X1 ID PICTURE

MIDDLE NAME Libay

SEX Male CIVIL STATUS Single BIRTHDATE 8/15/2002
PERMANENT ADDRESS: BARANGAY Brgy. Taruc, Socorro, TOWN/CITYSocorro,Surig PROVINCE Surigao City
Surigao Del Norte ao Del Norte
CONTACT NUMBER 9687704304 [email protected]
NAME OF LAST SCHOOL Bucas Grande Foundation College ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Brgy. Taruc, Socorro,Surigao Del Norte

SENIOR HIGH SCHOOL GAS Transferee

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Tourism Management (BSTM)
SECOND CHOICE Bachelor of Science in Hospitality Management (BSHM)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME ESCANA
FIRST NAME VIOLITA 1X1 ID PICTURE

MIDDLE NAME ESPINOSA

SEX Female CIVIL STATUS Single BIRTHDATE 8/26/2005
PERMANENT ADDRESS: BARANGAY RIZAL TOWN/CITYSURIGAO PROVINCE SURIGAO DEL
CITY NORTE
CONTACT NUMBER 9501931685 [email protected]
NAME OF LAST SCHOOL SURIGAO CITY NATIONAL HIGH SCHOOL ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS SAN JUAN

SENIOR HIGH SCHOOL GAS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Secondary Education major in Filipino (BSED - Filipino)
SECOND CHOICE Bachelor of Technical, Vocational Teacher Education major in Food & Service
Management (BTVTEd-FSM)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Espino
FIRST NAME Rondel 1X1 ID PICTURE

MIDDLE NAME Jovero

SEX Male CIVIL STATUS Single BIRTHDATE 9/6/2004

PERMANENT ADDRESS: BARANGAY Tambacan TOWN/CITY PROVINCE

San Isidro Surigao del Norte
CONTACT NUMBER 9705368262 [email protected]
NAME OF LAST SCHOOL Dapa National High School ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Dapa, Surigao del Norte

SENIOR HIGH SCHOOL GAS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION April 18, 2023 Batch 2: 1:30 PM Venue: SNSU Del Carmen
2023-2024 SITE/VENUE AND Campus
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Elementary Education (BEED)
SECOND CHOICE Bachelor of Physical Education (BPED)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Floria
FIRST NAME Rica jean 1X1 ID PICTURE

MIDDLE NAME Jarligo

SEX Female CIVIL STATUS Single BIRTHDATE 5/5/2005
PERMANENT ADDRESS: BARANGAY Lisondra surigao city TOWN/CITYSurigao City PROVINCE SDN

CONTACT NUMBER 9510477218 [email protected]

NAME OF LAST SCHOOL Zaragoza National High school ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Zaragoza National High school

SENIOR HIGH SCHOOL GAS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Information Technology (BSInfoTech)
SECOND CHOICE Bachelor of Elementary Education (BEED)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Galola
FIRST NAME Crismae Joy 1X1 ID PICTURE

MIDDLE NAME Capua

SEX Female CIVIL STATUS Single BIRTHDATE 5/9/2005
PERMANENT ADDRESS: BARANGAY Pili TOWN/CITYMalimono PROVINCE Surigao Del
Norte
CONTACT NUMBER 9706791426 [email protected]
NAME OF LAST SCHOOL Pili National High School ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Pili Malimono Surigao Del Norte

SENIOR HIGH SCHOOL GAS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Information Technology (BSInfoTech)
SECOND CHOICE Bachelor of Science in Computer Science (BSCS)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Galvez
FIRST NAME Reianne kaye 1X1 ID PICTURE

MIDDLE NAME O
SEX Female CIVIL STATUS Single BIRTHDATE 6/16/2004
PERMANENT ADDRESS: BARANGAY BUNYASAN TOWN/CITYMALIMONO PROVINCE SURIGAO DEL
NORTE
CONTACT NUMBER 0 [email protected]
NAME OF LAST SCHOOL NORTHEASTERN MINDANAO COLLEGES ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS SURIGAO CITY

SENIOR HIGH SCHOOL HUMSS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION April 19, 2023 Batch 1: 8:00 AM Venue: SNSU Del Carmen
2023-2024 SITE/VENUE AND Campus
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Information Technology (BSInfoTech)
SECOND CHOICE Bachelor of Science in Civil Engineering (BSCE)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Galwa
FIRST NAME Carljayson 1X1 ID PICTURE

MIDDLE NAME Elar

SEX Male CIVIL STATUS Single BIRTHDATE 12:00:00 AM
PERMANENT ADDRESS: BARANGAY Sta.irene TOWN/CITYProsperidad PROVINCE Agusan delsur
CONTACT NUMBER 9487890237 [email protected]
NAME OF LAST SCHOOL Sta.irene national Highschool ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Sta.irene national High school

SENIOR HIGH SCHOOL GAS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Information Technology (BSInfoTech)
SECOND CHOICE Bachelor of Technical, Vocational Teacher Education major in Food & Service
Management (BTVTEd-FSM)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Garcia
FIRST NAME Rowena 1X1 ID PICTURE

MIDDLE NAME Ruaya

SEX Female CIVIL STATUS Single BIRTHDATE 6/3/2003

PERMANENT ADDRESS: BARANGAY san miguel TOWN/CITY PROVINCE

surigao city surigao del norte
CONTACT NUMBER 9951975640 [email protected]
NAME OF LAST SCHOOL siargao island institute of technology ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS dapa national high school

SENIOR HIGH SCHOOL GAS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION April 18, 2023 Batch 2: 1:30 PM Venue: SNSU Del Carmen
2023-2024 SITE/VENUE AND Campus
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Environmental Science (BSES)
SECOND CHOICE Bachelor of Arts in English Language (AB-EL)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Geraldino
FIRST NAME Alexa Anne 1X1 ID PICTURE

MIDDLE NAME Epis

SEX Female CIVIL STATUS Single BIRTHDATE 8/27/2004
PERMANENT ADDRESS: BARANGAY Mauswagon TOWN/CITYDinagat PROVINCE Dinagat Islands
CONTACT NUMBER 9385412362 [email protected]
NAME OF LAST SCHOOL Dinagat School of Fisheries ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS White Beach Dinagat, Dinagat Islands

SENIOR HIGH SCHOOL HUMSS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION April 14, 2023 Batch 1: 8:00 AM Venue: Dinagat, Dinagat Island
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor in Electrical Engineering Technology (BEET)
SECOND CHOICE Bachelor of Science in Civil Engineering (BSCE)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Giluano
FIRST NAME Richmoon Thylord 1X1 ID PICTURE

MIDDLE NAME Cerna

SEX Male CIVIL STATUS Single BIRTHDATE 11/17/2004
PERMANENT ADDRESS: BARANGAY Mabua Purok 1 TOWN/CITYSurigao city PROVINCE Surigao Del
Norte
CONTACT NUMBER 9460807074 [email protected]
NAME OF LAST SCHOOL IPIL NATIONAL HIGH SCHOOL ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS IPIL NATIONAL HIGH SCHOOL

SENIOR HIGH SCHOOL GAS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Elementary Education (BEED)
SECOND CHOICE Bachelor of Science in Civil Engineering (BSCE)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Gorgod
FIRST NAME Van christian zashl 1X1 ID PICTURE

MIDDLE NAME Eguna

SEX Male CIVIL STATUS Single BIRTHDATE 11/6/2003
PERMANENT ADDRESS: BARANGAY Barangay Ipil TOWN/CITYSurigao City PROVINCE Surigao del norte
CONTACT NUMBER 9951970824 [email protected]
NAME OF LAST SCHOOL IPIL NATIONAL HIGH SCHOOL ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Ipil National High School

SENIOR HIGH SCHOOL GAS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Secondary Education major in Sciences (BSED - Sciences)
SECOND CHOICE Bachelor of Science in Environmental Science (BSES)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Gubaton
FIRST NAME Eljie 1X1 ID PICTURE

MIDDLE NAME Gorgonio

SEX Female CIVIL STATUS Single BIRTHDATE 8/20/2004
PERMANENT ADDRESS: BARANGAY Sta. Fe TOWN/CITYGeneral Luna PROVINCE Surigao del Norte
CONTACT NUMBER 9639833492 [email protected]
NAME OF LAST SCHOOL St. Paul University ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Cor. San Nicolas & Rizal St., Surigao City

SENIOR HIGH SCHOOL HUMSS Transferee

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 1: 9:00 AM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Hospitality Management (BSHM)
SECOND CHOICE Bachelor of Science in Hospitality Management (BSHM)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME HADJI
FIRST NAME MARK BEGIE 1X1 ID PICTURE

MIDDLE NAME CONGSON

SEX Male CIVIL STATUS Single BIRTHDATE 2/9/1999
PERMANENT ADDRESS: BARANGAY LIPATA TOWN/CITYSURIGAO PROVINCE SURIGAO DEL
CITY NORTE
CONTACT NUMBER 9098849689 [email protected]
NAME OF LAST SCHOOL SURIGAO STATE COLLEGE OF ADMISSION TEST RESULT:
ATTENDED TECHNOLOGY
SCHOOL ADDRESS NARCISO ST. SURIGAO CITY

SENIOR HIGH SCHOOL NONE Returnee

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Secondary Education major in English (BSED - English)
SECOND CHOICE Bachelor of Secondary Education major in English (BSED - English)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Hayahay
FIRST NAME Dinna 1X1 ID PICTURE

MIDDLE NAME Arlan

SEX Female CIVIL STATUS Single BIRTHDATE 3/16/2023
PERMANENT ADDRESS: BARANGAY Sabang surigao city TOWN/CITYSurigao del PROVINCE Surigao del norte
norte
CONTACT NUMBER 639639199559 [email protected]
NAME OF LAST SCHOOL Surigao city national high school ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Surigao city national high school

SENIOR HIGH SCHOOL GAS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION April 18, 2023 Batch 2: 1:30 PM Venue: SNSU Del Carmen
2023-2024 SITE/VENUE AND Campus
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Electrical Engineering (BSEE)
SECOND CHOICE Bachelor in Electrical Engineering Technology (BEET)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Hurboda
FIRST NAME Joebit 1X1 ID PICTURE

MIDDLE NAME Pamalo

SEX Male CIVIL STATUS Single BIRTHDATE 11/17/2004
PERMANENT ADDRESS: BARANGAY Opong TOWN/CITYSurigao PROVINCE Tagana an
CONTACT NUMBER 9774702812 [email protected]
NAME OF LAST SCHOOL Tagana an ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Tagana an National High School

SENIOR HIGH SCHOOL OTHERS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 1: 9:00 AM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Information Technology (BSInfoTech)
SECOND CHOICE Bachelor of Science in Electrical Engineering (BSEE)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Jamito
FIRST NAME Oaesys 1X1 ID PICTURE

MIDDLE NAME Mosca

SEX Male CIVIL STATUS Single BIRTHDATE 5/31/2004
PERMANENT ADDRESS: BARANGAY Quezon TOWN/CITYMainit PROVINCE Surigao del Norte
CONTACT NUMBER 9564613562 [email protected]
NAME OF LAST SCHOOL Mainit national high school ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Mupas st.Quezon, Mainit surigao del Norte

SENIOR HIGH SCHOOL OTHERS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 1: 9:00 AM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Elementary Education (BEED)
SECOND CHOICE Bachelor of Secondary Education major in English (BSED - English)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Jazon
FIRST NAME Mariel 1X1 ID PICTURE

MIDDLE NAME Tizon

SEX Female CIVIL STATUS Single BIRTHDATE 2/24/2004
PERMANENT ADDRESS: BARANGAY Purok-2 Maatas TOWN/CITYCAGDIANAO PROVINCE Dinagat

Cagdianao Dinagat Islands

CONTACT NUMBER 9516812870 [email protected]

NAME OF LAST SCHOOL Ruben, Edera Ecleo Sr. National high school ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Ruben Edera Ecleo Sr

SENIOR HIGH SCHOOL OTHERS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Environmental Science (BSES)
SECOND CHOICE Bachelor of Technical, Vocational Teacher Education major in Food & Service
Management (BTVTEd-FSM)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Jubasan
FIRST NAME Charess 1X1 ID PICTURE

MIDDLE NAME Gulfan

SEX Female CIVIL STATUS Single BIRTHDATE 5/3/2005

PERMANENT ADDRESS: BARANGAY Mat-i TOWN/CITY PROVINCE

Surigao City Surigao del Norte
CONTACT NUMBER 9308448227 [email protected]
NAME OF LAST SCHOOL Mat-i National High School ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Brgy. Mat-i, Surigao del Norte

SENIOR HIGH SCHOOL OTHERS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Tourism Management (BSTM)
SECOND CHOICE Bachelor of Science in Hospitality Management (BSHM)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Labuga
FIRST NAME Lhara Joy 1X1 ID PICTURE

MIDDLE NAME Abao

SEX Female CIVIL STATUS Single BIRTHDATE 4/4/2005
PERMANENT ADDRESS: BARANGAY Masgad TOWN/CITYMalimono PROVINCE Surigao Del
Norte
CONTACT NUMBER 9485771330 [email protected]
NAME OF LAST SCHOOL Northeastern Mindanao College ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Rizal Street, Surigao City,

SENIOR HIGH SCHOOL ABM Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Secondary Education major in English (BSED - English)
SECOND CHOICE Bachelor of Elementary Education (BEED)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME LAÑOJAN
FIRST NAME MITCHIE 1X1 ID PICTURE

MIDDLE NAME MAGLINTE

SEX Female CIVIL STATUS Single BIRTHDATE 1/20/2023
PERMANENT ADDRESS: BARANGAY P-3 SITIO GAYAS TOWN/CITYSURIGAO PROVINCE SURIGAO DEL
SABANG SURIGAO CITY CITY NORTE
CONTACT NUMBER 9120634400 [email protected]
NAME OF LAST SCHOOL SURIGAO CITY NATIONAL HIGH SCHOOL l ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS SURIGAO CITY NATIONAL HIGH SCHOOL

SENIOR HIGH SCHOOL GAS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION April 19, 2023 Batch 2: 1:30 PM Venue: SNSU Del Carmen
2023-2024 SITE/VENUE AND Campus
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor in Automotive Engineering Technology (BAET)
SECOND CHOICE Bachelor of Science in Computer Engineering (BSCoE)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Laparan
FIRST NAME Mia Meñonette 1X1 ID PICTURE

MIDDLE NAME Lerog

SEX Female CIVIL STATUS Single BIRTHDATE 10/15/2024
PERMANENT ADDRESS: BARANGAY Lisondra surigao city TOWN/CITYSurigao City PROVINCE Surigao City
CONTACT NUMBER 9077741272 [email protected]
NAME OF LAST SCHOOL Zaragoza National High School ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Zaragoza National High School

SENIOR HIGH SCHOOL GAS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Elementary Education (BEED)
SECOND CHOICE Bachelor of Science in Tourism Management (BSTM)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME LINGATONG
FIRST NAME MARIA ROSCHEL 1X1 ID PICTURE

MIDDLE NAME CAGULADA

SEX Female CIVIL STATUS Single BIRTHDATE 8/20/2001
PERMANENT ADDRESS: BARANGAY SAN ISIDRO TOWN/CITYSURIGAO PROVINCE SURIGAO DEL
CITY NORTE
CONTACT NUMBER 9773930460 [email protected]
NAME OF LAST SCHOOL TIMAMANA NATIONAL HIGH SCHOOL ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS TIMAMANA TUBOD SURIGAO DEL NORTE

SENIOR HIGH SCHOOL OTHERS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION April 14, 2023 Batch 2: 1:30 PM Venue: Cagdianao, Dinagat
2023-2024 SITE/VENUE AND Island
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor in Automotive Engineering Technology (BAET)
SECOND CHOICE Bachelor in Electrical Engineering Technology (BEET)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Lisondra
FIRST NAME Paul adrian 1X1 ID PICTURE

MIDDLE NAME Rodriguez

SEX Male CIVIL STATUS Single BIRTHDATE 6/6/2005
PERMANENT ADDRESS: BARANGAY Lisondra surigao city TOWN/CITYSurigao City PROVINCE SDN

CONTACT NUMBER 9811516941 [email protected]

NAME OF LAST SCHOOL Zaragoza National High school ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Zaragoza National High school

SENIOR HIGH SCHOOL GAS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor in Electrical Engineering Technology (BEET)
SECOND CHOICE Bachelor in Automotive Engineering Technology (BAET)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Lisondra
FIRST NAME Richard 1X1 ID PICTURE

MIDDLE NAME Dellera

SEX Male CIVIL STATUS Single BIRTHDATE 1/16/2005
PERMANENT ADDRESS: BARANGAY BRGY.Lisondra TOWN/CITYSurigao City PROVINCE Surigao Del
Norte
CONTACT NUMBER 9300524595 [email protected]
NAME OF LAST SCHOOL Zaragoza National High school ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Zaragoza National High school

SENIOR HIGH SCHOOL GAS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Environmental Science (BSES)
SECOND CHOICE Bachelor of Science in Information Technology (BSInfoTech)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Lopez
FIRST NAME Elkhiana Melbeth 1X1 ID PICTURE

MIDDLE NAME Savandal

SEX Female CIVIL STATUS Single BIRTHDATE 8/1/2005
PERMANENT ADDRESS: BARANGAY Navarro TOWN/CITYSurigao PROVINCE Socorro

CONTACT NUMBER 9758304047 [email protected]

NAME OF LAST SCHOOL Socorro national high school ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Socorro national high school

SENIOR HIGH SCHOOL GAS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION April 19, 2023 Batch 2: 1:30 PM Venue: SNSU Del Carmen
2023-2024 SITE/VENUE AND Campus
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Information Technology (BSInfoTech)
SECOND CHOICE Bachelor of Science in Industrial Technology major in Electronics Technology (BSIT-
ELX)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Lopez
FIRST NAME Leonard 1X1 ID PICTURE

MIDDLE NAME Obias

SEX Male CIVIL STATUS Single BIRTHDATE 8/8/1999

PERMANENT ADDRESS: BARANGAY Magsaysay TOWN/CITY PROVINCE

Libjo Dinagat Island
CONTACT NUMBER 9664604954 [email protected]
NAME OF LAST SCHOOL Saint Paul University Surigao ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Km.4Barangay Luna

SENIOR HIGH SCHOOL OTHERS Returnee

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION April 12, 2023 Batch 1: 8:00 AM Venue: Libjo, Dinagat Island
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Information Technology (BSInfoTech)
SECOND CHOICE Bachelor in Electrical Engineering Technology (BEET)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Lozada
FIRST NAME Mark Gil Zeann 1X1 ID PICTURE

MIDDLE NAME E
SEX Male CIVIL STATUS Single BIRTHDATE 11/9/2003
PERMANENT ADDRESS: BARANGAY Amontay TOWN/CITYSan Francisco PROVINCE Surigao del norte
CONTACT NUMBER 9503859822 [email protected]
NAME OF LAST SCHOOL Surigao Norte National High School ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Peñaranda Street Surigao City Surigao Del Norte

SENIOR HIGH SCHOOL OTHERS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Secondary Education major in English (BSED - English)
SECOND CHOICE Bachelor of Science in Information Technology (BSInfoTech)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Lubapis
FIRST NAME Mark Kenneth 1X1 ID PICTURE

MIDDLE NAME Quilario

SEX Male CIVIL STATUS Single BIRTHDATE 2/26/2005
PERMANENT ADDRESS: BARANGAY Taruc TOWN/CITYSurigao Del PROVINCE Socorro Surigao
Norte Del Norte
CONTACT NUMBER 9758021457 [email protected]
NAME OF LAST SCHOOL Socorro National High School ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Barangay, Don Albeno T. Taruc

SENIOR HIGH SCHOOL GAS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor in Mechanical Engineering Technology with concentration in Refrigeration
and Air-Conditioning Technology (BMET-RAC)
SECOND CHOICE Bachelor in Automotive Engineering Technology (BAET)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Lubapis
FIRST NAME Jay-r 1X1 ID PICTURE

MIDDLE NAME Quilario

SEX Male CIVIL STATUS Single BIRTHDATE 1/2/2023

PERMANENT ADDRESS: BARANGAY Taruc TOWN/CITY PROVINCE

Socorro Surigao
CONTACT NUMBER 9060315795 [email protected]
NAME OF LAST SCHOOL Socorro national high school ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Baranggay taruc

SENIOR HIGH SCHOOL OTHERS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Elementary Education (BEED)
SECOND CHOICE Bachelor of Secondary Education major in Filipino (BSED - Filipino)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Maglasang
FIRST NAME Mary Melanie 1X1 ID PICTURE

MIDDLE NAME Logronio

SEX Female CIVIL STATUS Single BIRTHDATE 7/14/2005
PERMANENT ADDRESS: BARANGAY San Juan TOWN/CITYSurigao City PROVINCE Surigao Del
Norte
CONTACT NUMBER 9265513995 [email protected]
NAME OF LAST SCHOOL Surigao City National High School ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS San Juan Surigao City

SENIOR HIGH SCHOOL GAS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor in Automotive Engineering Technology (BAET)
SECOND CHOICE Bachelor in Automotive Engineering Technology (BAET)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Mahinay
FIRST NAME Marc Lester 1X1 ID PICTURE

MIDDLE NAME Delacruz

SEX Male CIVIL STATUS Single BIRTHDATE 11/1/2002
PERMANENT ADDRESS: BARANGAY Brgy amontay San TOWN/CITYSurigao city PROVINCE Surigao Del
Francisco surigao del norte Norte
CONTACT NUMBER 9679072272 [email protected]
NAME OF LAST SCHOOL San Francisco national high school ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS San Francisco national high school

SENIOR HIGH SCHOOL OTHERS Transferee

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION April 18, 2023 Batch 1: 8:00 AM Venue: SNSU Del Carmen
2023-2024 SITE/VENUE AND Campus
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor in Mechanical Engineering Technology with concentration in Mechanical
Technology (BMET - MT)
SECOND CHOICE Bachelor of Science in Civil Engineering (BSCE)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Mainit
FIRST NAME Angelo 1X1 ID PICTURE

MIDDLE NAME Lumusad

SEX Male CIVIL STATUS Single BIRTHDATE 9/19/2004

PERMANENT ADDRESS: BARANGAY Mapawa TOWN/CITY PROVINCE

Surigao City Surigao del Norte
CONTACT NUMBER 9631921928 [email protected]
NAME OF LAST SCHOOL Surigao del Norte National High School ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Penaranda Street, Surigao City, Surigao del Norte

SENIOR HIGH SCHOOL STEM Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 1: 9:00 AM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Elementary Education (BEED)
SECOND CHOICE Bachelor of Secondary Education major in English (BSED - English)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Mala
FIRST NAME Princess Hamera 1X1 ID PICTURE

MIDDLE NAME Oga

SEX Female CIVIL STATUS Single BIRTHDATE 7/15/2004
PERMANENT ADDRESS: BARANGAY Washington TOWN/CITYSurigao PROVINCE Surigao del norte
CONTACT NUMBER 9461059260 [email protected]
NAME OF LAST SCHOOL Surigao del norte national high school ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Peñaranda st. Brgy.washington surigao city

SENIOR HIGH SCHOOL HUMSS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 1: 9:00 AM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Hospitality Management (BSHM)
SECOND CHOICE Bachelor of Science in Tourism Management (BSTM)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Merka
FIRST NAME Kristine 1X1 ID PICTURE

MIDDLE NAME Comon

SEX Female CIVIL STATUS Single BIRTHDATE 8/1/1985
PERMANENT ADDRESS: BARANGAY Brgy. Quezon TOWN/CITYSurigao city PROVINCE Surigao del Norte
CONTACT NUMBER 9093135003 [email protected]
NAME OF LAST SCHOOL Philippine Women's University ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Borromeo St. Surigao city

SENIOR HIGH SCHOOL OTHERS Transferee

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 1: 9:00 AM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor in Automotive Engineering Technology (BAET)
SECOND CHOICE Bachelor of Science in Computer Science (BSCS)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Mesias
FIRST NAME Patrick 1X1 ID PICTURE

MIDDLE NAME Denosta

SEX Male CIVIL STATUS Single BIRTHDATE 7/5/2000
PERMANENT ADDRESS: BARANGAY Brgy.taft TOWN/CITYSurigao city PROVINCE Surigao del Norte
CONTACT NUMBER 9516512966 [email protected]
NAME OF LAST SCHOOL Surigao del norte national high school ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Penarada street, surigao city , surigao del Norte

SENIOR HIGH SCHOOL GAS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Information Technology (BSInfoTech)
SECOND CHOICE Bachelor of Science in Information Technology (BSInfoTech)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Minardo
FIRST NAME Rylex joshua 1X1 ID PICTURE

MIDDLE NAME Arizala

SEX Male CIVIL STATUS Single BIRTHDATE 11/10/2004
PERMANENT ADDRESS: BARANGAY Washington TOWN/CITYSurigao city PROVINCE Surigao del norte
CONTACT NUMBER 9203728189 [email protected]
NAME OF LAST SCHOOL SURIGAO CITY NATIONAL HIGH SC ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS San juan

SENIOR HIGH SCHOOL GAS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 1: 9:00 AM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Tourism Management (BSTM)
SECOND CHOICE Bachelor of Science in Hospitality Management (BSHM)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Minguita
FIRST NAME Marianne 1X1 ID PICTURE

MIDDLE NAME Ebale

SEX Female CIVIL STATUS Single BIRTHDATE 2/2/2005
PERMANENT ADDRESS: BARANGAY Balibayon Arellano TOWN/CITYSurigao City PROVINCE Surigao Del
Surigao City Norte
CONTACT NUMBER 9382980185 [email protected]
NAME OF LAST SCHOOL Day-Asan National Highschool ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Day-Asan Surigao City

SENIOR HIGH SCHOOL GAS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Tourism Management (BSTM)
SECOND CHOICE Bachelor of Science in Civil Engineering (BSCE)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Miralles
FIRST NAME Rachel 1X1 ID PICTURE

MIDDLE NAME Aquino

SEX Female CIVIL STATUS Single BIRTHDATE 12/29/2004
PERMANENT ADDRESS: BARANGAY P-4 Barangay TOWN/CITYSurigao city PROVINCE Surigao Del
balibayon Arellano S.C Norte
CONTACT NUMBER 9380349019 [email protected]
NAME OF LAST SCHOOL Surigao Norte National High School ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Penaranda Street, Surigao City, Surigao del Norte

SENIOR HIGH SCHOOL HUMSS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 1: 9:00 AM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Arts in English Language (AB-EL)
SECOND CHOICE Bachelor of Elementary Education (BEED)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME MONDANO
FIRST NAME CHARYL MAE 1X1 ID PICTURE

MIDDLE NAME CUBELO

SEX Female CIVIL STATUS Single BIRTHDATE 7/13/2003
PERMANENT ADDRESS: BARANGAY MATIN-AO TOWN/CITYSURIGAO PROVINCE SURIGAO DEL
CITY NORTE
CONTACT NUMBER 9476332360 [email protected]
NAME OF LAST SCHOOL Northeastern Mindanao Colleges ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Narciso Street

SENIOR HIGH SCHOOL OTHERS Transferee

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 1: 9:00 AM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Secondary Education major in English (BSED - English)
SECOND CHOICE Bachelor of Science in Tourism Management (BSTM)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Monte
FIRST NAME Annafe 1X1 ID PICTURE

MIDDLE NAME Bukid

SEX Female CIVIL STATUS Single BIRTHDATE 6/28/2004
PERMANENT ADDRESS: BARANGAY Malinao TOWN/CITYSurigao City PROVINCE Dinagat Islands
CONTACT NUMBER 9507079760 [email protected]
NAME OF LAST SCHOOL North Eastern Mindanao Colleges ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Rizal Corner Amat Street Surigao City

SENIOR HIGH SCHOOL OTHERS Transferee

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 1: 9:00 AM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Civil Engineering (BSCE)
SECOND CHOICE Bachelor of Science in Computer Science (BSCS)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Monteros
FIRST NAME Niko 1X1 ID PICTURE

MIDDLE NAME Tolentino

SEX Male CIVIL STATUS Single BIRTHDATE 11/24/2002
PERMANENT ADDRESS: BARANGAY Washington TOWN/CITYSurigao City PROVINCE Surigao Del
Norte
CONTACT NUMBER 9516186081 [email protected]
NAME OF LAST SCHOOL Surigao Del Norte National High School ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Penaranda

SENIOR HIGH SCHOOL OTHERS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Civil Engineering (BSCE)
SECOND CHOICE Bachelor of Physical Education (BPED)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME MORALES
FIRST NAME DENNIS 1X1 ID PICTURE

MIDDLE NAME SICALAN

SEX Male CIVIL STATUS Single BIRTHDATE 9/23/2004
PERMANENT ADDRESS: BARANGAY Tagbongabong TOWN/CITYPlacer PROVINCE Surigao del Norte
CONTACT NUMBER 9077787370 [email protected]
NAME OF LAST SCHOOL BACUAG NATIONAL AGRO INDUSTRIAL ADMISSION TEST RESULT:
ATTENDED SCHOOL
SCHOOL ADDRESS Poblacion, Bacuag Surigao del Norte

SENIOR HIGH SCHOOL HUMSS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Information Technology (BSInfoTech)
SECOND CHOICE Bachelor in Electrical Engineering Technology (BEET)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Morales
FIRST NAME Sean Charnel 1X1 ID PICTURE

MIDDLE NAME Recamara

SEX Male CIVIL STATUS Single BIRTHDATE 5/25/2005
PERMANENT ADDRESS: BARANGAY Punta Bilar TOWN/CITYSurigao City PROVINCE Surigao del Norte
CONTACT NUMBER 9508536777 [email protected]
NAME OF LAST SCHOOL St. Paul University Surigao ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Brgy Luna, Surigao City

SENIOR HIGH SCHOOL ABM Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Secondary Education major in English (BSED - English)
SECOND CHOICE Bachelor of Science in Tourism Management (BSTM)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Mosa
FIRST NAME Cherry jane 1X1 ID PICTURE

MIDDLE NAME
SEX Female CIVIL STATUS Single BIRTHDATE 7/16/2005
PERMANENT ADDRESS: BARANGAY Barangay Pili TOWN/CITYSurigao City PROVINCE Surigao del Norte
CONTACT NUMBER 9460820340 [email protected]
NAME OF LAST SCHOOL Pili National High School ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Pili Malimono Surigao del Norte

SENIOR HIGH SCHOOL GAS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor in Mechanical Engineering Technology with concentration in Mechanical
Technology (BMET - MT)
SECOND CHOICE Bachelor in Automotive Engineering Technology (BAET)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME MOSENDE
FIRST NAME LEOMAR 1X1 ID PICTURE

MIDDLE NAME ALBATERA

SEX Male CIVIL STATUS Single BIRTHDATE 4/27/2005

PERMANENT ADDRESS: BARANGAY CENTRAL TOWN/CITY PROVINCE

Placer Surigao del Norte
CONTACT NUMBER 9107246884 [email protected]
NAME OF LAST SCHOOL Placer National High School ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Magsaysay, Placer, SdN

SENIOR HIGH SCHOOL OTHERS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Information Technology (BSInfoTech)
SECOND CHOICE Bachelor of Science in Civil Engineering (BSCE)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Nojara
FIRST NAME Carl Niño 1X1 ID PICTURE

MIDDLE NAME Belarmino

SEX Male CIVIL STATUS Single BIRTHDATE 1/7/2004
PERMANENT ADDRESS: BARANGAY Barangay 1 poblacion TOWN/CITYDAPA PROVINCE Surigao del Norte
Dapa Surigao del Norte

CONTACT NUMBER 9811029184 [email protected]

NAME OF LAST SCHOOL San Nicolas School ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Brgy 3, Sto Niño street

SENIOR HIGH SCHOOL GAS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 1: 9:00 AM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Tourism Management (BSTM)
SECOND CHOICE Bachelor of Science in Hospitality Management (BSHM)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Octura
FIRST NAME Symonette Chrisha 1X1 ID PICTURE

MIDDLE NAME Balais

SEX Female CIVIL STATUS Single BIRTHDATE 1/20/2005
PERMANENT ADDRESS: BARANGAY Laurel TOWN/CITYTagana-an PROVINCE Surigao del Norte
CONTACT NUMBER 9514516734 [email protected]
NAME OF LAST SCHOOL STI College Surigao ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Narciso Street, Surigao City

SENIOR HIGH SCHOOL STEM Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 1: 9:00 AM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Information Technology (BSInfoTech)
SECOND CHOICE Bachelor of Science in Hospitality Management (BSHM)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Olvis
FIRST NAME Noel Nico 1X1 ID PICTURE

MIDDLE NAME Tadulan

SEX Male CIVIL STATUS Single BIRTHDATE 11/17/2004
PERMANENT ADDRESS: BARANGAY Poblacion TOWN/CITYSan Francisco PROVINCE Surigao Del
Norte
CONTACT NUMBER 9510952629 [email protected]
NAME OF LAST SCHOOL STI College Surigao ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Brgy Washington, Narciso Street, Surigao City

SENIOR HIGH SCHOOL STEM Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 1: 9:00 AM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Information Technology (BSInfoTech)
SECOND CHOICE Bachelor of Science in Information System (BSIS)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Oropa
FIRST NAME James patrick 1X1 ID PICTURE

MIDDLE NAME Elar

SEX Male CIVIL STATUS Single BIRTHDATE 9/22/2005
PERMANENT ADDRESS: BARANGAY Sta.irene TOWN/CITYProsperidad PROVINCE Agusan del sur
CONTACT NUMBER 9203921190 [email protected]
NAME OF LAST SCHOOL Sta.Irene National High School ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Sta.Irene National High School

SENIOR HIGH SCHOOL GAS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION April 11, 2023 Batch 2: 1:30 PM Venue: Tubajon, Dinagat Island
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor in Electrical Engineering Technology (BEET)
SECOND CHOICE Bachelor of Science in Tourism Management (BSTM)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME PABALATE
FIRST NAME BRYAN 1X1 ID PICTURE

MIDDLE NAME OPOG

SEX Male CIVIL STATUS Single BIRTHDATE 11/15/2003
PERMANENT ADDRESS: BARANGAY MAHAYAHAY TOWN/CITYSAN JOSE PROVINCE DINAGAT

ISLANDS
CONTACT NUMBER 9754126036 [email protected]
NAME OF LAST SCHOOL DON JOSE ECLEO MEMORIAL COLLEGE ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS JUSTINIANA EDERA, SAN JOSE, DINAGAT
ISLANDS
SENIOR HIGH SCHOOL HUMSS Freshman
STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION April 13, 2023 Batch 2: 1:30 PM Venue: San Jose, Dinagat
2023-2024 SITE/VENUE AND Island
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Information Technology (BSInfoTech)
SECOND CHOICE Bachelor of Physical Education (BPED)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME PALER
FIRST NAME GLADILYN 1X1 ID PICTURE

MIDDLE NAME FLORENTINO

SEX Female CIVIL STATUS Single BIRTHDATE 1/28/2002
PERMANENT ADDRESS: BARANGAY UPPER DIMOROK TOWN/CITYMOLAVE PROVINCE ZAMBOANGA

DEL SUR
CONTACT NUMBER 9381144723 [email protected]
NAME OF LAST SCHOOL J.H Cerilles State College DUMINGAG ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS J.H Cerilles State College DUMINGAG Campus

SENIOR HIGH SCHOOL OTHERS Transferee

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 1: 9:00 AM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Tourism Management (BSTM)
SECOND CHOICE Bachelor of Science in Hospitality Management (BSHM)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Pangarungan
FIRST NAME Hosniyah 1X1 ID PICTURE

MIDDLE NAME Malik

SEX Female CIVIL STATUS Single BIRTHDATE 10/14/2005
PERMANENT ADDRESS: BARANGAY Luna TOWN/CITYSurigao City PROVINCE Surigao Del
Norte
CONTACT NUMBER 9562375584 [email protected]
NAME OF LAST SCHOOL Surigao Del Norte National High School ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS PEÑARANDA ST. Brgy. Washington

SENIOR HIGH SCHOOL OTHERS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 1: 9:00 AM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Secondary Education major in English (BSED - English)
SECOND CHOICE Bachelor of Elementary Education (BEED)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Pareja
FIRST NAME Marian Joy 1X1 ID PICTURE

MIDDLE NAME Joven

SEX Female CIVIL STATUS Single BIRTHDATE 1/6/2005
PERMANENT ADDRESS: BARANGAY Canlanipa TOWN/CITYSurigao City PROVINCE Surigao del Norte
CONTACT NUMBER 9505919990 [email protected]
NAME OF LAST SCHOOL Surigao City National High School ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS San Juan, Surigao City

SENIOR HIGH SCHOOL GAS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Civil Engineering (BSCE)
SECOND CHOICE Bachelor of Science in Information Technology (BSInfoTech)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Parpan
FIRST NAME Josephine 1X1 ID PICTURE

MIDDLE NAME Patiga

SEX Female CIVIL STATUS Single BIRTHDATE 11/12/2004
PERMANENT ADDRESS: BARANGAY Barangay Quezon TOWN/CITYSurigao city PROVINCE Surigao del Norte
CONTACT NUMBER 9389010275 [email protected]
NAME OF LAST SCHOOL Cabrera altres national high school ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Barangay bonifacio surigao city

SENIOR HIGH SCHOOL GAS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION April 19, 2023 Batch 2: 1:30 PM Venue: SNSU Del Carmen
2023-2024 SITE/VENUE AND Campus
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Information Technology (BSInfoTech)
SECOND CHOICE Bachelor of Science in Information Technology (BSInfoTech)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Paz
FIRST NAME Jade Mikel 1X1 ID PICTURE

MIDDLE NAME Bawaan

SEX Male CIVIL STATUS Single BIRTHDATE 8/2/2005
PERMANENT ADDRESS: BARANGAY Anahaw TOWN/CITYAlegria PROVINCE Surigao Del
Norte
CONTACT NUMBER 9811419825 [email protected]
NAME OF LAST SCHOOL Alegria Stand Alone Senior High School ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Don Julio Ouano, Alegria Surigao Del Norte

SENIOR HIGH SCHOOL GAS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 1: 9:00 AM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Technical, Vocational Teacher Education major in Food & Service
Management (BTVTEd-FSM)
SECOND CHOICE Bachelor of Physical Education (BPED)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME PEÑARANDA
FIRST NAME KEN 1X1 ID PICTURE

MIDDLE NAME ODTOJAN

SEX Male CIVIL STATUS Single BIRTHDATE 5/15/2002

PERMANENT ADDRESS: BARANGAY TAGBAYANI TOWN/CITY PROVINCE

SISON SURIGAO DEL
NORTE
CONTACT NUMBER 9709531576 [email protected]
NAME OF LAST SCHOOL TOLEDO S. PANTILO SENIOR MEMORIAL ADMISSION TEST RESULT:
ATTENDED NATIONAL HIGH SCHOOL
SCHOOL ADDRESS TOLEDO S. PANTILO SENIOR MEMORIAL
NATIONAL HIGH SCHOOL
SENIOR HIGH SCHOOL OTHERS Freshman
STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Electrical Engineering (BSEE)
SECOND CHOICE Bachelor in Electrical Engineering Technology (BEET)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Quinto
FIRST NAME Josh Michael 1X1 ID PICTURE

MIDDLE NAME Entrina

SEX Male CIVIL STATUS Single BIRTHDATE 7/13/2005
PERMANENT ADDRESS: BARANGAY Washington TOWN/CITYSurigao City PROVINCE Surigao del norte
CONTACT NUMBER 9706790971 [email protected]
NAME OF LAST SCHOOL Surigao del Norte National High School ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Peñaranda street

SENIOR HIGH SCHOOL OTHERS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION April 18, 2023 Batch 2: 1:30 PM Venue: SNSU Del Carmen
2023-2024 SITE/VENUE AND Campus
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Information Technology (BSInfoTech)
SECOND CHOICE Bachelor of Science in Information System (BSIS)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Quinto
FIRST NAME Christian Joy 1X1 ID PICTURE

MIDDLE NAME Tagpuno

SEX Male CIVIL STATUS Single BIRTHDATE 12/22/2004
PERMANENT ADDRESS: BARANGAY Navalca Purok-9 brgy TOWN/CITYSurigao City PROVINCE Surigao Del
san juan surigao city Norte
CONTACT NUMBER 9855782839 [email protected]
NAME OF LAST SCHOOL San Juan Surigao City ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Surigao City National Highschool

SENIOR HIGH SCHOOL GAS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor in Electrical Engineering Technology (BEET)
SECOND CHOICE Bachelor of Science in Civil Engineering (BSCE)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Ravelo
FIRST NAME Maredel 1X1 ID PICTURE

MIDDLE NAME Tanjay

SEX Female CIVIL STATUS Single BIRTHDATE 10/20/2005
PERMANENT ADDRESS: BARANGAY Bryg cagniog sitio TOWN/CITYSurigao City PROVINCE Surigao del Norte
scalon surigao city student type
CONTACT NUMBER 9813569573 [email protected]
NAME OF LAST SCHOOL Surigao Del Norte national high school ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS peñaranda st. Surigao City

SENIOR HIGH SCHOOL GAS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION April 11, 2023 Batch 1: 8:00 AM Venue: Loreto, Dinagat Island
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor in Electrical Engineering Technology (BEET)
SECOND CHOICE Bachelor of Electronics Engineering Technology (BEXET)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME REBUSORA
FIRST NAME KEMUEL 1X1 ID PICTURE

MIDDLE NAME CEDRO

SEX Male CIVIL STATUS Married BIRTHDATE 6/3/2023
PERMANENT ADDRESS: BARANGAY PUROK 6 SILOP, TOWN/CITYSURIGAO PROVINCE SURIGAO DEL
SURIGAO CITY CITY NORTE
CONTACT NUMBER 9503194716 [email protected]
NAME OF LAST SCHOOL SURIGAO NORTE NATIONAL SCHOOL ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS PENARANDA STREET, SURIGAO CITY,
PHILIPPINES
SENIOR HIGH SCHOOL OTHERS Freshman
STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 1: 9:00 AM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Elementary Education (BEED)
SECOND CHOICE Bachelor of Technical, Vocational Teacher Education major in Food & Service
Management (BTVTEd-FSM)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Reguibo
FIRST NAME Kristine 1X1 ID PICTURE

MIDDLE NAME Sacurin

SEX Female CIVIL STATUS Single BIRTHDATE 9/28/2004

PERMANENT ADDRESS: BARANGAY Barangay Poblacion TOWN/CITY PROVINCE

Surigao del Caraga
hall
norte
CONTACT NUMBER 9308110405 [email protected]
NAME OF LAST SCHOOL Bacuag national agro industrial school ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Bnais

SENIOR HIGH SCHOOL OTHERS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor in Mechanical Engineering Technology with concentration in Mechanical
Technology (BMET - MT)
SECOND CHOICE Bachelor in Automotive Engineering Technology (BAET)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Ruiz
FIRST NAME Ace John Carlo 1X1 ID PICTURE

MIDDLE NAME Murillon

SEX Male CIVIL STATUS Single BIRTHDATE 6/24/2005

PERMANENT ADDRESS: BARANGAY Honrado TOWN/CITY PROVINCE

San Francisco Surigao del Norte
CONTACT NUMBER 9631921300 [email protected]
NAME OF LAST SCHOOL San Francisco National High School ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS San Francisco (Anal Aon),Surigao del Norte

SENIOR HIGH SCHOOL OTHERS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION April 11, 2023 Batch 2: 1:30 PM Venue: Tubajon, Dinagat Island
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Electronics Engineering (BSECE)
SECOND CHOICE Bachelor of Science in Industrial Technology major in Welding and Fabrication
Technology (BSIT-WFT)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Ruizol
FIRST NAME Glendel 1X1 ID PICTURE

MIDDLE NAME
SEX Female CIVIL STATUS Single BIRTHDATE 8/13/2001

PERMANENT ADDRESS: BARANGAY San juan TOWN/CITY PROVINCE

Surigao city San Juan
CONTACT NUMBER 9385433374 [email protected]
NAME OF LAST SCHOOL Surigao city national high school ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Surigao Del Norte State University

SENIOR HIGH SCHOOL OTHERS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 1: 9:00 AM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Secondary Education major in Sciences (BSED - Sciences)
SECOND CHOICE Bachelor of Elementary Education (BEED)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Sanico
FIRST NAME Laurence 1X1 ID PICTURE

MIDDLE NAME Abonacion

SEX Male CIVIL STATUS Single BIRTHDATE 9/5/2005
PERMANENT ADDRESS: BARANGAY Togbongon TOWN/CITYSurigao PROVINCE Surigao del Norte
CONTACT NUMBER 9855203926 [email protected]
NAME OF LAST SCHOOL Surigao del Norte National High School ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Peñaranda street, Surigao city

SENIOR HIGH SCHOOL STEM Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 1: 9:00 AM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Tourism Management (BSTM)
SECOND CHOICE Bachelor of Science in Hospitality Management (BSHM)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Sanoria
FIRST NAME Dawn Marie 1X1 ID PICTURE

MIDDLE NAME Albar

SEX Female CIVIL STATUS Single BIRTHDATE 12/19/2004
PERMANENT ADDRESS: BARANGAY Brgy Taft TOWN/CITYSurigao City PROVINCE Surigao Del
Norte
CONTACT NUMBER 9811088615 [email protected]
NAME OF LAST SCHOOL TAFT NATIONAL HIGH SCHOOL ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS TAFT NATIONAL HIGH SCHOOL

SENIOR HIGH SCHOOL ABM Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 1: 9:00 AM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Secondary Education major in English (BSED - English)
SECOND CHOICE Bachelor of Secondary Education major in Filipino (BSED - Filipino)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME SAYCON
FIRST NAME ARBE JOHN 1X1 ID PICTURE

MIDDLE NAME ECLEO

SEX Male CIVIL STATUS Single BIRTHDATE 10/19/2004
PERMANENT ADDRESS: BARANGAY San Juan TOWN/CITYSurigao City PROVINCE Surigao Del
Norte
CONTACT NUMBER 9507115267 [email protected]
NAME OF LAST SCHOOL Caraga Regional Science High School ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Purok 10, Barangay San Juan, Surigao City

SENIOR HIGH SCHOOL HUMSS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Electrical Engineering (BSEE)
SECOND CHOICE Bachelor of Science in Tourism Management (BSTM)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Sepe
FIRST NAME Christian Paul 1X1 ID PICTURE

MIDDLE NAME Cajutay

SEX Male CIVIL STATUS Single BIRTHDATE 2/11/2004
PERMANENT ADDRESS: BARANGAY Brgy.San antonio TOWN/CITYSurigao City PROVINCE Dinagat island
libjo,dinagat islands

CONTACT NUMBER 930814196 [email protected]

NAME OF LAST SCHOOL Northeastern Mindanao Colleges ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Amat st. Surigao City

SENIOR HIGH SCHOOL OTHERS Transferee

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Elementary Education (BEED)
SECOND CHOICE Bachelor of Science in Information Technology (BSInfoTech)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Silvosa
FIRST NAME Jashlyn 1X1 ID PICTURE

MIDDLE NAME B.
SEX Female CIVIL STATUS Single BIRTHDATE 3/6/2003
PERMANENT ADDRESS: BARANGAY P-5 Brgy. Silop TOWN/CITYSurigao City PROVINCE Surigao Del
Norte
CONTACT NUMBER 9385410222 [email protected]
NAME OF LAST SCHOOL SNNHS ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS CABRERA-ALTRES NATIONAL HIGH SCHOOL

SENIOR HIGH SCHOOL OTHERS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Elementary Education (BEED)
SECOND CHOICE Bachelor of Science in Information Technology (BSInfoTech)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Silvosa
FIRST NAME Jashlyn 1X1 ID PICTURE

MIDDLE NAME Bangcoyo

SEX Female CIVIL STATUS Single BIRTHDATE 3/6/2003
PERMANENT ADDRESS: BARANGAY Silop TOWN/CITYSurigao City PROVINCE Surigao Del
Norte
CONTACT NUMBER 9385410222 [email protected]
NAME OF LAST SCHOOL Cabrera Altres National Highschool ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Brgy.Bonifacio Surigao City

SENIOR HIGH SCHOOL OTHERS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION April 12, 2023 Batch 2: 1:30 PM Venue: Basilisa, Dinagat Island
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor in Automotive Engineering Technology (BAET)
SECOND CHOICE Bachelor of Science in Electrical Engineering (BSEE)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Soberano
FIRST NAME Danilo 1X1 ID PICTURE

MIDDLE NAME Liquido

SEX Male CIVIL STATUS Single BIRTHDATE 5/31/2005
PERMANENT ADDRESS: BARANGAY Brgy.Lisondra TOWN/CITYSurigao City PROVINCE Surigao Del
Norte
CONTACT NUMBER 9811516941 [email protected]
NAME OF LAST SCHOOL Zaragoza National High School ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Zaragoza National High School

SENIOR HIGH SCHOOL GAS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Secondary Education major in English (BSED - English)
SECOND CHOICE Bachelor of Science in Tourism Management (BSTM)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME SUAL
FIRST NAME JANELLA CERYL 1X1 ID PICTURE

MIDDLE NAME SUAVERDEZ

SEX Female CIVIL STATUS Single BIRTHDATE 12/30/2004
PERMANENT ADDRESS: BARANGAY Luna TOWN/CITYSurigao City PROVINCE Surigao del Norte
CONTACT NUMBER 9665441254 [email protected]
NAME OF LAST SCHOOL CARAGA REGIONAL SCIENCE HIGH ADMISSION TEST RESULT:
ATTENDED SCHOOL
SCHOOL ADDRESS Tuazon Village, Barangay Luna

SENIOR HIGH SCHOOL HUMSS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Elementary Education (BEED)
SECOND CHOICE Bachelor of Secondary Education major in English (BSED - English)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Sutana
FIRST NAME Erica 1X1 ID PICTURE

MIDDLE NAME Mantilla

SEX Female CIVIL STATUS Single BIRTHDATE 6/18/2001
PERMANENT ADDRESS: BARANGAY Sudlon TOWN/CITYSocorro PROVINCE Surigao Del
Norte
CONTACT NUMBER 9076859874 [email protected]
NAME OF LAST SCHOOL Bucas Grande Foundation College ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Brgy. Taruc Socorro Surigao Del Norte

SENIOR HIGH SCHOOL GAS Shiftee

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION April 19, 2023 Batch 2: 1:30 PM Venue: SNSU Del Carmen
2023-2024 SITE/VENUE AND Campus
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Information Technology (BSInfoTech)
SECOND CHOICE Bachelor of Science in Hospitality Management (BSHM)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Tantan
FIRST NAME Stephanie 1X1 ID PICTURE

MIDDLE NAME Encarguez

SEX Female CIVIL STATUS Single BIRTHDATE 5/15/2006
PERMANENT ADDRESS: BARANGAY P-Malinao brgy. Taft TOWN/CITYsurigao city PROVINCE Surigao del Norte
surigao city

CONTACT NUMBER 9811113660 [email protected]

NAME OF LAST SCHOOL Taft national high school ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS brgy. Taft nueva extension

SENIOR HIGH SCHOOL OTHERS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 1: 9:00 AM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor in Mechanical Engineering Technology with concentration in Mechanical
Technology (BMET - MT)
SECOND CHOICE Bachelor of Science in Hospitality Management (BSHM)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Tejano
FIRST NAME Juniel 1X1 ID PICTURE

MIDDLE NAME Dugaduga

SEX Male CIVIL STATUS Single BIRTHDATE 5/6/2005

PERMANENT ADDRESS: BARANGAY Mabua purok 6 TOWN/CITY PROVINCE

Surigao city Surigao del Norte
CONTACT NUMBER 9103420894 [email protected]
NAME OF LAST SCHOOL Ipil national high school ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Ipil national high school

SENIOR HIGH SCHOOL GAS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Civil Engineering (BSCE)
SECOND CHOICE Bachelor of Science in Hospitality Management (BSHM)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Tesiorna
FIRST NAME James Nechylle 1X1 ID PICTURE

MIDDLE NAME Matabalan

SEX Female CIVIL STATUS Single BIRTHDATE 1/12/2005
PERMANENT ADDRESS: BARANGAY Brgy 2, Poblacion TOWN/CITYDapa PROVINCE Suriga Del Norte
CONTACT NUMBER 9155032666 [email protected]
NAME OF LAST SCHOOL San Nicolas School ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Sto. Niño Street, DSDN

SENIOR HIGH SCHOOL GAS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 1: 9:00 AM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor in Mechanical Engineering Technology with concentration in Refrigeration
and Air-Conditioning Technology (BMET-RAC)
SECOND CHOICE Bachelor of Secondary Education major in English (BSED - English)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Tinambacan
FIRST NAME Nozie 1X1 ID PICTURE

MIDDLE NAME Sanico

SEX Male CIVIL STATUS Single BIRTHDATE 11/19/2003

PERMANENT ADDRESS: BARANGAY Taruc TOWN/CITY PROVINCE

Socorro Surigao
CONTACT NUMBER 9051123309 [email protected]
NAME OF LAST SCHOOL Socorro national high school ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Socorro national high school

SENIOR HIGH SCHOOL OTHERS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Information Technology (BSInfoTech)
SECOND CHOICE Bachelor of Science in Hospitality Management (BSHM)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Tresiana
FIRST NAME Retro jay 1X1 ID PICTURE

MIDDLE NAME Meniano

SEX Male CIVIL STATUS Single BIRTHDATE 6/10/2023
PERMANENT ADDRESS: BARANGAY Barangay taft TOWN/CITYSurigao city PROVINCE Surigao Del norte
CONTACT NUMBER 9855679233 [email protected]
NAME OF LAST SCHOOL Surigao del Norte National High school ADMISSION TEST RESULT:
ATTENDED
SCHOOL ADDRESS Pañaranda Street, Surigao city

SENIOR HIGH SCHOOL GAS Freshman

STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 1: 9:00 AM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
 SURIGAO DEL NORTE STATE
UNIVERSITY

ADMISSION TEST APPLICATION FORM

1ST SEMESTER A.Y 2023-2024
COURSES APPLIED FOR:
FIRST CHOICE Bachelor of Science in Computer Science (BSCS)
SECOND CHOICE Bachelor of Science in Computer Engineering (BSCoE)

NAME OF APPLICANT: PLEASE WRITE LEGIBLY

LAST NAME Tumampo Jr.
FIRST NAME Ernesto 1X1 ID PICTURE

MIDDLE NAME Sabater

SEX Male CIVIL STATUS Single BIRTHDATE 2/8/2004
PERMANENT ADDRESS: BARANGAY Don Ruben TOWN/CITYSan Jose PROVINCE Dinagat Island
CONTACT NUMBER 9305875274 [email protected]
NAME OF LAST SCHOOL Don Ruben E. Ecleo Sr. Memorial National ADMISSION TEST RESULT:
ATTENDED high school
SCHOOL ADDRESS Don Ruben E. Ecleo Sr. Memorial National high
school
SENIOR HIGH SCHOOL OTHERS Freshman
STRAND

PLEASE READ CAREFULLY:

I hereby understand and agree that by taking the SNSU Admission Test, I am aware that the test results are to be used for
placement purposes only and will be treated with utmost confidentiality. I am likewise informed that admission test results will be
released online through a Google Link, thus, I agree to provide my personal information correctly.

_____________________________
SIGNATURE

ENTRANCE EXAMINATION March 17, 2023 Batch 2: 1:30 PM Venue: SNSU City Campus
2023-2024 SITE/VENUE AND
SCHEDULE

KINDLY PRINT THIS OUT ON A SHORT BONDPAPER AND BRING ON YOUR EXAM
SCHEDULE WITH YOUR COMPLETE REQUIREMENTS. HOW TO PRINT:

REQUIREMENTS: Download this

form, look for
1. MONGOL #2 PENCIL (NO OTHER PENCIL ALLOWED)
your name and
2. ORDINARY BALLPEN
then print page
3. UMBRELLA/WATER
number.
1.