PIMSAT

Today is Thursday, the 11th of March

	Message From The President
	It is important to me to continue with the college’s efforts to improve the quality of education
	more

Degree Courses

TESDA Programs

Graduates Program

Partnerships

Facilities

Foreign Students and Veterans

guestbook

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Welcome to PIMSAT

• Pre Application Form

INSTRUCTIONS: Accomplish this form properly and truthful. Submit 1 piece 2x2 picture; birth certificate; barangay clearance or certificate of good moral character from your school; certified true copy of the latest fourth year Report Card or Honorable Dismissal and transcript of Records, for transferre.

Family Name:
First Name:
Middle Name:
Present Adress:
Student No.:
Tel. No.:
Date of Birth:
Place of Birth:
Civil Status:
Age:
Height:
Weight:
Grade School Last Attended:
Year's Attended:
Honors Received:

Father's Name:
Age:
Occupation:
Office Tel. No:
Mother's Name:
Age:
Occupation:
Office Tel. No:
Guardian's Name(if not parents):
Age:
Relationship:
Occupation:
Office Tel. No:
High School Last Attended:
Year's Attended:
Honors Received(Please attach Registar's Certification):

School and Community Organization Joined: (click to add)

Name of Organization:

Position:

Years:

Are you a candidate for honors in your graduation? no yes

Where you ever sanctioned for violating the rules and regulation of your school? no yes

When was your last medical exam?

Are you color-blind? no yes

Do you wear glasses? no yes

Do you have hearing problems? no yes

Where you ever forced to leave school for a period of time because of poor health? no yes

Complete the form to enable the submit button.