REVISION NO.

: 01

Maritime Academy for Training and Education 2018 (MATE) Inc. REVISION DATE: Aug.1, 2018

Arcade II Building Bgy. San Juan, Taytay, Rizal Phone: (+632) 2866166, 2866167, 2866168
Facebook: MATE Senior HS / www.mateseniorhighschool.com
APPLICATION FORM FOR SENIOR HIGH SCHOOL

SCHOOL YEAR GRADE LEVEL

THIS FORM, THE OTHER SUBMITTED DOCUMENTS AND THE ENTRANCE EXAMINATION PAPERS SHALL BECOME PROPERTY OF MATE
SENIOR HIGH SCHOOL AND ARE NOT TO BE RETURNED TO THE APPLICANT.
2X2"
COMPLETELY FILL OUT THE ITEMS BELOW AND SUBMIT THIS FORM TOGETHER WITH THE OTHER REQUIRED DOCUMENTS AT THE ADMISSIONS
OFFICE.
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THIS IS THE FIRST STEP TOWARDS ADMISSIONS TO THE MATE SENIOR HIGH SCHOOL FILLING OUT THIS FORM DOES NOT GUARANTEE
ENTRANCE TO ITS PROGRAMS. ADMISSION TO THE MATE SENIOR HIGH SCHOOL IS SUBJECT TO ITS ADMISSIONS AND RETENTION POLICIES.

SHS STRAND
PBM (Pre Baccalaureate Maritime)
STEM (Science, Technology, Engineering,
Mathematics)

APPLICANT INFORMATION

NAME FAMILY NAME GIVEN NAME MIDDE NAME NICKNAME

DATE OF BIRTH AGE PLACE OF BIRTH GENDER

RELIGION NATIONALITY CIVIL STATUS
PRESENT ADDRESS
BLK/LOT/HSE/UNIT NO. BLDG./STREET NAME VILLAGE / BARANGAY CITY/MUNICIPALITY/PROVINCE ZIPCODE

EMAIL ADDRESS LANDLINE NO. MOBILE NO.

FAMILY BACKGROUND

FATHER’S NAME FAMILY NAME GIVEN NAME MIDDLE NAME

EMAIL ADDRESS CONTACT NO. OCCUPATION PLEASE PROVIDE DESIGNATION

MOTHER’S MAIDEN NAME FAMILY NAME GIVEN NAME MIDDLE NAME

EMAIL ADDRESS CONTACT NO.

OCCUPATION PLEASE PROVIDE DESIGNATION
GUARDIAN
Please write the name of the legal guardian in
case parents are not available FAMILY NAME GIVEN NAME MIDDLE NAME

PRESENT ADDRESS
BLK/LOT/HSE/UNIT NO. BLDG./STREET NAME VILLAGE / BARANGAY CITY/MUNICIPALITY/PROVINCE ZIPCODE

RELATIONSHIP TO THE APPLICANT OCCUPATION

PLEASE PROVIDE DESIGNATION
CONTACT NOS. EMAIL ADDRESS

EDUCATIONAL BACKGROUND HIGH SCHOOL CLASSIFICATION

HIGH SCHOOL PUBLIC

PRIVATE
NAME: HIGH SCHOOL
ADDRESS:

To the Admissions Officer,

I hereby attest to the completeness and accuracy of all information supplied in this form. I understand that withholding of information or
giving false information may nullify my application for admission or may jeopardize my continued stay after admission has been granted.

Respectfully yours,

APPLICANT’S SIGNATURE / DATE PARENT’S / GUARDIAN’S SIGNATURE / DATE

PLEASE DO NOT WRITE BELOW THE LINE

EXAMINATION PERMIT

APPLICANT’S NAME: DATE & TIME OF EXAMINATION:

BATCH NO.____________________
VENUE: _______________________
APPLICATION NO.
PROCESSED BY:

2x2 DATE PROCESSED:

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CASHIER VALIDATION: _________________________

THIS FORM MAY BE DOWNLOADED AND REPRODUCED.