Secondary Scholastic Record

Office of Admissions and Scholarships

De La Salle University, 2401 Taft Avenue, Manila 0922
Telephone Nos. (632) 523-4230 (Direct); (632) 524-4611 Ext. 166
Email: admissions@dlsu.edu.ph
Website: www.dlsu.edu.ph

NAME OF APPLICANT GENDER

LAST FIRST MI

SCHOOL

SCHOOL ADDRESS

FINAL GRADES
AVERAGE
SUBJECTS YEAR I / YEAR II / YEAR III / (DO NOT FILL)
YEAR
GRADEI9 YEAR 10
GRADE II YEAR
GRADEIII
11

COMM.ARTS-FILIPINO

COMM.ARTS-ENGLISH

MATHEMATICS

SCIENCE

SOCIAL STUDIES

CONDUCT/DEPORTMENT

NOTE: Please provide Percentage Equivalent for letter grades (A+, B, P, VG, etc.)
and numerical grades (1.00, 1.25, 3.00, etc.)

CERTIFIED CORRECT BY:

(PLS. SIGN OVER PRINTED NAME)

DESIGNATION

DATE

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