Republic of the Philippines PALOMPON INSTITUTE OF TECHNOLOGY Palompon, Leyte GUIDANCE OFFICE On-Site Test Permit Application No: : 2329-6755-816 Name of Examinee : PAñA, IAN BRISTAN NEPANGUE Testing Venue : Proceed to Guidance Office Date of Exam : March 28, 2023 Time of Exam : 14:30:00 pm - 16:30:00 pm Note: 1. Bring the following requirements (original and photocopy) to the Guidance Office at least 2 hours before the scheduled time of exam. 1 Long Brown Folder 1 Copy Printed Application Form (back to back) 2 Copies of Printed Test Permit (Must be minimum margin at 1 inch in all sides) Grade 11 Report Card (1st Semester and 2nd Semester) and Grade 12 Report Card (1st Semester) if needed ➝ for incoming freshmen *Photocopy of the report cards MUST BE A CERTIFIED TRUE COPY TOR/Informative copy of TOR ➝ for transferees/second coursers *Photocopy of the TOR or Copy of grades MUST BE A CERTIFIED TRUE COPY Certified True Copy of Certificate of Grades ➝ for shifters & returnees Valid ID with signature NSO/PSA Birth Certificate Online Application Form Recent 2x2 ID Picture (colored background with nametag LASTNAME, FIRST NAME MIDDLE NAME) wearing a decent attire 2. Examinees without exam permits are not allowed to take the test. 3. Late examinees are not allowed to take the test. 4. Please bring ballpen, pencil, face mask and hand sanitizer. AGNES JULIE P. BELTRAN Guidance Coordinator Republic of the Philippines PALOMPON INSTITUTE OF TECHNOLOGY Palompon, Leyte GUIDANCE OFFICE On-Site Test Permit Examinee's Signature Application No: : 2329-6755-816 Name of Examinee : PAñA, IAN BRISTAN NEPANGUE Testing Venue : Proceed to Guidance Office Date of Exam : March 28, 2023 Time of Exam : 14:30:00 pm - 16:30:00 pm Note: 1. Bring the following requirements (original and photocopy) to the Guidance Office at least 2 hours before the scheduled time of exam. 1 Long Brown Folder 1 Copy Printed Application Form (back to back) 2 Copies of Printed Test Permit (Must be minimum margin at 1 inch in all sides) Grade 11 Report Card (1st Semester and 2nd Semester) and Grade 12 Report Card (1st Semester) if needed ➝ for incoming freshmen *Photocopy of the report cards MUST BE A CERTIFIED TRUE COPY TOR/Informative copy of TOR ➝ for transferees/second coursers *Photocopy of the TOR or Copy of grades MUST BE A CERTIFIED TRUE COPY Certified True Copy of Certificate of Grades ➝ for shifters & returnees Valid ID with signature NSO/PSA Birth Certificate Online Application Form Recent 2x2 ID Picture (colored background with nametag LASTNAME, FIRST NAME MIDDLE NAME) wearing a decent attire 2. Examinees without exam permits are not allowed to take the test. 3. Late examinees are not allowed to take the test. 4. Please bring ballpen, pencil, face mask and hand sanitizer. AGNES JULIE P. BELTRAN Guidance Coordinator Examinee's Signature