Pacific Intercontinental College: "Transnational Education Provider"
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shuckss taloPacific Intercontinental College: "Transnational Education Provider"
Uploaded by
shuckss taloPACIFIC
INTERCONTINENTAL
COLLEGE
“Transnational Education Provider”
Lot 20 Block 30, Silver Corner, Marble Road, Pilar Village
Las Piñas City Philippines 1750.
Email: pic1@pic.edu.ph Contact Number: (632)872-0773; 478.7710
Website: www.pic.edu.ph
Fill up the Application Form below with the correct details.
Applicant’s Information
Full Name: Flory May Mabini Camus
Primary Email: flormay00@gmail.com Status: Single
Secondary Email: florymay.camus@deped.gov.ph Gender: Female
Contact Number: 09122568687 Citizenship: Filipino
Place of Birth: Purok 2, Awitan, Paracale, Camarines Norte Birthday: May 10, 1999
Address: Purok 2, Awitan
City: Paracale Province: Camarines Norte
Country: Philippines Zip Code:4605
PROGRAM YOU WANTED TO ENROLL
Degree Program: BACHELOR MASTER PHD
Preferred Major Study: EDUCATIONAL MANAGEMENT
Previous School Graduated: Our Lady of Lourdes College Foundation
Self-Introduction: My name is Flory May Camus, and I am a public-school teacher and currently
teaching for almost 5 months now at Labnig Elementary School. I graduated college at Our Lady of
Lourdes College Foundation, major in Elementary Education. I am from Camarines Norte, Bicol, and
have always been passionate about learning new things. I decided to pursue a degree in Masteral
Education because I believe that it is a field that can open up numerous opportunities for personal
and professional growth.
In my free time, I enjoy playing online games and and editing videos. I am excited to be a part of this
and I am looking forward to make new friends and learning from my professors.
I hope to make the most of my Masteral Degree time and become a well-rounded and successful
individual.
Name of Recommender: Daniel Gepolla
By filling this form you certify that the foregoing information are true and correct to the best of your knowledge and you fully
realize the omission or falsification of any information will be considered sufficient reason for the rejection or dismissal of this
application.
NOTE: Students who withdraw their application must request a written withdrawal statement from the Registrar’s
Office by Registered Mail. Postmark on the envelope determines the date of cancellation. The refund percentage is based
on the total tuition fee for the degree program and not from the amount paid.
NON-DICRIMINATORY DECLARATION
Pacific InterContinental College admits students and faculty of any race, creed, color, national and ethnic origin to all of the
rights, privileges, programs, and activities generally accorded or made available to students at the Institute. It does not
discriminate on the basis of race, color, creed, national and ethnic origin in the administration of its educational policies,
admissions policies, scholarships and other school - administered programs.
Applicant’s Signature: