Reference No.: BatStateU-FO-TAO-08 Effectivity Date: September 27, 2022 Revision No.
: 02
BATANGAS STATE UNIVERSITY
The National Engineering University
Attach a recent 2”x2”
OFFICE OF THE STUDENT AFFAIRS AND SERVICES photograph (taken within
Testing and Admission Office the last six months)
GRADES FORM 1
(Regular Admission)
To the applicant
Please forward this form to your School Registrar or Principal. The indicated grades in this form will be the basis for your admission application in the University.
Any misrepresentation, falsification, and any form of dishonesty shall result to non-admission to BatStateU. Once accomplished, proceed to http://dione.batstate-
u.edu.ph/tao/#/application to apply.
To the School Registrar or Principal
The applicant whose name appears in this form is applying for BatStateU College Admission Academic 2023-2024. We would like to respectfully request for your
assistance in filling out this BatStateU College Application Grades Form.
Attach a Certificate of SHS Completion/ Enrolment
Affix complete information of the SHS details at the lowest portion
Provide a copy of the Form 137A.
Countersign in any correction on any written information below.
Only the School Registrar or Principal may certify the Grades form.
For clarifications, you may contact the Testing and Admission Office (TAO) - Central through 980-0385 local 1148 and [email protected].
Pursuant to Republic Act No. 10173, also known as the Data Privacy Act of 2012, the Batangas State University, the National Engineering University recognizes its
commitment to protect and respect the privacy of its customers and/or stakeholders and ensure that all information collected from them are all processed in accordance
with the principles of transparency, legitimate purpose and proportionality mandated under the Data Privacy Act of 2012.
FULL NAME:
TRACK & STRAND:
SCHOOL NAME:
SCHOOL ADDRESS:
JHS COMPLETION YEAR: SHS COMPLETION YEAR:
JUNIOR HIGH SCHOOL SUBJECTS:
General Average General Average General Average
Grade 8 N/A N/A N/A
Mathematics Science English
Grade 9 N/A N/A N/A
Mathematics Science English
Grade 10
Mathematics Science English
SENIOR HIGH SCHOOL SUBJECTS:
Priority Subjects
General Average General Average General Average
Grade 11, 1st Semester (STEM/PBM)
Pre-Calculus Earth Science/ Oral Communication
Earth and Life Science
Grade 11, 2nd Semester (STEM/PBM)
Basic Calculus General Chemistry I Reading & Writing
st
Grade 11, 1 Semester (NON-STEM)
General Mathematics Earth Science/ Oral Communication
Earth and Life Science
Grade 11, 2nd Semester (NON-STEM)
Statistic and Probability Physical Science Reading & Writing
Alternative Subjects (In the absence of priority subjects)
General Average General Average General Average General Average General Average General Average
STEM
General Statistics and General Physics I General General Biology I English for
Mathematics Probability Chemistry II Academic Purposes
NON - STEM
Business Mathematics Disaster Readiness and Risk Reduction English for Academic Purposes
CERTIFIED TRUE AND CORRECT:
Senior High School (SHS):
School Registrar Principal
___________________________ SHS Contact Information:
Signature over Printed Name of Email _________________________________
the ______________ Mobile Number: ________________________