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COLEGIO DE MUNTINLUPA

POSADAS AVENUE, SUCAT, MUNTINLUPA CITY

Student Admissions Office


APPLICATION for ADMISSION TEST PICTURE
Application Form No. ______________ Official Receipt No. ______ Passport size
Application for AY: _______________ Semester ______1st ______ 2nd White background
Date of Examination: ______________ Time________ Venue __________

Print Legibly
(Surname) (First Name) (Middle Name) Sex
Bad Ia
_____ M _____ F
Home Address: (No.) (Street) (Barangay/District) (City)

E - mail Address: Contact No.


Age: Date of Birth: Place of Birth:
Name of School Last Attended: Address of School Last Attended:

Current Grades in the following Subjects: Admission Requirements


For CDM Entrance Test
SUBJECTS 1st quarter 2nd quarter 3rd quarter ____ Photocopy of current grades in Senior High School
Mathematics ____ Two (2) passport size colored photo
(recent formal attire with white background)
Science ____ Payment of Registration Fee (City Treasury Office)
English
For Enrollment
_____ Form 137/138 (original copy)
Intended Course at CDM after Senior High School
(Please write 1 for first choice and 2 for second choice) _____ Two (2) passport size colored photo
(recent formal attire with white background)
BACHELOR OF SCIENCE IN
_____ Certificate of Good Moral Character
____ Civil Engineering
_____ NSO Birth Certificate (photocopy)
____ Mechanical Engineering
_____ Police Clearance
____ Electrical Engineering
_____ Barangay Clearance
____ Electronics Engineering
_____ Medical Certificate (Ospital Ng Muntinlupa)
____ Computer Engineering
_____ Result of Drug Test (Ospital Ng Muntinlupa)
_____ Long Brown Envelope

__________________________________
(Applicant’s Signature Over Printed Name)
---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
- (Registrar’s copy)
I. PERSONAL DATA
Last Name: Sex Age Civil Status
First Name: Contact No.
Middle Name: Extension Name: Jr., III)
Date of Birth: Place of Birth:
Citizenship: E-mail Address:
Religion: Facebook Account:
Home Address (No.) (Street) (Barangay/District) (City)

Means of Financial Support : Parents Scholarship Others (specify)


II. Family Background
Father Mother Guardian
Name
Date of Birth
Home Address
Contact No.
Highest Educ. Attainment
Occupation
Company Name
Company Address
Company Tel. No.
III. Academic Background
LEVEL NAME OF SCHOOL SCHOOL ADDRESS YEAR GRADUATED
Senior High School
Junior High School
Elementary

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