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    Nstructions: Be Processed. Type All Information Required

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    Diana Belarmino
    The document is an application form for the CLSU College Admission Test. It requests personal information from the applicant such as name, date of birth, citizenship, and contact information. It also asks for the applicant's first and second course choices which are Bachelor of Science in Tourism Management and Bachelor of Science in Hospitality Management. Additional details requested include the applicant's educational background, including current/last school attended, track/strand and a pledge by the applicant and parent to verify the accuracy of the information provided.

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    Nstructions: Be Processed. Type All Information Required

    Uploaded by

    Diana Belarmino
    42 views1 page
    The document is an application form for the CLSU College Admission Test. It requests personal information from the applicant such as name, date of birth, citizenship, and contact information. It also asks for the applicant's first and second course choices which are Bachelor of Science in Tourism Management and Bachelor of Science in Hospitality Management. Additional details requested include the applicant's educational background, including current/last school attended, track/strand and a pledge by the applicant and parent to verify the accuracy of the information provided.

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    The document is an application form for the CLSU College Admission Test. It requests personal information from the applicant such as name, date of birth, citizenship, and contact information. It also asks for the applicant's first and second course choices which are Bachelor of Science in Tourism Management and Bachelor of Science in Hospitality Management. Additional details requested include the applicant's educational background, including current/last school attended, track/strand and a pledge by the applicant and parent to verify the accuracy of the information provided.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    42 views1 page

    Nstructions: Be Processed. Type All Information Required

    Uploaded by

    Diana Belarmino
    The document is an application form for the CLSU College Admission Test. It requests personal information from the applicant such as name, date of birth, citizenship, and contact information. It also asks for the applicant's first and second course choices which are Bachelor of Science in Tourism Management and Bachelor of Science in Hospitality Management. Additional details requested include the applicant's educational background, including current/last school attended, track/strand and a pledge by the applicant and parent to verify the accuracy of the information provided.

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    Republic of the Philippines

    CENTRAL LUZON STATE UNIVERSITY


    Science City of Muñoz, Nueva Ecija
    CLSU TESTING AND EVALUATION CENTER
    Testing Division

    APPLICATION FORM FOR CLSU COLLEGE ADMISSION TEST

    IN S T R U C T I O N S
    Please read carefully the Guidelines and Application Procedure on the CLSU Website (www.clsu.edu.ph ) o
    the CTEC Facebook page (CLSU Testing and Evaluation Center). Only correct and completely filled out application for
    be processed. Type all information required.
    P E R S O N A L IN F O R M A T I O N
    NAME Place one letter in each box. Leave one box blank between names. The name that you will
    indicate in this form should match with your name reflected on you PSA or NSO Birth 2122A07023
    APPLICANT ID
    Certificate.
    Last Name G A C U L A I S

    First Name C H I A R A Y V O N N E

    Middle Name G O D O Y

    SEX DATE OF BIRTH AGE CIVIL STATUS


    Male Female 2002 / 10 / 04 18 Single Married
    CITIZENSHIP PERSONAL GMAIL ACCOUNT
    Filipino Chiarayvonnegaculais@gmail.com

    COMPLETE PERMANENT ADDRESS (please include your zip code)


    Purok 2 Guimba NUEVA EC IJA 3115
    CApplicants
    O U R S E C H O I C E(P L E A S E R E A D C A R E F U L L Y)
    will be RANKED according to admission test scores and high school scholastic records. Qualified applicants will be assigned to a specific
    degree program/course based on the indicated course choices. However, each degree program/course has a designated quota that limits the number
    of slots to be assigned.
    1. If an applicant is qualified (based on ranking) on his/her first choice, he/she will be given a slot in that course and shall no longer be
    evaluated/ranked on the second choice.
    2. An applicant who did not qualify on his/her first choice shall be evaluated/ranked on his/her second choice together with the other applicants
    whose first choice is the given course. If the applicant is qualified (based on ranking), he/she is given a slot.
    3. If an applicant did not qualify (based on ranking) on any of his /her two course choices, he/she may be invited as an alternate qualifier to a
    degree program/course where slots are available and whose criteria are met by his/her admission test result and scholastic records .
    4. An applicant with possible scholarship grant must see to it that both course choices (first and second choices) he/she will indicate are
    listed/included in the list of approved courses of the scholarship program.
    5. Changing of course choice is NOT ALLOWED once the application has been submitted.
    FIRST COURSE CHOICE
    BACHELOR OF SCIENCE IN TOURISM MANAGEMENT
    SECOND COURSE CHOICE
    BACHELOR OF SCIENCE IN HOSPITALITY MANAGEMENT

    E D U C A T I O N A LB A C K G R O U N D
    ACADEMIC STATUS
    Currently enrolled in Grade 12 and expected to graduate at the end of SY 2020-2021
    Graduate of Senior High School
    Graduate of Alternative Learning System (ALS)
    Transferee (with less than 36 credit units)
    COMPLETE NAME OF SCHOOL (CURRENT SCHOOL OR LAST ATTENDED)
    Our Lady of the Sacred Heart College of Guimba Inc.
    COMPLETE SCHOOL ADDRESS (please include zip code)
    Afan Salvador st. St. John, Guimba, Nueva Ecija
    TRACK TVL STRAND THS
    APPLICANT'S PLEDGE, WAIVER AND CONSENT
    I hereby affirm that I have read and understood all the instructions in this application form and that all information written herein are complete and accurate.
    I am aware that any false information furnished in this application form will make me ineligible for admission or subject to dismissal if admitted in the university. I give
    permission to CLSU to store and process my personal data in adherence to the principles of transparency, legitimate purpose, proportionality, data quality and
    academic purposes including but not limited to research as required by RA10173 or Data Privacy Act of 2012.

    GACULAIS, CHIARA YVONNE GODOY 09384032421


    SIGNATURE OVER PRINTED NAME OF STUDENT CONTACT NUMBER OF STUDENT

    I hereby attest to the veracity and completeness of all information my son/daughter/dependent has written in this application form.

    Gaculais, Cesar Cadugo 09069733996


    SIGNATURE OVER PRINTED NAME OF PARENT/GUARDIAN CONTACT NUMBER OF PARENT/GUARDIAN

    ACA.TEC.FED.F.01(Revision No. 4;September 7, 2020)

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