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    College Admission Test Application Form: Jose Rizal Memorial State University

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    Rhea Mae Perez
    Rhea Mae Perez from Dipolog City, Zamboanga del Norte applied to take the college admission test at Jose Rizal Memorial State University. She recently graduated from Zamboanga del Norte National High School with high honors. Her preferred courses are Nursing, Marine Biology, and Civil Engineering. She is scheduled to take the admission test on May 3, 2023 at 10:00 AM in room AVH at CNAHS campus. She must bring her test permit and at least 2 pencils, and no cellphones are allowed.

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    College Admission Test Application Form: Jose Rizal Memorial State University

    Uploaded by

    Rhea Mae Perez
    297 views1 page
    Rhea Mae Perez from Dipolog City, Zamboanga del Norte applied to take the college admission test at Jose Rizal Memorial State University. She recently graduated from Zamboanga del Norte National High School with high honors. Her preferred courses are Nursing, Marine Biology, and Civil Engineering. She is scheduled to take the admission test on May 3, 2023 at 10:00 AM in room AVH at CNAHS campus. She must bring her test permit and at least 2 pencils, and no cellphones are allowed.

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    Rhea Mae Perez from Dipolog City, Zamboanga del Norte applied to take the college admission test at Jose Rizal Memorial State University. She recently graduated from Zamboanga del Norte National High School with high honors. Her preferred courses are Nursing, Marine Biology, and Civil Engineering. She is scheduled to take the admission test on May 3, 2023 at 10:00 AM in room AVH at CNAHS campus. She must bring her test permit and at least 2 pencils, and no cellphones are allowed.

    Copyright:

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

    College Admission Test Application Form: Jose Rizal Memorial State University

    Uploaded by

    Rhea Mae Perez
    Rhea Mae Perez from Dipolog City, Zamboanga del Norte applied to take the college admission test at Jose Rizal Memorial State University. She recently graduated from Zamboanga del Norte National High School with high honors. Her preferred courses are Nursing, Marine Biology, and Civil Engineering. She is scheduled to take the admission test on May 3, 2023 at 10:00 AM in room AVH at CNAHS campus. She must bring her test permit and at least 2 pencils, and no cellphones are allowed.

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    Republic of the Philippines

    JOSE RIZAL MEMORIAL STATE UNIVERSITY


    The Premier University in Zamboanga del Norte
    Dapitan City, Zamboanga del Norte
    Contact No: 0946-238-9216 (Smart) 0966-155-0629 (Globe)
    main.guidance@jrmsu.edu.ph
    GUIDANCE OFFICE

    COLLEGE ADMISSION TEST APPLICATION FORM

    APPLICATION FORM NO.:MC-23-028025


    DIRECTIONS: Please fill out this form honestly and accurately.
    I. PERSONAL DATA (Please print)
    Name: PEREZ RHEA MAE AZADA
    (Family Name) (Given Name) (Middle Name)
    Date of Birth: 2004-08-09 Age: Place of Birth: OZAMIS CITY

    Gender: FEMALE Civil Status: SINGLE Citizenship: FILIPINO Religion: ROMAN CATHOLIC

    Permanent Home Address: DICAYAS, DIPOLOG CITY, ZAMBOANGA DEL NORTE

    Telephone/Cellular Number: 09305855780 Email Address: rhea4355@gmail.com


    Disabilities, if any that would require special assistance: ( ) Yes (/) No
    IN CASE OF EMERGENCY, PLEASE CONTACT:
    Name of Parent/Guardian: MAE A. PEREZ Relationship: MOTHER
    Occupation of Parent/Guardian: PROPRIETRESS Contact No.: 09079208611
    Address of Parent/Guardian: DICAYAS, DIPOLOG CITY, ZAMBOANGA DEL NORTE

    II. EDUCATIONAL BACKGROUND:


    Status: (Please put a check mark) (/) K-12 Graduate ( ) Transferee ( ) Returnee ( ) ALS ( ) 4 Years Secondary Education Curriculum ( ) Second Courser

    If k-12 Graduate: Track: ☑ Academic ☐ TVL ☐ Arts and Design ☐ Sports Strand: STEM
    Name of School Last Attended: ZAMBOANGA DEL NORTE NATIONAL HIGH SCHOOL Year Last Attended: 2023 ( ) Private (/) Public
    School Address: DIPOLOG CITY, ZAMBOANGA DEL NORTE Honors Obtained: WITH HIGH HONORS
    III. COURSE PREFERENCE:
    Course Applied for:
    First Choice: BACHELOR OF SCIENCE IN NURSING

    Second Choice: BACHELOR OF SCIENCE IN MARINE BIOLOGY

    Third Choice: BACHELOR OF SCIENCE IN CIVIL ENGINEERING MAJOR IN STRUCTURAL ENGINEERING

    I hereby certify that all information written in this application form are complete and accurate. I certify further that this is my first time to take the College
    Admission Test Here in JRMSU. If found to have taken twice or more, the University reserves the right to refuse admission.

    MARCH 28, 2023


    Date Signature over Printed Name of Applicant

    IV. TESTING SCHEDULE


    TEST DATE: MAY 3, 2023 VENUE: CNAHS
    ROOM NO.: AVH TIME: 10:00 AM
    GUIDANCE OFFICE COPY

    Republic of the Philippines


    JOSE RIZAL MEMORIAL STATE UNIVERSITY
    The Premier University in Zamboanga del Norte
    Dapitan City, Zamboanga del Norte
    Contact No: 0946-238-9216 (Smart) 0966-155-0629 (Globe)
    main.guidance@jrmsu.edu.ph
    GUIDANCE OFFICE

    COLLEGE ADMISSION TEST PERMIT


    APPLICATION FORM NO.:MC-23-028025
    DIRECTIONS: Please fill out this form honestly and accurately.
    I. PERSONAL DATA (Please print)
    Name: PEREZ RHEA MAE AZADA
    (Family Name) (Given Name) (Middle Name)
    Permanent Home Address: DICAYAS, DIPOLOG CITY, ZAMBOANGA DEL NORTE
    Name of School Last Attended: ZAMBOANGA DEL NORTE NATIONAL HIGH SCHOOL
    School Address: DIPOLOG CITY, ZAMBOANGA DEL NORTE
    IV. TESTING SCHEDULE
    TEST DATE: MAY 3, 2023 VENUE: CNAHS
    ROOM NO.: AVH TIME: 10:00 AM

    IMPORTANT REMINDERS
    1. Bring Test Permit on Test date and present this to room examineer. Registration Officer:_______________________________
    2. Bring at least 2 pencils.
    3. Present this permit when claiming results. Signature:_______________________________
    4. No cellular phones allowed in the testing room. EXAMINEES COPY

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