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ADMISSION DEPARTMENT
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Personal Information
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Student Classification
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New Student
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Student Type
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College
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Last Name
First Name
Middle Name
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Gender
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Civil Status
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Single
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Fully Vaccinated?
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YES
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Cabuyeño/Non-Cabuyeño
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Cabuyeño
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Living with the parents?
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Citizenship
Date of Birth
Birth Place
Child's Birth Order
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Eldest
Middle Child
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Registered voter of Cabuyao
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Mobile No.
Email Address
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Address
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Region
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NCR
CAR
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BARMM
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Region
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Region IV-B
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Region XIII
BARMM
Province
City
Barangay
Educational Background
Graduate Studies
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School Attended
School Address
Program
Year Graduated
Awards Received
Bachelor Degree
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School Attended
School Address
Program
Year Graduated
Awards Received
Senior High School
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Academic Track
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STEM
HUMMS
ABM
GAS
TVL
OLD CURRICULUM
School Attended
School Address
Year Graduated
Awards Received
Junior High School
School Attended
School Address
Year Graduated
Awards Received
Elementary School
School Attended
School Address
Year Graduated
Awards Received
Family Background
Spouse
Fullname
Age
Mobile No.
Tel No.
Citizenship
Registered voter of Cabuyao
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YES
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Occupation
Name of Company
Company Address
Email Address
Number of Children
Educational Attainment
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High School
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College
Graduate Studies
Elementary
Degree
Father
Fullname
Age
Mobile No.
Tel No.
Citizenship
Registered voter of Cabuyao
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Occupation
Name of Company
Company Address
Email Address
Educational Attainment
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High School
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Elementary
Degree
Mother (Maiden Name)
Fullname
Age
Mobile No.
Tel No.
Citizenship
Registered voter of Cabuyao
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Occupation
Name of Company
Company Address
Email Address
Educational Attainment
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High School
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Elementary
Degree
Guardian (If not living with parents)
Fullname
Age
Mobile No.
Tel No.
Citizenship
Registered voter of Cabuyao
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Occupation
Name of Company
Company Address
Email Address
Educational Attainment
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High School
Vocational
College
Graduate Studies
Elementary
Degree
Reasons for Applying at PnC (UC)
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Quality Education
Free Education (UNIFAST/PEAC)
Good Facilities
Proximity
Availability of Program / Strand
Recommended by Relatives
Campus Environment
Recommended by Alumni
Recommended by Parents
Other
How did you know about PnC (UC)? Thought?
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Students of PNC (UC)
Teaching personnel of PNC (UC)
Career Orientation
Non-teaching personnel of PNC(UC)
Social Media Pages
Official Website
Other
VERIFICATION
I certify that the information herein is correct and complete. Falsification or withholding of information on this form will automatically void my application and/or subject me to dismissal from the University.
DATA PRIVACY CONSENT
I agree to collection and processing of my data for the purpose of processing my application at Pamantasan ng Cabuyao. I understand that my personal information is protected by RA 10173, Data Privacy Act of 2012, and that I am required provide truthful information. I understand that my personal information shall not be shared or disclosed with other parties without consent unless the disclosure is required by, or in compliance with applicable laws and regulations.
