Republic of the Philippines

SDF-TES -353-001-02 TAGCS Copy

Cebu Normal University
Testing, Admission, Guidance and Counseling Services
Telephone No.: (+63 32) 254 1452 local 150
Email: [email protected]
Website: www.cnu.edu.ph

ILS ADMISSION FORM

Reminders:
1. Write NA/none for not applicable inquiry
2. Do not leave any spaces blank/unanswered
Date of Application: __________________ O.R No.: __________
02/11/2025 Recent 2X2 colored picture
Remarks/Signature (from the College/Department/Campus) _____________________________________
with name & signature
PROGRAM APPLIED FOR; (Check One). (Only ONE SECTION will be admitted)
KINDERGARTEN SECONDARY (For walk-in applicants, please
do not staple your picture. Use
(Please print all the entries) paste/glue.)
Name:Ferrater
_____________________________________________________________________________
Eunice Nathania Mercado
(Family Name) (Given Name) (Middle Name)
Sex: _____
Female
Age:5.6
______ Nationality:Filipino
years old
__________________ Birth Date: _______________________
August 09, 2019
Home Address: ______________________________________
Unit 4, Daks apartelle Oppra Cebu City
Mobile Number: ______________________ Email Address: _____________________________
[email protected]
09814684494
City Address: Cebu
_____________________________________
City
Telephone Number: N/A
___________________ Zip Code: 60000
_________
Name of School Last Attended (in full): CCCC Child Center Inc. GPA:95
Mother’s Occupation: __________________________________________ Monthly Income:27k __________________________
CSR / Call Center Agent
Father’s Occupation:Self
___________________________________________ Monthly Income: __________________________
Employed 15k
Note: Qualifiers will be posted according to the given date of posting. Those who will be posted as “QUALIFIERS FOR INTERVIEW” are considered
as “Qualified” and those not included in the said list are understood to be “Not Qualified.” There shall be no scores given. You may call in
our office to inquire for further information. Qualifiers should follow the assigned schedule for interview. Please be guided accordingly.
By signing below, I acknowledge that I have fully read, understood, and agreed with the protocol stipulated above.
____________________________________________
Jobelle P. Mercado
Signature over Printed Name of Applicant/Parent/Guardian
(To be filled out by the Testing Center)
Examination Date: _______________________________ Time: __________________ Attended by: ________________
Test Result (Check (/) one): Qualified for Interview: _______ Not Qualified for Interview: _______

_________________________________________
Printed Name and Signature of the TAGCS – Head
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -Tear Here - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Republic of the Philippines Applicant’s Copy
Cebu Normal University
Testing, Admission, Guidance and Counseling Services
Telephone No.: (+63 32) 254 1452 local 150
Email: [email protected]
Website: www.cnu.edu.ph

ADMISSION SLIP
Reminders:
3. Write NA/none for not applicable inquiry
4. Do not leave any spaces blank/unanswered
Date of Application: __________________ O.R No.: __________ Recent 2X2 colored picture
02/11/2025
PROGRAM APPLIED FOR; (Check One). (Only ONE SECTION will be admitted) with name & signature
KINDERGARTEN SECONDARY
(For walk-in applicants, please
(Please print all the entries) do not staple your picture. Use
Name: _____________________________________________________________________________ paste/glue.)
(Family Name) (Given Name) (Middle Name)
Sex: _____
Female
Age: _____
5.6
Nationality: ______________
Filipino
Birth Date: _______________
August 09, 2019
Mobile Number: +639814684494
_________________
Name of School Last Attended (in full): CCCC Child Center Inc. GPA: 95
_____
(To be filled out by the Testing Center)
Examination Date: ___________________ Time: ___________________ Venue: ___________________
Date of Posting of Qualifiers: _______________________ Attended by: ___________________________
REQUIREMENTS DURING THE ADMISSION TEST
1. Admission Slip 3. Valid identification (ID)
2. Plastic (transparent) Envelope 4. Pencils, sharpener, eraser
Guidelines: (PLEASE READ)
1. Report on time to the designated room/venue as scheduled (late comers will not be entertained). Take a full meal prior to the exam. Only water, biscuits and candies are allowed to be taken.
No bags allowed, use the plastic envelope.
2. Proper dress code must be observed. (Slippers, Shorts and Sleeveless shirts are not allowed).
3. Qualifiers will be posted according to the given date of posting. Those who will be posted as “QUALIFIERS FOR INTERVIEW” are considered as “Qualified” and those not
included in the said list are understood to be “Not Qualified.” There shall be no scores given. You may call in our office to inquire for further information. Qualifiers should
follow the assigned schedule for interview. Please be guided accordingly. Thank you!
By signing below, I acknowledge that I have fully read, understood, and agreed with the guidelines stipulated above.
____________________________________________
Jobelle P. Mercado
Signature over Printed Name of Applicant/Parent/Guardian

_________________________________________________
Printed Name and Signature of the TAGCS - Head

SDF-TES -353-001-02