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APPLICATION FORM FOR ADMISSION
SY 20 - 20

Local International

Please Print all Information Legibly

Surname

First Name

Middle Name

Male Female
Gender (put an X mark) Civil Status:

Date of Birth mm dd yy
Citizenship :
Age : Height:
Religion :
Weight Place of Birth

Permanent Address Tel. No.

No. (Include Bldg Name) Street

Cell. No.
Subdivision Barangay

Zip Code Email Add.

Distric/Municipality City/Province

Father's Name Occupation

Mother's Name Occupation

College 20
Name of School/University Degree/Course Year Grad.

School Location Honors Received

Date NMAT Taken mm dd yy Percentile Rank

Cut Here

MMC-CAST, COLLEGE OF MEDICINE Amount Paid : ______________

Tel. No.: 254-1111/863-2500 Loc. 7152 Receipt No. : ______________
Date of Receipt : _____________
Applicant's Copy

Date Application No. College of Medicine Admission Office

Name
Received by: Date
Surname First Name M.I
 Important Reminders

NON-REFUNDABLE & NON-TRANSFERABLE APPLICATION FEES

THIS FORM IS NOT FOR SALE
THIS FORM CAN BE REPRODUCED

MMC-CAST Application Procedure for College of Medicine

1 Secure list of requirements at the Medicine Admission Office, Room 708 Medical
Arts Bldg.

2 Pay the application and processing fee of One Thousand Pesos (Php. 1,000.00)

to the cashier at Room 907.

3 Submit requirements for admission together with the accomplished application form
with picture. Present receipt of application fee payment to the Medicine Admission
Office

MMC-CAST College of Medicine Checklist of Submitted Requirements

 Honorable Dismissal (HD)

 Official Transcript of Records (T.O.R.)
 National Medical Admission Test (NMAT)
 True Copy of Grades (TCG)
 2 (Two) pcs. 2”x2” Recent ID Picture with Name Tag
 Birth Certificate from NSO (Original)
 Certificate of Good Morning Character (GMC)
 One (1) Long Brown Envelope.

All information and documents asked for in this form should be submitted in order for this application
to be processed. False information will invalidate this application and will result to immediate rejection
of the applicant.

I hereby certify that I have read carefully all the foregoing and that all information given and documents
submitted are true and correct to the best of my knowledge. If admitted, I shall abide by all the
regulations and policies formally promulgated by the MMC-CAST COLLEGE OF MEDICINE.

Signature of Applicant above Printed Name Date

All announcements shall be posted on the Bulletin Board, first floor lobby Medical Arts Building.

Applicants are expected to report for interview on the scheduled date and time.

Selection is based on GWA from Bachelor's Degree. NMAT Percentile and Personal Interview.

Qualified applicants will be notified by e-mail or cell phone and may enroll after undergoing a
complete Physical Examination.

All inquiries should be directed to the Dean/Assistant Dean, College of Medicine, MMC-CAST