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Republic of the Philippines CEBU TECHNOLOGICAL UNIVERSITY CTU-Main Campus Corner M. J. Cuenco Avenue and R.

Republic of the Philippines

CEBU TECHNOLOGICAL UNIVERSITY

CTU-Main Campus

Corner M. J. Cuenco Avenue and R. Palma St.,Cebu City

REGISTRATION FORM

Republic of the Philippines CEBU TECHNOLOGICAL UNIVERSITY CTU-Main Campus Corner M. J. Cuenco Avenue and R.

STUDENT PERSONAL DATA:

Republic of the Philippines CEBU TECHNOLOGICAL UNIVERSITY CTU-Main Campus Corner M. J. Cuenco Avenue and R.

Date: _______________________

Republic of the Philippines CEBU TECHNOLOGICAL UNIVERSITY CTU-Main Campus Corner M. J. Cuenco Avenue and R.
Republic of the Philippines CEBU TECHNOLOGICAL UNIVERSITY CTU-Main Campus Corner M. J. Cuenco Avenue and R.

(Last Name)

(First Name)

 

(Middle Name)

Home Address:

Congressional District:

Telephone no.

[ ]Female

Birthday: /

/

Birthplace:

Age:

Gender: [ ]Male Citizenship:

Religion:

   

Father's Name:

Civil Status: [ ]Single [ ]Married [ ]Separated [ ]Widower Occupation:

 

Mother's Name:

Occupation:

Guardian's Name:

Contact Number::

 

Educational Background

 

Name of School

 

Academic Year

Honors Received

Elementary

     
       

High School College

     

Enrolment Documents Submitted:

[

] Form 138

[ ] Birth Certificate

[ ] Certificate of Good Moral Character

[

] Certificate of Transfer Credentials & TOR

[ ] Medical Certificate

“I hereby certify that all entries are true and correct. I do solemnly swear to abide with the laws, policies, rules, and regulations set forth by the College.”

STUDENT LOAD:

Student’s Signature over Printed Name

ID Number: Course: Major: Year Level: School Year: Semester: [ ]1 st [ ] 2 nd
ID Number:
Course:
Major:
Year Level:
School Year:
Semester: [ ]1 st
[
] 2 nd
[ ] Summer Enrolment Status:
[
] Regular
[
] Irregular
Student Status: [ ] New
[ ] Transferee
[ ] Returnee
[ ] Cross Enrollee
BLOCK SECTION:
MIS Code
Course Code
Descriptive Title
Time
Days
Room
Units
EVALUATED BY:
College Dean/ Enrollment Committee:
Date:
Total Units:

APPROVED BY:

1.MEDICAL CLINIC

 

3.EDP OFFICE (Issuance of ID number

6.EDP OFFICE (Encoding of Student

(Physical Examination)

and student personal data entry)

Load & releasing of Cert. of Registration)

 

School Physician/ Nurse

 

System’s Operator

 

System’s Operator

2.NSTP

 

4.CASHIER (Payment of entrance fee)

Date:

7.REGISTRAR’S OFFICE (Submission

(Enlistment for those who will be taking CWTS or ROTC)

OR#:

of registration form with enrolment credentials)

 

Signature:

 

Coordinator

PTA FEES (Payment for

Date:

STUDENT AFFAIRS OFFICE

membership/special project/group insurance)

 

University Registrar

(Scholarship grants and issuances of handbook)

OR#:

 
 

Signature:

5.LIBRARY

 
 

Dean

 
   

University Librarian