UNIVERSITY OF SOUTHERN MINDANAO

COLLEGE ENTRANCE EXAMINATION (USMCEE)

APPLICATION FORM (for SY 2018-2019)
NAME: Write your name in CAPITAL LETTERS, one letter per box. Staple one 2”x2” ID picture
with name and signature
FAMILY NAME at the back.

FIRST NAME

MIDDLE NAME

Official Receipt Number:

(Receipt of your payment of the USMCEE Fee)
USMCEE PERMIT
Date of Exam:
Signature: Time:
Date: Venue: In-charge, Testing Area/Schedule
Priority Program: The following are the degree programs offered at the University of Southern Mindanao requiring USMCEE.
Put an X in the box corresponding to the program you prefer most to enrol in. (Choose one ONLY.)
USM Main Campus (Kabacan) 19. BS Chemistry 38. Doctor of Veterinary Medicine
1. AB English 20. BS Civil Engineering USM Kidapawan City Campus
2. AB Political Science 21. BS Computer Engineering 39. Bachelor of Technical Teacher Education
3. AB Psychology 22. BS Computer Science 40. Bachelor of Technology
4. BA Islamic Studies 23. BS Criminology 41. Bachelor of Industrial Technology
5. Bachelor of Elementary Education 24. BS Development Communication 42. Bachelor of Secondary Education
6. Bachelor of Library and Infornation System 25. BS Development Management 43. BS Mechanical Engineering
7. Bachelor of Physical Education 26. BS Electronics Engineering 44. BS Electrical Engineering
8. Bachelor of Practical Agriculture 27. BS Fisheries 45. BS Industrial Engineering
9. Bachelor of Secondary Education 28. BS Food Technology 46. Food Preparation Services Technology*
10. Bachelor of Technical-Vocational Teacher Education 29. BS Hospitality Management 47. Diploma of Technology*
11. BS Accountancy 30. BS Industrial Technology USM Buluan Campus
12. BS Accounting Technology 31. BS Information Systems 48. Bachelor of Elementary Education
13. BS Agricultural and Biosystems Engineering 32. BS International Relations 49. Bachelor of Secondary Education
14. BS Agricultural Business 33. BS Nursing
15. BS Agricultural Economics 34. BS Nutrition and Dietetics * 3-year program
16. BS Agriculture 35. BS Tourism Management
17. BS Biology 36. BS Travel Management
18. BS Business Administration 37. BS Veterinary Technology
USM-UTDC-F01 Please turn to next page.
CELLPHONE NUMBER (If Any)

MAILING ADDRESS (Where you want your USMCEE result mailed)

Name of Establishment
(e.g. name of school, etc.)
Number and Street
Subdivision/Village, Brgy.
City/Town, Province
Postal/ZIP Code
SHS TRACK/STRAND. Check the box corresponding to the senior high school you finished or are about to finish.
Academic Track Technical-Vocational-Livelihood (TVL) Track
Accountancy, Business and Management (ABM) Strand Home Economics Strand
Humanities and Social Sciences (HUMSS) Strand Information and Communications Technology Strand
Science, Technology, Engineering and Mathematics (STEM) Strand Agri-Fishery Arts Strand
General Academic Strand Industrial Arts Strand
Sports Track (Not applicable--I finished a non-K+12 high school curriculum)
Arts and Design Track
I hereby affirm that all information supplied herein are complete and accurate. If admitted, I agree to abide by the
policies, rules, and regulations of the University of Southern Mindanao. I understand that the university has the option to make
use of the data herein given for research purposes as long as they will be treated with utmost confidentiality.

Date Printed name Signature

REMINDER: Please bring ballpen, well-sharpened pencil, and eraser when you take the USMCEE.

For more information regarding USMCEE and For more information regarding USMCEE Results,
admission, please contact: please contact:

University Guidance Center University Test Development Center

USM, Kabacan, Cotabato USM, Kabacan, Cotabato
Tel. No. (064) 572-2873 Tel. No. (064) 572-2778
Office of Student Affairs
Facebook Community Page:
USM, Kabacan, Cotabato
https://www.facebook.com/usmcee2012
Tel. No. (064) 572-2623

avbr2018 University Test Development Center