Cebu Normal University: College Online Applicant Profile Sheet

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Republic of the Philippines

Cebu Normal University


Osmeña Blvd. Cebu City, 6000 Philippines

Website: www.cnu.edu.ph

COLLEGE ONLINE APPLICANT PROFILE SHEET Reminders


(for New Students and transferees)
Date of Application: _____________________ 1. Write NA/none for not applicable inquiry
Note: CNU is not yet accepting students outside Philippines or residing/working 2. Do not leave any spaces
blank/unanswered
abroad. If in the event that you failed to disclose this information and enrolled
yourself even though you are outside the country, subjects taken will not be credited
and no refund of any payment made.
PERSONAL DATA
Name Recent 2x2 colored picture
SURNAME FIRSTNAME MIDDLE NAME 2x2 latest picture with
with name and signature
Degree Program Applied For: name and signature
(scanned or picture copy)
Campus (Main/Medellin/Balamban): ____________________________
AY/SY:
Email Address:
Facebook Account:
Home Address:
Zip Code of Home Address:
Home Phone: __________________ Mobile phone:
Present Address (boarding house/relative’s house and etc.)
Zip Code of Present Address:
Religion: ____________ Height: ________ Weight: __________Sex: __________Blood Type:
Civil Status (put a check): Single Married Widowed Separated Live-in
Annulled Single Parent
Citizenship: ________________ Age:
Date of Birth: ___________________ Place of Birth:
Person to be contacted in case of emergency:
His/her address:
Telephone #/ Mobile phone #:
If married, write Maiden Name (for ladies):
Name of Spouse: ____________________________________________ Occupation:
SURNAME FIRSTNAME MIDDLE NAME
Contact Number:
Father’s Name: ______________________________________________ Occupation:
SURNAME FIRSTNAME MIDDLE NAME
Address: ___________________________________________________ Contact number:
Mother’s Name: _____________________________________________ Occupation:
SURNAME FIRSTNAME MIDDLE NAME
Address: ___________________________________________________ Contact number:
EDUCATIONAL BACKGROUND
Name of Senior High School Currently Attending: _______________________________________
GPA: _______LRN: ________________Track: ______________Strand: _____________________
Year Graduated: __________ School Address: ___________________________ Zip Code: ______
Sector, please check one: If private school, please check one:
_____ Public _____ Sectarian
_____ Private _____ Non-Sectarian
Academic Honors Received: ______________________
Name of College/University (if transferee/2nd courser): _________________________________________
Course: __________________________SY: ____________Year Graduated (2ND Courser): _____

I hereby attest that the information provided herewith are true and correct. Further, I hereby authorize Cebu
Normal University to utilize the data for admission purposes and whatever legal purposes these may serve.
________________________________________
PRINTED NAME AND SIGNATURE OF APPLICANT

Registration No. 52Q18778


Certification Date: 6 August 2018
Recertification due date: 24 January 2021
For verification of the certificate please access
www.globalgroup.net (Certification check and type the
registration number)

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