Republic of the Philippines
JOSE RIZAL MEMORIAL STATE UNIVERSITY
The Premier University in Zamboanga del Norte
Dapitan City, Zamboanga del Norte
Contact No: 0946-238-9216 (Smart) 0966-155-0629 (Globe)
[Link]@[Link]
GUIDANCE OFFICE
COLLEGE ADMISSION TEST APPLICATION FORM
APPLICATION FORM NO.:MC-23-028025
DIRECTIONS: Please fill out this form honestly and accurately.
I. PERSONAL DATA (Please print)
Name: PEREZ RHEA MAE AZADA
(Family Name) (Given Name) (Middle Name)
Date of Birth: 2004-08-09 Age: Place of Birth: OZAMIS CITY
Gender: FEMALE Civil Status: SINGLE Citizenship: FILIPINO Religion: ROMAN CATHOLIC
Permanent Home Address: DICAYAS, DIPOLOG CITY, ZAMBOANGA DEL NORTE
Telephone/Cellular Number: 09305855780 Email Address: rhea4355@[Link]
Disabilities, if any that would require special assistance: ( ) Yes (/) No
IN CASE OF EMERGENCY, PLEASE CONTACT:
Name of Parent/Guardian: MAE A. PEREZ Relationship: MOTHER
Occupation of Parent/Guardian: PROPRIETRESS Contact No.: 09079208611
Address of Parent/Guardian: DICAYAS, DIPOLOG CITY, ZAMBOANGA DEL NORTE
II. EDUCATIONAL BACKGROUND:
Status: (Please put a check mark) (/) K-12 Graduate ( ) Transferee ( ) Returnee ( ) ALS ( ) 4 Years Secondary Education Curriculum ( ) Second Courser
If k-12 Graduate: Track: ☑ Academic ☐ TVL ☐ Arts and Design ☐ Sports Strand: STEM
Name of School Last Attended: ZAMBOANGA DEL NORTE NATIONAL HIGH SCHOOL Year Last Attended: 2023 ( ) Private (/) Public
School Address: DIPOLOG CITY, ZAMBOANGA DEL NORTE Honors Obtained: WITH HIGH HONORS
III. COURSE PREFERENCE:
Course Applied for:
First Choice: BACHELOR OF SCIENCE IN NURSING
Second Choice: BACHELOR OF SCIENCE IN MARINE BIOLOGY
Third Choice: BACHELOR OF SCIENCE IN CIVIL ENGINEERING MAJOR IN STRUCTURAL ENGINEERING
I hereby certify that all information written in this application form are complete and accurate. I certify further that this is my first time to take the College
Admission Test Here in JRMSU. If found to have taken twice or more, the University reserves the right to refuse admission.
MARCH 28, 2023
Date Signature over Printed Name of Applicant
IV. TESTING SCHEDULE
TEST DATE: MAY 3, 2023 VENUE: CNAHS
ROOM NO.: AVH TIME: 10:00 AM
GUIDANCE OFFICE COPY
Republic of the Philippines
JOSE RIZAL MEMORIAL STATE UNIVERSITY
The Premier University in Zamboanga del Norte
Dapitan City, Zamboanga del Norte
Contact No: 0946-238-9216 (Smart) 0966-155-0629 (Globe)
[Link]@[Link]
GUIDANCE OFFICE
COLLEGE ADMISSION TEST PERMIT
APPLICATION FORM NO.:MC-23-028025
DIRECTIONS: Please fill out this form honestly and accurately.
I. PERSONAL DATA (Please print)
Name: PEREZ RHEA MAE AZADA
(Family Name) (Given Name) (Middle Name)
Permanent Home Address: DICAYAS, DIPOLOG CITY, ZAMBOANGA DEL NORTE
Name of School Last Attended: ZAMBOANGA DEL NORTE NATIONAL HIGH SCHOOL
School Address: DIPOLOG CITY, ZAMBOANGA DEL NORTE
IV. TESTING SCHEDULE
TEST DATE: MAY 3, 2023 VENUE: CNAHS
ROOM NO.: AVH TIME: 10:00 AM
IMPORTANT REMINDERS
1. Bring Test Permit on Test date and present this to room examineer. Registration Officer:_______________________________
2. Bring at least 2 pencils.
3. Present this permit when claiming results. Signature:_______________________________
4. No cellular phones allowed in the testing room. EXAMINEES COPY