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Enrolment Form PDF

This document is an enrolment form for J.H. Cerilles State College for the first semester of the 2019-2020 school year. It collects student information such as name, course, year level, contact details, parents' information, and previous schools attended. The form also lists the enrolment steps which include sections for admission, advising, the EDP center, clinic, and treasurer before finalizing registration with the registrar. At the bottom, the student acknowledges their promise to abide by the college's rules upon admission.

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0% found this document useful (0 votes)
156 views

Enrolment Form PDF

This document is an enrolment form for J.H. Cerilles State College for the first semester of the 2019-2020 school year. It collects student information such as name, course, year level, contact details, parents' information, and previous schools attended. The form also lists the enrolment steps which include sections for admission, advising, the EDP center, clinic, and treasurer before finalizing registration with the registrar. At the bottom, the student acknowledges their promise to abide by the college's rules upon admission.

Uploaded by

Jush Clide
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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J.H.

CERILLES STATE COLLEGE

Enrolment Form
First Semester, S.Y. 2019-2020

Student Name :
(Last Name) (First Name) (Middle Name) (Name Extension)
Course : Year Level : Civil Stat :
Major : Tribe :
Sex at Birth : Nationality : Religion :
Date of Birth : Place of Birth :
Mobile Number : Email : Tel. No. :
Present Address :
Home Address :

Schools Attended Name of School Address of School


Elementary
Secondary
Last Term of
School last attended (other than JHCSC) : :
Attendance
Financial Support [ ] Parents [ ] Self-Supporting [ ] Gov't/Private Agency, state the name :
Parent's/Guardian's Name : Relationship :
Parent's/Guardian's Monthly Income : Occupation :
Parent's/Guardian's Mobile/Tel. Number(s) : Email Address :

EDP Code Course # Time Days Unit(s) Enrolment Steps

1 Admission Section

1.1 Admission Officer

1.2 Guidance Counselor

2 Advising Section

3 EDP Center

4 College Clinic

5 DSA/SSC Treasurer

6 Registrar's Section
Total Units >>>>
To be filled up by the Class Adviser
Admission Status : [ ] Regular [ ] Probational
Enrolment Status : [ ] Freshman [ ] Old Continuing [ ] Transferee [ ] Shifter [ ] Returnee [ ] Second Courser
Advised by : Certified Correct : Encoded by :

_____________________ _____________________ _____________________


Class Adviser/Liaison Officer Dean/Program Coordinator EDP Personnel

NOTE
The College considers you officially enrolled only after you have:
a. submitted the DULY ACCOMPLISHED ENROLMENT FORM and OTHER ENROLMENT DOCUMENTS to the Registrar's Office; and
b. been issued a CERTIFICATE OF REGISTRATION for the corresponding subjects reflected in the ENROLMENT FORM.
ACKNOWLEDGEMENT
In consideration of my admission to the J.H. Cerilles State College, I hereby promise to abide and comply with the rules and regulations laid down by
competent authorities in the College.

________________________________
Student's Signature over Printed Name

“ Quality Education for Service ”

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