F-CPD-004 Rev 4 (08/10/12)

COLLEGE ENTRANCE TEST APPLICATION FORM

Manila Campus

BATCH CODE: ______________

2x2 (white background)

STATUS (TO BE FILLED OUT BY AIC): ___ NG ___ GPSY

___T1

___FS

___ALS

LAST NAME : FIRST NAME : MIDDLE NAME:

Type or print clearly. Complete the application form correctly. Place N. A. when Not Applicable.

AGE: GENDER (M/F): CIVIL STATUS : TEL. NO: MOBILE NO:

______________________ ______________________ ______________________ ______________________ ______________________

SEMESTER : [ ] 1ST [ ] 2ND [ ] SUMMER CITIZENSHIP: _____________________________ EMAIL ADDRESS : _____________________________ LAST SCHOOL ATTENDED : ______________________ _______________________________________________

COURSE PREFERENCES. Indicate the courses that you want to apply for by numbering 1 to 3 in the appropriate boxes below:
ARTS AND SCIENCES AB Journalism AB Legal Studies AB Multimedia Arts AB Mass Communication Advertising Broadcast Comm. INTERNATIONAL RELATIONS AB Foreign Service BS Psychology ENGINEERING BS Computer Engineering BS Electronics Engineering BS Electrical Engineering NURSING BS Nursing BS International Travel & Tourism Management Diplomacy International Trade BUSINESS ADMINISTRATION BS Accountancy BS Customs Administration BSBA Management Accounting BSBA Marketing Management BSBA Operations Management BSBA Business Management INTERNATIONAL TOURISM & HOSPITALITY MANAGEMENT BS International Hospitality Management BSIHM - Hotel & Restaurant Administration BSIHM - Culinary Arts & Kitchen Operations BSIHM - Cruise Line Operations in Hotel Services BSIHM - Cruise Line Operations in Culinary Arts BSIHM Health and Wellness COMPUTER STUDIES BS Computer Science BS Information Technology Associate in Computer Technology

FOR TUITION FEE DISCOUNTS: ___ PARENT/S ALUMNI OF LPU ___ SIBLING/S CURRENTLY IN LPU ___ ATHLETE Sport: ______________________ Endorsed by: ____________________________________________________________________

Exempted from taking the CET: Valedicatorians Honorable Mention Salutatorians Editors-in-Chief

I hereby certify that the information on this application is true and correct. (If REPRESENTATIVE, signature over printed name) __________________________________________ APPLICANTS SIGNATURE DO NOT WRITE BELOW THIS LINE Relation to the applicant: ______________________

APPLICATION STATUS : ____ APPROVED ____ CONDITIONAL REMARKS : __________________________________ CREDENTIALS PRESENTED : ____ FORM 138 ____ GMC ____ CCG ____ BC ____ TCG ____ TOR ____ HD/TC OTHERS : _________________________________________________________________________________ PROCESSED BY : _____________________ DATE : ___________________ AMOUNT TO BE PAID : __________________ REMARKS : _____________________________________________________________________________________________ The primary function of education is to develop all potentialities of the individual Dr. Jose P. Laurel, Founder of LPU