GC Form 1

Republic of the Philippines

ISABELA STATE UNIVERSITY
Cabagan, Isabela
PLEASE PRINT GUIDANCE & COUNSELING UNIT
ENTRANCE EXAM FORM

Name: Place
picture 2X2
Last Name
First Name Middle Name
here
(White background
Course: First
Preference: with complete name
Course: Second Preference:
tag)
Enrollment Status: ( ) Freshman ( ) Transferee ( ) Second Course
Family Name, First Name Middle Name
School Last Attended:
School Address:
Learner’s Reference Number: GWA:
Home Address: Zip code:
Sex: ( ) Male ( ) Female Birthdate: Email Address: Contact #:

________________________________________
Student Signature over Printed Name
Entrance Test Schedule: (for testing personnel only)
Date of Examination: Time:
Venue: OR Number: Scheduled by:

Entrance Test Result: (for Guidance and Counseling Unit personnel only)
Filipino English Math Science Soc.Sci Total Score Remarks
Score:

Issued by:_____________________________________________________________ Date:________________________________

ISUCab-OSS-EEF-154
December 14, 2018
Revision:0

GC Form 1

Place 2X2
Republic of the Philippines
ISABELA STATE UNIVERSITY
Cabagan, Isabela picture
here
PLEASE PRINT GUIDANCE & COUNSELING UNIT
(White background
ENTRANCE EXAM FORM with complete name
tag)
Name:
First Name Middle Name Family Name, First Name Middle Name
Last Name
Course: First
Preference:
Course: Second Preference:
Enrollment Status: ( ) Freshman ( ) Transferee ( ) Second Course
School Last Attended:
School Address:
Learner’s Reference Number: GWA:
Home Address: Zip code:
Sex: ( ) Male ( ) Female Birthdate: Email Address: Contact #:

________________________________________
Student Signature over Printed Name
Entrance Test Schedule: (for testing personnel only)
Date of Examination: Time:
Venue: OR Number Scheduled by:
Entrance Test Result: (for Guidance and Counseling Unit personnel only)
Filipino English Math Science Soc.Sci Total Score Remarks
Score:
Issued by:_____________________________________________________________ Date:________________________________
ISUCab-OSS-EEF-154
December 14, 2018
Revision:0