HEADQUARTERS

BULACAN STATE UNIVERSITY ROTC UNIT

304 (BUL) CDC, 3RCDG, RESCOM
City of Malolos, Bulacan

SUPPORTING DOCUMENTS
FOR
CADET OFFICER QUALIFYING COURSE

Pre-Cadet Officer
 TABLE OF CONTENTS

APPLICATION FORM------------------------------A
PARENT/GUARDIAN CONSENT---------------B
INFORMATION DATA SHEET-------------------C
MEDICAL CERTIFICATE--------------------------D
CLASS SCHEDULE---------------------------------E
WHOLE BODY PICTURE (3R SIZE) ------------F
 HEADQUARTERS
BULACAN STATE UNIVERSITY ROTC UNIT
304 (BUL) CDC, 3RCDG, RESCOM
City of Malolos, Bulacan

CADET OFFICER QUALIFYING COURSE (COQC)

APPLICATION FORM

Print all entries legibly:

FAMILY NAME

2X2 PICTURE
FIRST NAME

MIDDLE NAME

Gender Height Weight Age Birthdate Birth Place

MAILING ADDRESS (HOUSE NO, STREET, BARANGAY, TOWN OR MUNICIPALITY/CITY PROVINCE)

REGION ZIP CODE MOBILE NO. TEL. NO. EMAIL ADDRESS

EDUCATIONAL ATTAINMENT

SCHOOL ADDRESS YEAR

GRADUATED
ELEMENTARY
SECONDARY
COLLEGE

AWARDS/ACADEMIC HONOR:

ACADEMIC HONOR OTHER AWARDS

I attest that all the entries I made are true and correct. Any false or incomplete entry may cause
my disqualification for admission.

____________________________
Signature over Printed
Name
Left Thumb Mark Right Thumb Mark
 HEADQUARTERS
BULACAN STATE UNIVERSITY ROTC UNIT
304 (BUL) CDC, 3RCDG, RESCOM
City of Malolos, Bulacan

HBulSUROTCU ______________________
Date

PARENT/GUARDIAN CONSENT

I, __________________________________________________of legal age, a

Filipino Citizen and resident of
_________________________________________________________,
The parent/guardian of ___________________________________________,
________ years of age, an applicant of the CADET OFFICER QUALIFYING COURSE
(COQC) of the Bulacan State University ROTC Unit.

That I hereby expressly and voluntarily give my parents/guardian consent to my

_______________________ for his/her intensions to join the COQC course/training. In
witness whereof, I have hereunto affixed my signature this ___________ day of
____________,2019 at________________________________________________.

_________________________________________
(Signature of parent/guardian over printed name)
Contact Number: ____________________________
 HEADQUARTERS
BULACAN STATE UNIVERSITY ROTC UNIT
304 (BUL) CDC, 3RCDG, RESCOM
City of Malolos, Bulacan

HBulSUROTCU
INFORMATION DATA SHEET

FAMILY NAME GIVEN NAME MIDDLE NAME

House/Bldg No. Street/Subd Barangay Municipality Prov. Postal Code

Mobile No. Email Address Birthday Birthplace

Sex Religion Blood Type Height Weight

Age Color of Eyes Color of Hair Other identifying remarks

Civil Status Citizenship

Size of Combat Size of BDA Size of Cap Hobbies

Dialect spoken Special Skills

EDUCATIONAL BACKGROUND
COURESE SCHOOL DATE GRADUATED

DEPENDENTS
NAME RELATION DATE OF BIRTH

Left Thumb Mark Right Thumb Mark 2X2 PICTURE

Pre-Cadet Signature