SDF UTC-COTAF-3005-9.

1G-00 Republic of the Philippines Testing Center Copy

Cebu Normal University
TESTING CENTER
Telephone No.: (+63 32) 254 1452 local 150
Website: www.cnu.edu.ph

COLLEGE ONLINE TESTING ADMISSION FORM (COTAF)

Note: CNU is not yet accepting students outside the Philippines

or residing/working abroad. If in the event that you failed to
disclose this information and enrolled yourself even though
you are outside the country, subjects taken will not be credited
and no refund of any payment made.
(To be accomplished by the Testing Center)

Application No. Date of Application 02-18-21

(To be accomplished by the College/Department)

Remarks/Signature (from the College/Department/Campus):

Attach one (1) valid ID here:

Reminders:
1. Write NA/none for not applicable inquiry
2. Do not leave any spaces blank/unanswered

DEGREE PROGRAM APPLIED FOR: BSED major in MATHEMATICS

Campus (Main/Medellin/Balamban): MAIN Semester, A.Y. 2021-2022

Name: TAPIAN RIZEL ANN DELA CERNA

(Family Name) (Given Name) (Middle Name)
Sex: F Age: 17 Civil Status: SINGLE Birth Date: 11-04-03
Home Address: NORTH POBLACION, SAN FERNANDO, CEBU Home phone: N/A Zip Code: 6018
City Address: N/A Telephone Number: N/A
Mobile Number: 09281803070 Email Address: tapianrizelann@gmail.com Facebook Account: Rizel Ann DelaCerna Tapian
Any Disability? (Check (/) one) Yes please specify: No /
Name of School Last Attended (IN FULL): NOTRE DAME ACADEMY OF SAN FERNANDO, CEBU. INC.
Track: ACADEMIC TRACK Strand: HUMSS LRN: 404383150150 GPA: 95.500
Year Graduated: N/A School Address: PANADTARAN, SAN FERNANDO, CEBU
Sector, please check one: If private school, please check one:
Public / Sectarian
/ Private Non-Sectarian

(To be accomplished by the Testing Center)

Examination Date: Time:

Test Result (Check (/) one): Qualified for Interview: Not Qualified for Interview: Attested by:

Guidelines: (PLEASE READ)

1. Report on time to the designated scheduled (late comers will not be entertained). Take a full meal prior to the exam.
2. Proper dress code must be observed during testing.
3. An undergraduate applicant can take an admission/entrance test, only once whether in Main Campus or any External Campuses. Violation of
such instruction is a forfeiture of all his/her admission/entrance test results.
4. Testing schedule, zoom link and testing guidelines will be sent to your respective email address prior to the scheduled testing.
5. Qualifiers will be posted according to the given date of posting. Date of posting will be announced during testing. Results will be QUALIFIED and NOT
QUALIFIED only. Those who will be posted as “QUALIFIERS FOR INTERVIEW” are considered as “Qualified” and those not included in the said list are
understood to be “Not Qualified.” Hence, test results will just be a description of “QUALIFIED”
and “Not Qualified.” There shall be no scores given. You can call in our office to inquire if you are qualified or not. Qualifiers should follow the assigned
schedule for interview. Please be guided accordingly. Thank you!
I hereby attest that the information provided herewith are true and correct. Further, I hereby concur with the guidelines provided by
the Testing Center.
RAT 0.4.
RIZEL ANN D. TAPIAN
PRINTED NAME AND SIGNATURE OF APPLICANT
(Sgd.) MESHEL B. BALIJON, PhD, RPm, RGC
Director