Republic of the Philippines

PALAWAN STATE UNIVERSITY

College of Business & Accountancy
Pre-Enrollment Form |First Semester, SY 2023-2024

Course: Block: Student #:

Year and Status
For Transferee or Previous Program:
Shifters only New Program:
Reason/s of shifting/transferring:

Last Name First Name Middle Name

Gender Contact # PSU Corporate Email:
Home Address
City Address
Date of Birth Place of Birth Civil Status
Parent’s Name Guardian’s Name
Contact # Contact #

Course Code* Subject Title* Units Day Time Year & Room
Block

Total Units

*Please see your program prospectus for the subjects.

By signing this PEF form, I express my consent for the PSU - College of Business and Accountancy to collect,
record, organize, update or modify, retrieve, consult, use, consolidate, block, erase or destruct my personal
data as part of my information.

I hereby affirm my right to be informed, object to processing, access and rectify, suspend or withdraw my
personal data, and be indemnified in case of damages pursuant to the provisions of the Republic Act No. 10173
of the Philippines, Data Privacy Act of 2012 and its corresponding Implementing Rules and Regulations.

Student Signature over Printed Name

Faculty Adviser’s Approval

Dean’s Approval Evelyn B. Tomas, Ph. D. – Dean, CBA

Palawan State University, Brgy. Tiniguiban, Puerto Princesa City, Palawan, 5300,
Philippines
cba@psu.palawan.edu.ph www.psu.palawan.edu.ph