Republic of the Philippines

Cebu Normal University

Osmeña Blvd., Cebu City, 6000, Philippines

College of Nursing
Telephone No.: (+63 32) 254 4837
Email: cn@cnu.edu.ph
Website: www.cnu.edu.ph

CEBU NORMAL UNIVERSITY

UNDERGRADUATE APPLICANT PROFILE SHEET Reminders
(for freshmen) 1. Print all entries (CAPITAL LETTERS) 2.
PASTE your 2x2 latest/recent picture
(College of Nursing copy)
with name tag
3. Write NA (not applicable) or none for
Application No. CN-__________ Date of Application: _________________ those queries that are not related to your
experiences.
PERSONAL DATA 4. Do not leave any spaces
blank/unanswered.
Name: _______________________________________________________5. No UNDERGRADUATE APPLICANT
SURNAME FIRSTNAME MIDDLE NAME PROFILE SHEET, NO APPLICATION FOR
ADMISSION TESTING FORM
Degree Program Applied For:
2 x 2 latest
2nd option: ______________________ 3rd option:
AY/SY:
colored picture with
Email Address: name tag
Facebook Account:
Home Address:
Zip Code of Home Address:
Home Phone: __________________ Mobile phone:
Present Address (boarding house/relative’s house) : * Do not staple your
Zip Code of Present Address:
Guardian/Landlady/Landlord’s Name:
Tel. # (boarding house/relative’s house): ___________________________
Blood Type:
Religion:
_________________________________
Sex: Height: ___________ Weight:
Civil Status (put a check): Single Married Widowed Separated Live-in
Annulled Single Parent
Citizenship: __________________________ Age:
Date of Birth: ___________________Place of Birth:
Person to be contacted in case of emergency:
His/her address:
Telephone #/Mobile phone #:
If married, write Maiden Name (for ladies):
Name of Spouse: ____________________________________________
Occupation:
SURNAME FIRST NAME MIDDLE NAME
Contact Number:
Father’s Name: ______________________________________________
Occupation:
SURNAME FIRST NAME MIDDLE NAME
Address: ________________________________________Contact number:
Mother’s Name: ______________________________________________
Occupation:
SURNAME FIRST NAME MIDDLE NAME
Address: ________________________________________ Contact number:

EDUCATIONAL BACKGROUND
Name of Senior High School Currently Attending: Courser):
GPA: _______LRN: ________________Track: ______________Strand:
Year Graduated: __________ School
___________________________ Zip Address:
Code: (2ND
Sector, please check one: _____ Public _____ Private
If private school, please check one: _____ Sectarian _____ Non-Sectarian
Academic Honors
I hereby attest that Received:
the information provided herewith are true and correct. Further, I hereby authorize Cebu
Name of
Normal College/University
University to utilize the (if
datatransferee/2nd
for admission courser):
purposes and whatever legal purposes these may serve.
Course: __________________________SY: ____________Year Graduated
Gabriel Weilford K. Garcia
_______________________________________
PRINTED NAME AND SIGNATURE OF APPLICANT
SDF-CON-304-002-01
 Republic of the Philippines
Cebu Normal University
Osmeña Blvd., Cebu City, 6000, Philippines

College of Nursing
Telephone No.: (+63 32) 254 4837
Email: cn@cnu.edu.ph
Website: www.cnu.edu.ph

SDF-CON-304-002-01