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
1. Print all entries (CAPITAL LETTERS)
(for freshmen)
2. PASTE your 2x2 latest/recent picture
(College of Nursing copy) with name tag
3. Write NA (not applicable) or none for
those queries that are not related to your
Application No. CN-__________ Date of Application: _________________
JANUARY 19, 2024
experiences.
4. Do not leave any spaces
PERSONAL DATA blank/unanswered.
Name: _______________________________________________________
GARCIA GABRIEL WEILFORD K. 5. No UNDERGRADUATE APPLICANT
SURNAME FIRSTNAME MIDDLE NAME PROFILE SHEET, NO APPLICATION FOR
ADMISSION TESTING FORM
Degree Program Applied For: BACHELOR OF SCIENCE IN NURSING 2 x 2 latest
2nd option: ______________________
BS BIOLOGY (ENVIRONMENTAL) 3rd option: BACHELOR OF SCIENCE IN PSYCHOLOGY
AY/SY: 2024-2025 colored picture with
Email Address: GABRIELWEILFORDGARCIA@GMAIL.COM name tag
Facebook Account: GABRIEL K. GARCIA
Home Address: UNIVILLE G126, BANILAD, CEBU CITY
Zip Code of Home Address: 6000
Home Phone: __________________
N/A Mobile phone: 09918801920 * Do not staple your
Present Address (boarding house/relative’s house) : N/A picture
Zip Code of Present Address: N/A * Use paste/glue
Guardian/Landlady/Landlord’s Name: N/A
Tel. # (boarding house/relative’s house): ___________________________
N/A Blood Type: N/A
Religion: _______________________
ROMAN CATHOLIC Height: ___________
N/A Weight: __________
N/A Sex: MALE
Civil Status (put a check): Single✔ Married Widowed Separated Live-in
Annulled Single Parent
Citizenship: __________________________
FILIPINO Age: 18
Date of Birth: ___________________Place
OCTOBER 31, 2005 of Birth: CEBU PUER. CENTER & MATERNITY HOUSE, INC., CEBU CITY
Person to be contacted in case of emergency: LEAH CASSANDRA K. GARCIA
His/her address: UNIVILLE G126, BANILAD, CEBU CITY
Telephone #/Mobile phone #: 09229872710
If married, write Maiden Name (for ladies): N/A
Name of Spouse: ____________________________________________
N/A Occupation: N/A
SURNAME FIRST NAME MIDDLE NAME
Contact Number: N/A
Father’s Name: ______________________________________________
GARCIA WILBERT G. Occupation: SECURITY GUARD
SURNAME FIRST NAME MIDDLE NAME
Address: ________________________________________Contact
UNIVILLE G126, BANILAD, CEBU CITY number: 09939336025
Mother’s Name: ______________________________________________
GARCIA MARIA DELILAH K Occupation: CUSTOMER SERVICE
SURNAME FIRST NAME MIDDLE NAME
Address: ________________________________________
UNIVILLE G126, BANILAD, CEBU CITY Contact number: 09194254058

EDUCATIONAL BACKGROUND
Name of Senior High School Currently Attending: UNIVERSITY OF CEBU - BANILAD CAMPUS
GPA: _______LRN:
93 ________________Track:
120004120033 ______________Strand:
ACADEMIC STEM

Year Graduated: __________

2024 School Address: ___________________________
GOV. M. CUENCO AVE, CEBU CITY Zip Code: 6000
Sector, please check one: _____ Public _____ Private
✔

If private school, please check one: _____ Sectarian _____ ✔ Non-Sectarian

Academic Honors Received: N/A
Name of College/University (if transferee/2nd courser):N/A
Course: __________________________SY:
N/A ____________Year
N/A Graduated (2ND Courser):
N/A

I hereby attest that the information provided herewith are true and correct. Further, I hereby authorize
Cebu Normal University to utilize the data for admission purposes and whatever legal purposes these may
serve.
_______________________________________
ERIN KATE DALMAN
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