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 Recent 2x2 colored
disclose this information and enrolled yourself even though
you are outside the country, subjects taken will not be credited picture with name
and no refund of any payment made. and signature
(To be accomplished by the Testing Center) (scanned or picture
copy)
Application No. _____________ Date of Application ___________________
(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

Bachelor of Science
DEGREE PROGRAM APPLIED FOR: _______________________________________________ Nursing
major in _______________________________

CNU Main Campus

Campus (Main/Medellin/Balamban): ____________________________ ____
1st Semester, A.Y. _________
2024-2025

Name: Garcia Gabriel Weilford

________________________________________________________________ K.
(Family Name) (Given Name) (Middle Name)
Sex: _____
M Age: ______
18 Civil Status: _____________
Single Birth Date: _________________
October 31, 2005
Home Address: ________________________________________
Univille G126, Banilad Cebu City Home phone: _________________
N/A Zip Code: _________
6000
Univille G126, Banilad Cebu City
City Address: _________________________________________ Telephone Number: _______________
N/A
Mobile Number: _____________________Email
09918801920 Address: gabrielweilfordgarcia@gmail.com
_____________________ Facebook Account: _______________________
Gabriel K. Garcia
Any Disability? (Check (/) one) Yes____ please specify: ______________________________ No _____ ✔
Name of School Last Attended (IN FULL): ______________________________________________________________________
University of Cebu - Banilad Campus
Track: ____________________________Strand:
Academic ___________________________LRN:
STEM __________________
120004120033 GPA: ________
93
Year Graduated: ______________School
2024 Address: __________________________________________
Gov. M. Cuenco Ave, Cebu City, 6000
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.

_______________________________________________
Erin Kate Dalman
PRINTED NAME AND SIGNATURE OF APPLICANT

(Sgd.) MESHEL B. BALIJON, PhD, RPm, RGC

Director