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CHED Form A1-2002Revised May 2006
INSTITUTIONAL PROFILE
(Type Academic Year Here)
PLEASE READ THE INSTRUCTIONS BEFORE FILLING OUT THE FORMS
DATA ITEMSDATA ENTRIES
Institution Name (no abbreviation please)
:
Type Institutional Name here
Unique Institutional Identifier
:
Type SCHOOL CODE here
Institutional Form of Ownership (pls. see below)
:
Street
:
Type STREET here
Municipality
:
Type MUNICIPALITY/TOWN here
Province/City
:
Type PROVINCE/CITY here
Region
:
Type REGION here
Postal or Zip Code
:
Type ZIP CODE here
Institutional Telephone (include Area Code)
:
Type TELEPHONE NO. here
Institutional Fax No. (include Area Code)
:
Type FAX NO. here
Institutional Head's Telephone ( include Area Code)
:
Type Head's TELEPHONE NO. here
Institutional E-mail Address
:
Type E-MAIL here
Institutional Web Site
:
Type WEB PAGE here
Year Established
:
Type YEAR ESTABLISHED here
Latest SEC Registration/Enabling Law or Charter
:
Type REGISTRATION here
Date Granted or Approved
:
Type YEAR GRANTED here
Year Converted to College Status
:
Type YEAR CONVERTED to COLLEGE here
Year Converted to University Status
:
Type YEAR CONVERTED to University here
Name of Institutional Head
:
Type Name of the Institutional Head here
Title of Head of Institution
:
Type TITLE here
Highest Educational Attainment of the Head
:
Type HIGHEST EDUC'L. ATTAINMENT here
X-Coordinate
:
Type LOCATION COORDINATE (X) here
Y-Coordinate
Type LOCATION COORDINATE (Y) here
Remarks
:
Type REMARKS here
List the former Name(s) of your Institution and the corresponding years your Institution used such name.
(Please write N/A if not applicable and insert row if needed.)
Name
Year
Start hereType YEAR here
DEAN PROFILEDEAN PROFILEDEAN PROFILEDEAN PROFILEDEAN PROFILEDEAN PROFILE
(Please write N/A if not applicable and insert row if needed.)
DEGREE EARNED (Pls. type the full Degree Description)
Name of Dean (Last Name, First Name Middle Initial)
Designation (e.g. Program Dean, College Head)BaccalaureateMastersDoctoral
Start hereStart hereStart hereStart hereStart hereStart here
Accomplished by:Certified Correct:
Type NAME hereType NAME here
Type POSITION hereType POSITION here
Type DATE hereType DATE here
Date AccomplishedDate Certified
Entry for Institutional Form of Ownership:
Chartered State College/University (Main)Chartered State College/University (Satellite Campus)CHED-Supervised InstitutionLocal Government College/UniversityPrivate Sectarian StockPrivate Sectarian Non-StockPrivate Non-Sectarian StockPrivate Non-Sectarian Non-StockPrivate Sectarian FoundationPrivate Non-Sectarian FoundationOthers, please specify
Type SCHOOL TYPE here ,please see below
College/Discipline Assignment (e.g.College of Liberal Arts)
Address
Page 2 of 7
CHED E-FORM B/C 2004
DO NOT FILL THIS PORTION
Region:
Type REGION here
Type:
Type SC
Unique Institutional Identifier:
Type SCHOOL CODE here
Institution Name :
Type Institutional Name here
Address:
Type STREET here, Type MUNICIPALITY/TOWN here, Type PROVINCE/CITY here
CURRICULAR PROGRAM PROFILE/ENROLMENT & GRAUATESNOTE: SUCs only means the entries are required to be filled out by State Universities and Colleges
PLEASE READ INSTRUCTIONS BEFORE FILLING OUT THIS FORM
PROGRAM/COURSE
Government AuthorityGP No.GR No.
Main Program/CourseMajor
1 - Yes
NO ABBREVIATION PLEASE & INSERT ROW IF NEEDED
2 - No
Doctoral (please enumerate, insert rows as needed):
Start here
Master's (please enumerate, insert rows as needed):
Start here
Post-Bacc. (pls. enumerate, insert rows as needed):
Start here
Baccalaureate (pls. enumerate, insert rows as needed after the first entry and copy the formula under the Sub-Total and Totals of Enrollment and Graduates ):
Start here
Pre-Bacc. (ladderized Associate, diploma program. Pls. enumerate, insert rows as needed):
Start here
Voc./Tech (pls. enumerate, insert rows as needed):
Start here
WithThesis/Dissertation?ProgramStatus
(UseCode)
R E M A R K S
about the programsuch as: Newly Offered, Center of Excellece/Development, Accredited(Level II until Dec. 2010), etc., if any.
ProgramMode
(Use Code)
NormalLength
(In Years)
Year Granted
Issuedby
(UseCode)
Year Granted
Issued by
(Use Code)
Page 3 of 7
Secondary (High School)Elementary Pre-School
TOTAL
Accomplished by:Certified Correct by:
Type NAME here
Type POSITION here
Type DATE here
Date Accomplished
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