Cc AAU US| CLSU CAT LO} MaCy ea UINUWSYONN) el TTS Pay aeai| NI 00 a OCTOBER He Vaal 2019 @ CLSU Testing and Evaluation Center @ www. clsu.edu.phzz GUIDELINES 4.The following are qualified to apply for the CLSU College Admission Test (CLSU CAT) 2020: 1.1.Currently enrolled in Grade 12 and expected to graduate at the end of SY 2019-2020 1.2.Graduates of Senior High School 1.3.Graduates of 4" year high school prior to SY 2017-2018 1.4.Graduates of Alternative Learning System (ALS) 1.5.Transferees with less than 36 credit units of college courses 2, The CLSU CAT application form can be downloaded on the CLSU website (wmw.cisu.edu.ph) and on the CTEC Facebook page (CLSU Testing And Evaluation Center). Print the form on a LONG WHITE BOND PAPER (paper size: 8.5” x 13”) 3.The fully accomplished CLSU CAT Application Form must be submitted together with the following requirements: 3.1.Valid and active e-mail address 3.2.Photocopy of applicant's PSA or NSO Birth Certificate. 3.3.One recent 2X2 colored photo with the following specifications: a. Studio-taken with white background. Scanned/ photocopied/ cellphone-generated photo will not be accepted. b. With readable name tag positioned at the chest and with the following format: LAST NAME, FIRST NAME, MIDDLE INITIAL a. Formal Pose with collared top, no eyeglasses/accessories and no hair bangs that may cover the eyes and other facial features. 3.4. Electronic copy of the submitted 2x2 photo in JPEG format. 3.5.0ne self-addressed (applicant's printed name and complete address) fong, white mailing envelope with P40.00 worth of mailing stamp OR enclose “return-to-sender” courier pouch (LBC, JRS, etc.) for the Official Test Resuits. EMO CLSU CAT a OMISSION TEST it Ga anne scans APPUCANT'S NAME “oe Aeteisedtot No. srt, subcsvion/vtage Berangay. CiyMuricipal fe coue,rotnce PNY Name of Schoo! 4, Submit the accomplished CLSU CAT Application Form with complete requirements to the CLSU TESTING EVALUATION CENTER (CTEC), IGS BUILDING, CENTRAL LUZON STATE UNIVERSITY. For applicants who cannot submit their application personally, they may send their applications through ‘mail or any courier services (je. LBC, JRS, etc) addressed to The CTEC DIRECTOR, THE CTEC DIRECTOR LSU Testing and Evaluation Center IGS Bulling: Central Luzon State University Science Ciy of muunoz. Nueva Ecko 5. After a successful application, an e-mail message will be sent to the applicant to give access to his/her Electronic Test Permit. Examination schedule is final. Rescheduling is not allowed, 6. Multiple applications for CLSU CAT is not allowed. 7. Misrepresentation of information entered in the application, and any violation of the instructions given will result to forfeiture of examination slot. 8. Deadline of application for CLSU CAT is on OCTOBER 30, 2019 (Wednesday). Submit your application before the deadline to avoid inconvenience or long queue of applicants. “The Central Luzon State University complies with RA 10173 otherwise known as Data Privacy Act of 2012" | @ CLSU Testing and Evaluation Center @ w PGS UHzz 77777777>___! APPLICATION 7-7 PROCEDURE Download the CLSU CAT Application Form on the CLSU Website. Read carefully first the GUIDELINES AND APPLICATION PROCEDURE before filling out the form with all the necessary data. Please make sure that your e-mail address is valid and active. Onan any Check and enclose the following requirements: Valid and active e-mail address ® Photocopy of PSA or NSO Birth Certificate. @ One recent studio-taken 2x2 colored photo with white background and nametag with the following format: LAST NAME, FIRST NAME, MIDDLE INITIAL. Electronic copy of the submitted 2x2 photo in JPEG format. @ One self-addressed (applicant's printed name and complete address) long, white mailing envelope with P40.00 worth of mailing stamp(s) OR enclose a “return-to-sender” courier pouch (LBC, JRS, etc.) ‘Submit the duly accomplished CLSU CAT Application Form with other required documents to the CLSU TESTING EVALUATION CENTER (CTEC), IGS BUILDING, CENTRAL LUZON STATE UNIVERSITY. Take note of the posted open schedule at the CTEC frontline windows Be sure to make yourself available on this date as this will be the schedule of your ‘examination. Get the Application Slip. Secure your APPLICANT ID. Read the Instructions and Important Reminders given in the slip. @©| © Upload the Electronic Copy of 2x2 photo identical to the one attached in your CLSU CAT Application Form on Google Drive with file name same as your CLSU CAT Applicant ID. After a successful application, an e-mail message will be sent to you to give you access to your Electronic Test Permit . Take note of your Examination Time and Date, Examination Venue (Building), Examination Room and Seat Number. Read the Instructions and Important Reminders on your Test Permit, ter @ www. clsu.edu.ph 5 ® CLSU Testing and Evmung oF) COIS RLS COLLEGE OF AGRICULTURE BS in Agribusiness BS in Agriculture COLLEGE OF ARTS AND SCIENCES BA in Filipino BA in Literature BA in Social Sciences BS in Biology BS in Chemistry Development Communication Environmental Science Mathematics Psychology BS in Statistics COLLEGE OF BUSINESS ADMINISTRATION AND ACCOUNTANCY BS in Accountancy B: Business Administration BS in Entrepreneurship BS in Management Accounting COLLEGE OF EDUCATION Bachelor of Culture and Arts Education Bachelor of Early Childhood Education Bachelor of Elementary Education Bachelor of Physical Education Bachelor of Secondary Education Bachelor of Technology and Livelihood Education COURSES OFFERED COLLEGE OF ENGINEERING BS in Agricultural and Biosystems Engineering BS in Civil Engineering BS in Information Technology BS in Meteorology COLLEGE OF FISHERIES BS in Fisheries COLLEGE OF HOME SCIENCE AND INDUSTRY BS in Fashion and Textile Technology BS in Food Technology BS in Hospitality Management BS in Tourism Management COLLEGE OF VETERINARY SCIENCE AND MEDICINE Doctor of Veterinary Medicine CENTER OF EXCELLENCE Agriculture - Agricultural Engineering - Biology - Fisheries - Teacher Education - Veterinary Medicine IESE er @ www. clsu.edu.phRepublic of the Philippines CENTRAL LUZON STATE UNIVERSITY Science City of Mufioz, Nueva Ecija LSU TESTING AND EVALUATION CENTER Testing Division APPLICATION FORM FOR CLSU COLLEGE ADMISSION TEST InsTRUCTIONS Please read carefully the GUIDELINES and APPLICATION PROCEDURE on the CLSU Website (wnwwclswedu.ph ) or at the CTEC Facebook page (CLSU Testing and Evaluation Center). Only correct and completely filled out application form will be processed. Print legibly or type all information required PERSONAL INFORMATION APPLICANT ID ____ NAME Pac on rin each bo 26 ene ox ln tea noes Lathan | @ STAPLE ONE RECENT 242 Fist Name ‘COLORED PHOTO WITH WHITE BACKGROUND AND NAME TAG (LAST IAI, FRST NAN, HODLE ‘Middle Name ‘nay SEX DATE OF BIRTH AGE ‘Mit STATUS SCANNEDIPHOTOCOPIED O lie © Fama CELLPHONE-GENERATED ee tae Year = 0 Shige Merit PHOTO IS NOT ACCEPTED. CITIZENSHIP EMAIL ADDRESS (VALID AND ACTIVE) | COMPLETE MAILING ADDRESS (aes ince xp code) FOR CHILDREN OF GLSU EMPLOYEE ONLY NANE OF PARENT EMPLOYED IN CLSU Posten Cologatnivotcn Status of Appointment EL Permanent EL Terporary 0b Onder EpucaTioNAL BACKGROUND ‘ACADEMIC STATUS 1G Curenty enrledin Grade 12 and expected to graduate atthe ond of SY 2019:2020 1D Graduate of Senior High Schoo! 1D Gradiate of 4 year high school pir to SY 2017-2018 1D Ghaduato of Amati Learing System (ALS) (D_ Transfer wih ss than 36 cect units) ‘COMPLETE NAME OF SCHOOL (cuRsenr ScH001 oR LAST ATTENDED) (COMPLETE SCHOOL ADDRESS (pes nce pcos) TRACK ‘STRAND | hereby affirm that | have read and understood all the instructions inthis application form and that all information writen herein are compete and accurate, | am aware that any false information furished in this appicaion form will make me ineligible for admission or subject to dismissal if admit in the university. | give permission to CLSU to store and process my personal data in adherence tothe principles of wansparency,legitiale purpose, and proportionality as requted by RA10173 or Data Privacy Act of 2012, TSNATORE OVER PRINTED WANE OF STUDENT ‘CONTACT NUMBER OF STUDENT {hereby atest fo the veracity and completeness of al infamation my sordaghterMependent has writen in this aplication form. ‘SGHATURE OVER PRINTED WANE OF PARENTISURROTAN ‘ACA.TEC. TED F.001 (Revision No. 3; August f, 2019)