PAMANTASAN NG CABUYAO

APPLICATION FORM FOR PNC-COLLEGE ADMISSION

REFERENCE NUMBER: 01150533065

PnC-CAT-OL Form-1
NAME: Dones, Carl Angelo Balon
DATE OF BIRTH: FEBRUARY 16, 2002 PLACE OF BIRTH: Calamba Laguna
PRESENT ADDRESS: Southville 1 Marinig, Cabuyao Laguna
CITIZENSHIP: Filipino RELIGION: Catholic SEX: MALE

ARE YOU A REGISTERED VOTER OF CABUYAO CITY?: NO WHERE?: Marinig SINCE?:

MOBILE NO.: 09307027589 TELEPHONE NO.:
EMAIL ADDRESS: angelodones10@gmail.com
LAST SHS ATTENDED.: Asian Institute of Technology Sciences and the Arts
SENIOR HIGH: Asian Institute of Technology Sciences YEAR GRADUATED: 2020 HONORS RECEIVED:
and the Arts
JUNIOR HIGH: Cabuyao Integrated National YEAR GRADUATED: 2018 HONORS RECEIVED:
Highschool
CIVIL STATUS: Single SPOUSE NAME: SPOUSE LEGAL ADDRESS:
FATHER'S NAME: Wenifredo M. Dones HIGHEST EDUCATIONAL ATTAINMENT: Vocational AGE: 52
CONTACT #: 09479259349 OCCUPATION: None MONTHY INCOME:
COMPANY: COMPANY ADDRESS:
MOTHER'S NAME: Dolores Dones HIGHEST EDUCATIONAL ATTAINMENT: Vocational AGE: 47
CONTACT #: 09479259349 OCCUPATION: Vendor MONTHY INCOME: 10000
COMPANY: COMPANY ADDRESS:
ARE YOUR PARENTS REGISTERED VOTERS OF NUMBER OF CHILDREN IN THE BIRTH ORDER: 1st
CABUYAO CITY?: YES FAMILY: 2
FIRST CHOICE: BSIT SECOND CHOICE: BSECE

Dates to Remember

December 17, 2019 to January 24, 2020 - period of online application EXAM
January 6, 2020 to January 31, 2020 - period of submission of the following:

Printed filled-out online registration form (with scanned photo on white background)
Photocopy of valid Grade 10 or Grade 12 report card (with grades for second grading period)
Photocopy and original voter's ID (applicant or the parents)
Original copy of registrar's certification (Top 10 of the class) - for non-cabuyenos G.A

For college admission test applicants, submit your documents on your Appointment Date to:
Prof. Angela Tan (college guidance counsellor)
PnC Guidance Office, 2nd Floor, PnC Main Building
F.A.G
For senior high school admission test applicants, submit your documents on your Appointment Date to:
Prof. Uzziel de loyola (senior high school guidance counsellor)
PNC IT Laboratory, Ground Floor, Pnc Main Building

February 9, 2020 - PnC College Admission Test (PnC-CAT)

February 16, 2020 - PnC Senior High School Admission Test (PnC-SAT)
April 3, 2020 - Release of Results (PnC CAT and PnC-SAT)

I certify that the information I have given above and the credentials I have submitted are true, correct, and complete to the best
of my knowledge.
ATTESTED:

________________________________________________________ ______________________________________
(SIGNATURE OF PARENT/GUARDIAN OVER PRINTED NAME) (SIGNATURE OF APPLICANT)
Appointment Date: January 29, 2020