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Student’s copy

Carlos Hilado Memorial State College


Alijis Campus | Binalbagan Campus | Fortune Towne Campus | Talisay Campus

OFFICE OF THE GUIDANCE SERVICES

CARLOS HILADO MEMORIAL STATE COLLEGE ENTRANCE TEST APPLICATION FORM


(CHMSCETAF)
APPLICANT’S INFORMATION
Name: _ _ _
Last First Middle

Semester: [ ] First [ ] Second Academic Year: _ to Recent 2x2 ID Picture


Applicant Type: [ ] Freshmen [ ] Returnee [ ] TCP [ ] Graduate School
[ ] Grade 12 Graduate [ ] Master’s
[ ] Lifelong learner
[ ] Shiftee [ ] Doctor’s / PhD.
[ ] Transferee
Campus Intended to Enroll: [ ] Talisay; [ ] Binalbagan; [ ] Fortune Towne; [ ] Alijis
I hereby certify that the above information is true and correct.

APPLICANT’S SIGNATURE
------------------------------------*NOTE: FOR GUIDANCE PERSONNEL USE ONLY. DO NOT WRITE.*---------------------------------
For Entrance Examination: [ ] Yes [ ] No
Scheduled Release of Result: _ Date of Entrance Test:

COUNSELOR’S SIGNATURE
This serves as an EXAM PERMIT (NO PERMIT, NO EXAM)
Guidance copy Application No.: _________
Control No.: __________ __ __

Carlos Hilado Memorial State College


Alijis Campus | Binalbagan Campus | Fortune Towne Campus | Talisay Campus

OFFICE OF THE GUIDANCE SERVICES

CARLOS HILADO MEMORIAL STATE COLLEGE ENTRANCE TEST APPLICATION FORM


(CHMSCETAF)
APPLICANT’S INFORMATION
Name: _ _ _
Last First Middle

Semester: [ ] First [ ] Second Academic Year: _ to Recent 2x2 ID Picture


Applicant Type: [ ] Freshmen [ ] Returnee [ ] TCP [ ] Graduate School
[ ] Grade 12 Graduate [ ] Shiftee [ ] Master’s
[ ] Lifelong learner [ ] Doctor’s / PhD.
[ ] Transferee

Birthdate: _ Last School Attended: ______________ ________ __ __ _

Sex at Birth: _ Learner’s Reference Number: _____________ Track and Strand: _


Age: _ Cell phone no.: _ Email address: _ ___ ___ __ __ __ __ _

Preferred Course: _ Campus Intended to Enroll: _____________ _


Complete Permanent Address: ___________________________________________________________________________
Street Name Brgy/District/Locality City/Municipality Province

I hereby certify that the above information is true and correct.

APPLICANT’S SIGNATURE
---------------------------------*NOTE: FOR GUIDANCE PERSONNEL USE ONLY. DO NOT WRITE.*--------------------------------------
Date and Time of Test: _ CHMSCET Raw Score:
CLAIMING OF RESULT Percentile Rank:
Date and Time Processed: _ Stanine:
Date and Time Received: _______________ Verbal Interpretation:
Attending Guidance Counselor:
Name:
Signature: _ _
OGS-TAL-F.09
REVISION 2
DECEMBER 31, 2019
ENTRANCE EXAM PROCEDURE
1. Secure a copy of Carlos Hilado Memorial State College Entrance Test Application Form (CHMSCETAF) from the Office of the
Guidance Services or Download CHMSCETAF from the official Facebook page https://www.facebook.com/chmscofficialpage/.
2. Fill out ALL required entries in the CHMSCETAF. (LRN Strictly Required)
3. Submit the filled-out CHMSCETAF at the office of the Guidance Services with the following requirements: (a) 1 pc Long Brown
envelope; (b) 2 pcs Recent 2x2 ID Picture.
4. Secure your CHMSCET schedule from the Guidance Personnel.

Instruction to Examinees During Exam


1. Examinees should report one (1) hour before the exam schedule. LATE EXAMINEES WILL NOT BE ADMITTED.
2. Bring the following:
a. CHMSETAF Student’s Copy
b. Pencil with eraser
c. School I.D.
3. CELLULAR PHONES AND OTHER ELECTRONIC GADGETS ARE STRICTLY PROHIBITED. Wear the prescribed dress code.

5. Take the CHMSCET. (You are only allowed to take CHMSCET once in a year. Retaking of test will invalidate your test score.)
6. Get result on intended date of release. Results must be claimed by the examinee personally, otherwise a duly signed authorization letter must
be presented.
7. Proceed to the College of your choice for further screening procedures.

I have read and understood the above instructions clearly and shall abide with the
policies of this school.
Applicant’s Signature Over Printed Name

ENTRANCE EXAM PROCEDURE

1. Secure a copy of Carlos Hilado Memorial State College Entrance Test Application Form (CHMSCETAF) from the Office of the
Guidance Services or Download CHMSCETAF from the official Facebook page https://www.facebook.com/chmscofficialpage/.
2. Fill out ALL required entries in the CHMSCETAF. (LRN Strictly Required)
3. Submit the filled-out CHMSCETAF at the office of the Guidance Services with the following requirements: (a) 1 pc Long Brown
envelope; (b) 2 pcs Recent 2x2 ID Picture.
4. Secure your CHMSCET schedule from the Guidance Personnel.

Instruction to Examinees During Exam


1. Examinees should report one (1) hour before the exam schedule. LATE EXAMINEES WILL NOT BE ADMITTED.
2. Bring the following:
d. CHMSETAF Student’s Copy
e. Pencil with eraser
f. School I.D.
3. CELLULAR PHONES AND OTHER ELECTRONIC GADGETS ARE STRICTLY PROHIBITED. Wear the prescribed dress code.

5. Take the CHMSCET. (You are only allowed to take CHMSCET once in a year. Retaking of test will invalidate your test score.)
6. Get result on intended date of release. Results must be claimed by the examinee personally, otherwise a duly signed authorization letter must
be presented.
7. Proceed to the College of your choice for further screening procedures.

I have read and understood the above instructions clearly and shall abide with the
policies of this school.

Applicant’s Signature Over Printed Name

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