Republic of the Philippines

President Ramon Magsaysay State University

Main Campus, Iba, Zambales, 2201
OSA-GUIDANCE & COUNSELING SERVICES
Email Address: prmsu.gc@gmail.com

PRMSU COLLEGE ENTRANCE TEST

APPLICATION FORM 1X1
PCET APPLICATION NO.: _____________________________ PICTURE

I. PERSONAL PROFILE
Last Name Age
First Name Sex
Middle Name Birthdate
Citizenship Ethnic Group
Email Address Mobile No.
(VALID and ACTIVE email address is required. Notifications for your application will be sent to this email address. Only one (1) application per email address is allowed.**
Contact person in case of emergency
Name
Address
Mobile/ Telephone No.
Relationship

II. EDUCATIONAL INFORMATION

Senior High School

SHS Email
School Type State Universities / Colleges Local Colleges and
(check the box)
Public Private (SUCs) Universities (LCUs)
Track
Strand
Specialization
(for TVL students)

For Transferee
School: Course:
Junior HS Completion Year
Senior HS Completion Year
Category of Applicant
(tick the radio button) o Regular Admission o Alternative Learning System

III. CHOOSE AND RANK THREE (3) PROGRAMS BASED ON YOUR INTEREST

Campus
Choice # Program (Castillejos, San Marcelino, Botolan, Iba-
Main, Masinloc, Candelaria, Sta. Cruz)

First
Second
Third
I hereby certify that all information provided herein is complete and accurate. Misinterpretation,
falsification, and any form of dishonesty committed in relation to my application shall be sufficient grounds for
my disapproval of the college entrance test to PRMSU.

________________________
Signature over printed name