Republic of the Philippines

Province of Nueva Ecija

EDUARDO L. JOSON MEMORIAL COLLEGE
OFFICE OF THE COLLEGE REGISTRAR

COLLEGE ADMISSION AND SCHOLARSHIP TEST (CAST)

APPLICATION FORM

PLEASE FILL OUT THIS FORM COMPLETELY AND LEGIBLY.

APPLICATION NO. EC-24
I. PERSONAL INFORMATION 2x2 picture
LAST NAME
FIRST NAME
MIDDLE NAME
AGE
DATE OF BIRTH CONTACT NO.
PLACE OF BIRTH
RESIDENTIAL
SEX Male Female
ADDRESS
Single Married
CIVIL STATUS
Others, specify:_____________________________ ZIP CODE
II. FAMILY BACKGROUND
FATHER'S NAME
OCCUPATION
AGE NO. OF BROTHERS
MOTHER'S MAIDEN
NO. OF SISTERS
NAME
OCCUPATION ANNUAL GROSS
AGE INCOME OF THE FAMILY

III. EDUCATIONAL BACKGROUND

ACADEMIC
LEVEL NAME AND ADDRESS OF SCHOOL YEAR GRADUATED
AWARDS/HONORS
ELEMENTARY

JUNIOR HIGH

SENIOR HIGH

TRACK / STRAND

IV. COURSE PREFERENCE (Kindly write in the priority box the abbreviation of your desired course, ex. BSA)
1st Priority Bachelor of Science in Accountancy (BSA)

2nd Priority Bachelor of Science in Accounting Information Systems (BSAIS)

Bachelor of Science in Business Administration (BSBA)

Bachelor of Elementary Education (BEED)

APPLICATION REQUIREMENTS:
* Must be a bonafide Novo Ecijano Bachelor of Secondary Education (BSED)
* A Senior High School Graduate or Graduating Student
with an average grade not lower than 85 and no grade
lower than 80 in any subject Application Period: January 22 - February 23, 2024
* Photocopy of SF9 (Report Card) for Grade 12 Examination Dates: March 9 and March 16, 2024
* Photocopy of Barangay Certificate of Indigence
* Photocopy of Certificate of Good Moral Character
* 2pcs 2x2 ID picture (white background with name tag)
Applicant's Signature

Republic of the Philippines

Province of Nueva Ecija
EDUARDO L. JOSON MEMORIAL COLLEGE
OFFICE OF THE COLLEGE REGISTRAR

COLLEGE ADMISSION AND SCHOLARSHIP TEST (CAST)

PERMIT SLIP 2x2 picture
APPLICATION NO. EC-24
LAST NAME
FIRST NAME
MIDDLE NAME

Evaluator's Signature Applicant's Signature

(This application form may be reproduced) Inquiries: eljmccast2024@gmail.com