PERSONAL APPEARANCE OF THE STUDENT APPLICANT IS REQUIRED. PERSONAL APPEARANCE OF THE STUDENT APPLICANT IS REQUIRED.

WE DO NOT HAVE ONLINE APPLICATION PROCESS WE DO NOT HAVE ONLINE APPLICATION PROCESS

GUIDELINES IN ACCOMPLISHING AND FILING OF THE PLVCAT APPLICATION FORM 2024-2025 GUIDELINES AND SPECIFICATIONS OF THE ID PICTURE FOR THE PLVCAT

ONCE YOU HAVE DOWNLOADED THE PLVCAT APPLICATION FORM 2024-2025, USE THE MS EXCEL
THE PICTURE MUST BE LATEST AND TAKEN WITHIN THE LAST THREE (3) MONTHS PRIOR TO FILING
1 APPLICATION TO FILL IT OUT. HANDWRITTEN 1
OF THE PLV CAT APPLICATION.
APPLICATION FORM WILL NOT BE ACCEPETD.

PRINT THE PLVCAT APPLICATION FORM 2024-2025 IN BACK-TO-BACK PRINT SET-UP AND ON 8.50"
2 2 THE PICTURE MUST BE PHILIPPINE PASSPORT SIZE (4.50 CM X 3.5 CM ; 1.38” X 1.78”).
X13.00" (LONG) SIZE BOND PAPER.

PASTE ONE (1) PIECE OF PASSPORT SIZE ID PICTURE ON THE DESIGNATED AREA USING GLUE (DO
3 3 THE PICTURE MUST BE COLORED, WITH WHITE BACKGROUND AND PRINTED IN QUALITY PAPER.
NOT STAPLE YOUR PICTURE).

VERIFY THAT THE DATA AND INFORMATION ON THE PLVCAT APPLICATION FORM 2024–2025 ARE
4 4
ACCURATE AND COMPLETE.
WITH NAME TAG LEGIBLY SHOWING THE SIGNATURE OVER PRINTED FULL NAME OF THE
APPLICANT IN THE FORMAT: FIRST NAME, MIDDLE INITIAL, LAST NAME, AND NAME EXTENSION (IF
ANY).

TYPE IN YOUR NAME, SIGN THE PLVCAT APPLICATION FORM 2024-2025, AND NOTE THE DATE OF IN STANDARD CLOSE-UP SHOT (FROM SHOULDER LEVEL-UP) TAKEN IN FULL-VIEW DIRECTLY
5
PREPARATION WHEN THE FORM WAS COMPLETED. FACING THE CAMERA, WITH NEUTRAL FACIAL EXPRESSION AND SHOWING LEFT AND RIGHT EARS
5 AND BOTH EYES OPEN (WITH NO EYEGLASSES, COLORED CONTACT LENS, OR ANY ACCESSORIES
ARRANGE THE PLVCAT APPLICATION FORM 2024-2024 AND DOCUMENTARY REQUIREMENTS IN THAT MAY COVER THE FACIAL FEATURES (FACIAL FEATURES MUST NOT BE COMPUTER
6 ENHANCED).
ORDER BASED ON THE APPLICATION POSTING.

Credits to CSC for the Image Reference.

 FOR PLV CAT PROCESSOR ONLY
APPLICATION NUMBER
PAMANTASAN NG LUNGSOD NG VALENZUELA
COLLEGE ADMISSION TEST APPLICATION FORM ROOM ASSIGNMENT
ACADEMIC YEAR 2024-2025
TIME OF EXAMINATION

INSTRUCTIONS: REVIEW THE PLV CAT APPLICATION POLICIES & QUALIFICATIONS. IF YOU ARE NOT QUALIFIED, PLEASE DO NOT APPLY. Fill out all the
necessary information. If the item does not apply, indicate "N/A" and do not leave it blank. Only fully completed application form will be accepted. APPLICATION
FORM AND DOCUMENTARY REQUIREMENTS filed in support of this application will become the property of the PLV Office of Admissions and will not be returned to
the applicant if not accepted or decided not to pursue the application.

A. NAME OF THE APPLICANT ( AS IT APPEARS ON THE BIRTH CERTIFICATE)

LAST NAME FIRST NAME EXTENSION NAME (e.g. Jr.) MIDDLE NAME

B. FACTS OF BIRTH
AGE SEX BLOOD TYPE CITIZENSHIP BIRTH ORDER NO. OF SIBLINGS

DATE OF BIRTH (MM/DD/YYYY) PLACE OF BIRTH (CITY/MUN./PROVINCE) RELIGIOUS AFFILIATION CIVIL STATUS

C. APPLICANT'S ADDRESS & CONTACT INFORMATION

HOUSE/ROOM/FLOOR/BLDG./BLOCK/LOT/PHASE/STREET/SUBD. BARANGAY CITY/MUNICIPALITY DISTRICT ZIP CODE
CURRENT
PERMANENT
ACTIVE PERSONAL MOBILE NUMBER ACTIVE PERSONAL EMAIL ADDRESS PERSONAL FACEBOOK PROFILE LINK LANDLINE PHONE NUMBER

D. FAMILY DATA
FIRST NAME MIDDLE NAME LAST NAME EXTN. NAME AGE PHYSICAL EXISTENCE
BIOLOGICAL
FATHER

LEVEL OF EDUCATION CURRENT OCCUPATION AVERAGE MONTHLY INCOME ACTIVE CONTACT NUMBER

FIRST NAME MAIDEN MIDDLE NAME MAIDEN LAST NAME EXTN. NAME AGE PHYSICAL EXISTENCE
BIOLOGICAL
MOTHER

LEVEL OF EDUCATION CURRENT OCCUPATION AVERAGE MONTHLY INCOME ACTIVE CONTACT NUMBER

APPLICANT'S LIVING STATUS CURRENT MARITAL STATUS OF PARENTS HOME OWNERSHIP STATUS

TOTAL NO. OF HOUSEHOLD MEMBER TOTAL NO. OF HOUSEHOLD MEMBER WITH WORK GROSS MONTHLY FAMILY INCOME TOTAL MONTHLY EXPENSES

FIRST NAME MIDDLE NAME LAST NAME EXTN. NAME SEX AGE ACTIVE CONTACT NUMBER
GUARDIAN'S
DETAIL

RELATIONSHIP TO THE APPLICANT TOTAL NO. OF YEARS OF GUARDIANSHIP CURRENT ADDRESS

E. APPLICANT'S EDUCATIONAL BACKGROUND

APPLICANT'S APPLICATION CLASSIFICATION ARE YOU CURRENTLY STUDYING/ENROLLED? IF "YES", WHAT PROGRAM IS IT?

COMPLETE TITLE OF THE PROGRAM YOU ARE ENROLLED IN OR HAVE TAKEN

COMPLETE NAME OF THE SCHOOL YOU ARE ENROLLED IN OR HAVE ATTENDED
COMPLETE ADDRESS OF THE SCHOOL YOU ARE ENROLLED IN OR HAVE ATTENDED
LEARNER REFERENCE NO. EXPECTED DATE OF GRADUATION (MM/DD/YYYY) SCHOOL CLASSIFICATION

ENROLLMENT HISTORY COMPLETE NAME OF THE SCHOOL COMPLETE ADDRESS OF THE SCHOOL PERIOD OF ATTENDACE (AY - AY)
COLLEGE LEVEL
VOCATIONAL
GRADE 12
GRADE 11
GRADE 10
GRADE 9
GRADE 8
GRADE 7
F. INTENDED COURSE OF STUDY (UNDERGRADUATE PROGRAM)
FIRST CHOICE (COURSE/MAJOR)

PLEASE PROVIDE A SHORT EXPLANATION

WHY YOU CHOSE THE PROGRAM

SECOND CHOICE (COURSE/MAJOR)

PLEASE PROVIDE A SHORT EXPLANATION

WHY YOU CHOSE THE PROGRAM

THIRD CHOICE (COURSE/MAJOR)

PLEASE PROVIDE A SHORT EXPLANATION

WHY YOU CHOSE THE PROGRAM

NAME OF THE APPLICANT SIGNATURE OF THE APPLICANT (PREFERABLY WET SIGNATURE) DATE ACCOMPLISHED (MM/DD/YYYY)
G. ORGANIZATIONAL AFFILIATION
NAME OF THE ORGANIZATION POSITION ON THE ORGANIZATION TYPE OF ORGANIZATION
1
2
3
4
5
H. OTHER RELEVANT INFORMATION
DISABILITY
ARE YOU A PERSON WITH DISABILITY?
IF "YES", WHAT TYPE OF DISABILITY DO YOU HAVE?
PLEASE PROVIDE THE PWD ID NO. (IF APPLICABLE)
ILLNESS/MEDICAL CONDITION
DO YOU HAVE ANY ILLNESS/MEDICAL CONDITION?
IF "YES", PLEASE SPECIFY THE TYPE OF ILLNESS/MEDICAL CONDITION
INDIGENOUS GROUP
ARE YOU A MEMBER OF ANY INDIGENOUS GROUP?
IF "YES", PLEASE SPECIFY THE DETAILS
PANTAWID PAMILYANG PILIPINO PROGRAM
DOES YOUR HOUSEHOLD/FAMILY A BENEFICIARY OF THE 4PS?
ARE YOU RELATED BY CONSANGUINITY/AFFINITY TO ANY PLV EMPLOYEE?
COMPLETE NAME OF THE PLV EMPLOYEE DEPARTMENT OF THE EMPLOYEE AT PLV WHAT IS YOUR RELATIONSHIP TO THE PLV EMPLOYEE?
1
2
3
4
5
ARE YOU RELATED BY CONSANGUINITY/AFFINITY TO ANY CITY GOVERNMENT OF VALENZUELA (CGV) EMPLOYEE?
COMPLETE NAME OF THE CGV EMPLOYEE DEPARTMENT OF THE CGV EMPLOYEE WHAT IS YOUR RELATIONSHIP TO THE CGV EMPLOYEE?
1
2
3
4
5
DO YOU HAVE ANY FAMILY MEMBER/S WITHIN THE 3RD DEGREE OF CONSANGUINITY WHO GRADUATED/STUDIED/OR CURRENTLY ENROLLED AT PLV?
NAME OF THE STUDENT COURSE/MAJOR YEAR GRADUATED/ATTENDANCE RELATIONSHIP TO THE APPLICANT
1
2
3
4
5
COURSES OFFERED (UNDERGRADUATE PROGRAM)
1 BACHELOR OF EARLY CHILDHOOD EDUCATION (BECED)

2 BACHELOR OF SECONDARY EDUCATION MAJOR IN ENGLISH (BSED ENGLISH)

3 BACHELOR OF SECONDARY EDUCATION MAJOR IN FILIPINO (BSED FILIPINO)
4 BACHELOR OF SECONDARY EDUCATION MAJOR IN MATHEMATICS (BSED MATHEMATICS)
5 BACHELOR OF SECONDARY EDUCATION MAJOR IN SCIENCE (BSED SCIENCE)
6 BACHELOR OF SECONDARY EDUCATION MAJOR IN SOCIAL STUDIES (BSED SOCIAL STUDIES)
7 BACHELOR OF SCIENCE IN CIVIL ENGINEERING (BSCE)

8 BACHELOR OF SCIENCE IN ELECTRICAL ENGINEERING (BSEE)

9 BACHELOR OF SCIENCE IN INFORMATION TECHNOLOGY (BSIT)

10 BACHELOR OF ARTS IN COMMUNICATION (BAC)

11 BACHELOR OF SCIENCE IN PSYCHOLOGY (BSP)
12 BACHELOR OF SCIENCE IN SOCIAL WORK (BSSW)
13 BACHELOR OF SCIENCE IN PUBLIC ADMINISTRATION (BSPA)
14 BACHELOR OF SCIENCE IN ACCOUNTANCY (BSA)
15 BACHELOR OF SCIENCE IN BUSINESS ADMINISTRATION MAJOR IN FINANCIAL MANAGEMENT (BSBA FM)
16 BACHELOR OF SCIENCE IN BUSINESS ADMINISTRATION MAJOR IN HUMAN RESOURCE DEVELOPMENT MANAGEMENT (BSBA HRDM)
17 BACHELOR OF SCIENCE IN BUSINESS ADMINISTRATION MAJOR IN MARKETING MANAGEMENT (BSBA MM)
DECLARATION & DATA PRIVACY CONSENT

I DECLARE UNDER OATH THAT I PERSONALLY ACCOMPLISHED/COMPLETED THE PLV-CAT APPLICATION FORM, AND I CERTIFY THAT THE INFORMATION GIVEN ARE TRUE, CORRECT,
1
AND COMPLETE PURSUANT TO THE PLV ADMISSION POLICIES, AND QUALIFICATIONS.

2 I UNDERSTAND THAT THE ACCEPTANCE AND APPROVAL OF MY APPLICATION FOR THE PLV-CAT IS BASED ON THE INFORMATION I HAVE PROVIDED.

I UNDERSTAND THAT BY PROVIDING/GIVING FALSE INFORMATION CONTRARY TO WHAT IS DECLARED AND OR CONCEALMENT OF INFORMATION, PLV THROUGH THE PLV OFFICE OF
3
ADMISSIONS RESERVES THAT RIGHT TO REVOKE/DISAPPROVE MY APPLICATION AND WILL MAKE ME INELIGIBLE TO APPLY FOR THE PLV-CAT.

I UNDERSTAND THAT BY APPLYING FOR THE PLV-CAT, I HAVE GIVEN MY PERMISSION TO PLV THROUGH THE PLV OFFICE OF ADMISSIONS TO COLLECT, USE AND PROCESS MY
4 INFORMATION SUCH AS PERSONAL, DEMOGRAPHIC, FAMILY, EDUCATIONAL, AND ETC. FOR RELEVANT PURPOSES BUT MAY NOT BE LIMITED TO PROFILING, STATISTICS, REPORTS,
AND ESPECIALLY AS BASIS FOR DATA-DRIVEN DECISION BY THE PAMANTASAN.

I ALSO UNDERSTAND THAT THE INFORMATION I HAVE PROVIDED WILL BE SUBMITTED TO THE COMMISSION ON HIGHER EDUCATION FOR BILLING PURPOSES RELATIVE TO THE PLV-
5
CAT APPLICATION.

I AM AWARE THAT THE COPY OF THE PLV-CAT APPLICATION FORM, BIRTH CERTIFICATE, VOTER’S CERTIFICATION, AND EDUCATIONAL RECORDS (EITHER ORIGINAL, CERTIFIED TRUE
6
COPY, AND REGULAR PHOTOCOPY) WILL NOT BE RETURNED TO ME (THE APPLICANT) IF I AM NOT ACCEPTED OR IF I HAVE DECIDED NOT TO PURSUE MY APPLICATION.

NAME OF THE APPLICANT SIGNATURE OF THE APPLICANT (PREFERABLY WET SIGNATURE) DATE ACCOMPLISHED