AO Form 1- Revised 2022 (Effective 1st Sem.

, AY2022-2023)
2x2
QUEZON CITY ID Picture
White Background
UNIVERSITY
673 Quirino Hi-way, San Bartolome,
Novaliches Q.C.
ADMISSIONS OFFICE
STUDENT APPLICATION FORM
1st SEM, AY: 2022-2023

GENERAL INSTRUCTION: Kindly fill out all the information needed and do not leave any box
unmarked. Write N/A in items not applicable to you. Please use all CAPITAL. (Print this form back
to back on one single sheet of paper)

Date of LRN: 136521090278 Student No.: (to be filled out by the admission
Application: officer)
03/24/2022

Are you applying as (Please check the appropriate answer)

✔ SHS Graduate Track: BSBA MAJOR Strand: ABM

IN MARKETING
MANAGEMENT

High School Graduate (Year 2015 and below Graduated in HS)

Transferee, Are you applying for Accreditation of Subjects? Yes ✔ No

2nd Degree Course Taker (already a Course: N/A

graduate of a Bachelor’s Degree
before)

Course applied for: Please choose 3 preferred courses. Rank (1) 1st Choice (2) 2nd Choice (3) 3rd Choice

3 Bachelor of Science in Information Technology 2 Bachelor of Science in Accountancy

1 Bachelor of Science in Entrepreneurship Bachelor of Science in Electronics Engineering

Bachelor of Science in Industrial Engineering Bachelor of Early Childhood Education (BECEd)

(For Survey Purposes Only) Bachelor of Science in Management Accounting

Please Rank preferred Campus: Rank (1) 1st Choice (2) 2nd Choice (3) 3rd Choice

3 Batasan Campus 2 San Francisco Campus 1 San Bartolome Campus

Are you presently enrolled? If yes, Name of School

PERSONAL INFORMATION (As indicated in your PSA Birth Certificate. Do not use your maiden name if married)
Last Name: PAPA First Name: JOHN CHRISTIAN Middle Name: CARAG

Gmail Address: Date of Birth: 06/08/2003 Gender: MALE Religion: Citizenship:

PAPACHRISTIAN246@G BAPTIST FILIPINO
MAIL.COM
 Contact Number: Place of Birth: Civil Status: If Married, Name of Spouse:
09633541870 CABAGAN, ISABELA SINGLE N/A

Present Address: BLK 5 LOT 2 KING CONSTANTINE STREET. BARANGAY BAGBAG QUEZON CITY

Barangay: BAGBAG City/ Municipality: QUEZON CITY District No. 5 Zip Code:
1116

Do you have a physical/behavioral condition/Disability? Specify: N/A

EDUCATIONAL ATTAINMENT
College: (Leave it blank if you have not enrolled to college before)

Address:

Location: QC Non-QC Public School Private School

Course: Date Graduated: Honors Received with certification:

Technical Vocational: (Leave it blank if you have not enrolled to vocational course before)

Address:

Location: QC Non-QC Public School Private School

Course/Year/s Taken: Date Graduated: Honors Received with certification:

AO Form 1- Revised 2022 (Effective 1st Sem., AY2022-2023)

Senior High School Name or High School Name for HS Graduate: SYSTEM TECHNOLOGY
INSTITUTE (STI) NOVALICHES

Address: QUIRINO HIGHWAY CORNER GREEN HIGHTS SUBD, NOVALICHES QUEZON CITY

Location: ✔ QC Non-QC Public School ✔ Private School

Track/Strand or 4th Yr. Section if HS Date Graduated: Honors Received with certification:
Grad.: ABM NOT YET. GRADE 11 1ST AND 2ND SEM WITH
HONOR, GRADE 12 1ST SEM WITH
HONOR.

FAMILY BACKGROUND
Father’s Name: COSMEFEL Occupation: Educ’l Contact No.:
PAPA DRIVER Attainment: 09950887737
HIGH SCHOOL

Mother’s Name: JUDIHLIN Occupation: Educ’l Contact No.:

PAPA HOUSEWIFE Attainment: 09950887737
HIGH SCHOOL

Parent’s Address: BLK 5 LOT 2 KING CONSTANTINE STREET. BARANGAY BAGBAG QUEZON CITY

Guardian: JUDIHLIN PAPA Relationship: MOTHER Contact No.:

 09950887737

PERSON TO BE NOTIFIED IN CASE OF EMERGENCY

Name: JUDIHLIN PAPA Relationship: MOTHER Contact No.:
09950887737

Address: BLK 5 LOT 2 KING CONSTANTINE STREET. BARANGAY BAGBAG QUEZON CITY

All information contained in this application is true and correct, I understand that any
misrepresentation may cause for denial of admission from Quezon City University.
I allow and give full consent to QCU to collect and evaluate the above-mentioned information that I
declare for legitimate purposes.

PLEASE NOTIFY THE OFFICE OF JOHN CHRISTIAN CARAG PAPA 3/24/2022

THE REGISTRAR ABOUT ANY
CHANGES IN THE ABOVE
INFORMATION

Signature of Student over Printed Name Date Signed

Documents / Requirements Verified by: Approved by Department:

Admission Officer Dean / Program Chair

Approved for Admission by:

ANNIE LOU M. GONZALES

Chief, Admission Services
SUBMITTED REQUIREMENTS FOR QCU ENROLLMENT (to be filled by Admission Officer)
SC HC FRESHMAN SC HC TRANSFEREE 1. Original SF9 (Certified True Copy of Grade 11 & Original Grade 12) or
Form 138- High School Report Card or 1. Transcript of Records (For Evaluation Purposes)
Alternative Learning System Certificate if ALS passer

2. Original Certificate of Good Moral Character 2. Original Certificate of Transfer Credentials (CTC), Certificate of Good Moral Character and Honorable
Dismissal
3. PSA Birth Certificate (Attach Official Receipt) 3. PSA Birth Certificate (Attach Official Receipt) 4. Original – Recent Brgy. Certificate of Residency 4. Original –
Recent Brgy. Certificate of Residency 5. Two(2) 2x2 picture (White Background with Name Tag) 5. Two(2) 2x2 picture (White Background with Name Tag) 6. Senior
High School / High School / ALS Diploma 6. Latest Certificate of Employment (if currently employed) 7. Latest Certificate of Employment (if currently
employed) 7. Marriage Certificate ( for Female Married Student) 8. Marriage Certificate ( for Female Married Student) 8. Medical Clearance –
Issued by the University Physician 9. Medical Clearance – Issued by the University Physician 9. Long Brown Envelope with Plastic Envelope

10 . Long Brown Envelope with Plastic Envelope10. For Accreditation of Subjects: Subject Course Description and NSTP 2 Serial Number
*SC – Soft Copy **HC – Hard Copy