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Application Form for College

This document is an application form for college admission at Emilio Aguinaldo College Cavite, requiring personal, educational, and parental information. It includes a data privacy consent section and a list of requirements for both freshmen and transferees. Applicants must complete the form accurately and submit necessary documents as outlined.

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30 views

Application Form for College

This document is an application form for college admission at Emilio Aguinaldo College Cavite, requiring personal, educational, and parental information. It includes a data privacy consent section and a list of requirements for both freshmen and transferees. Applicants must complete the form accurately and submit necessary documents as outlined.

Uploaded by

sadiasakenly5
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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EMILIO AGUINALDO COLLEGE CAVITE

Gov. D. Mangubat Ave., Brgy. Burol Main, City of Dasmariñas, Cavite 4114, Philippines
Tel. Nos. (046) 416-4339/41 www.eac.edu.ph

APPLICATION FORM FOR COLLEGE


PERSONAL INFORMATION
LAST NAME: MIDDLE NAME:
FIRST NAME: LRN NO. Important Reminder:
CITIZENSHIP: CIVIL STATUS:
BIRTHDATE: BIRTHPLACE: 1. Accomplish the application form correctly
AGE: RELIGION: and completely. Please write in CAPITAL
CONTACT NUMBER: EMAIL ADD: LETTERS.
PERMANENT HOME ADDRESS:
2. Use Black or Blue Ballpen only.

EDUCATIONAL BACKGROUND

PRIMARY SCHOOL: ADDRESS: YR. GRADUATED:

JUNIOR HIGH SCHOOL: ADDRESS: YR. GRADUATED:

SENIOR HIGH SCHOOL: ADDRESS: YR. GRADUATED:

TERTIARY SCHOOL: ADDRESS: YR. GRADUATED:

PARENTS INFORMATION
FATHER’S NAME: MOTHER’S NAME:
PROFESSION: AGE: CITIZENSHIP: PROFESSION: AGE: CITIZENSHIP:

HOME ADDRESS: HOME ADDRESS:

EDUCATIONAL ATTAINMENT: EDUCATIONAL ATTAINMENT:


COMPANY NAME AND ADDRESS: COMPANY NAME AND ADDRESS:

CONTACT NUMBER: EMAIL ADDRESS: CONTACT NUMBER: EMAIL ADDRESS:

GUARDIAN’S INFORMATION (Fill this out if you are living with your guardian and not with your parents)
GUARDIAN’S NAME: RELATION:
HOME ADDRESS: CONTACT NUMBER: EMAIL ADDRESS:
PROFESSION: COMPANY ADDRESS:
CERTIFICATION
Do you have a PWD ID? Yes: ☐ No: ☐
If yes, please tick the category
☐Visually Impaired PWD ID no.: __________________ Released in________________
☐Hearing Impaired Expiry: ___________________
☐Orthopedically impaired
☐Other Physical Impairments (cleft palate, harelip which affects their speech)
☐Intellectual Disabilities, (please specify): _______________________
Note: Please attach a photocopy of the PWD ID)

I hereby attest that the aforementioned information is true and correct. Any false information I provide shall serve as a ground for the nullification of my
application for admission to Emilio Aguinaldo College.

Signature over Printed Name: _____________________________ Date: ___________________________

DEREGULATED

QF-SRA-001 (02.24.2025) Rev.05


EMILIO AGUINALDO COLLEGE CAVITE
Gov. D. Mangubat Ave., Brgy. Burol Main, City of Dasmariñas, Cavite 4114, Philippines
Tel. Nos. (046) 416-4339/41 www.eac.edu.ph

DATA PRIVACY CONSENT


(For Tertiary Learners)
I, the undersigned, hereby agree and consent to the Data Privacy Policy of Emilio Aguinaldo College
(EAC) in compliance with Republic Act No. 10173 or the Data Privacy Act of 2012 and give my consent
without need of notice, to EAC’s collection, recording, use, storage, consultation, updating, blocking,
erasure, destruction and processing of my personal data where a legitimate educational or institutional
interest exist in its purpose (e.g., participation in research and surveys, maintaining directories and
alumni records, sharing of grades between and among faculty members for academic deliberations,
evaluating learners’ homework, quizzes, examinations, presentations, investigating incidents,
communicating school announcements, participation in competitions and programs, etc.), set out in its
official forms provided in the implementation of its programs/ school services, compliance with the
regulatory and legal requirements and/or to any applicable laws and to EAC’s disclosure of any such
information to any or all the following: (i) its directors, officers, employees, consultants, advisers, agents
and authorized representatives, (ii) its parent, subsidiaries and affiliate companies, (iii) such other person
or entities EAC have engaged to pursue its legitimate interests as an educational institution (e.g., sharing
of personal data in research and survey studies, live-streaming of EAC events, advertising to promote
EAC, posting/publishing communications, photos & videos in EAC’s website and publication, social
media, mass media, bulletin boards, tarpaulins, brochures, newspaper, SMS text messaging, public
places etc.), and (iv) as permitted or required by law.
I hereby agree to hold EAC, its affiliates, directors, officers, employees, consultants, advisers, agents
and authorized representatives, free and harmless from any actions, damages and suits of whatever
kind and nature as a result of my confirmation, declaration and consent hereof.
In the event that an issue will arise in connection with the use, disclosure or processing of my personal
data, I hereby agree that said issue shall be settled amicably with EAC before resorting to the appropriate
or proper body, tribunal or court.
Further, I hereby agree to the collection, use processing, share, and disclosure of my personal data:
academic/medical/ health/ financial records, outreach activities, membership in organization, scholastic
performance/grades/ examination results, pictures/audio, and visual recording to the ff:
Please check: Parent/Guardian on record
Authorized Representative
Others (Pls. specify) _________________________________________
Conforme:
Printed Name of Learner: __________________________________________________
Signature of Learner: _____________________________________________________
Date: __________________________________________________________________

List of Requirements for College Freshmen List of Requirements for Transferee/ Second Course
1. Duly Accomplished Application Form (Original 1. Duly Accomplished Application Form (Original Copy)
Copy) 2. Certificate of Transfer Credential/Honorable Dismissal from the
2. Grade 12 Report Card/ Form 138 (Original Copy) previous school (Original Copy)
3. Certificate of Good Moral Character (Original 3. Copy of Grades or Transcript of Records (for Evaluation)
Copy) 4. Certificate of Good Moral Character (Original Copy)
4. PSA Birth Certificate (Photocopy) 5. PSA Birth Certificate (Photocopy)
5. Physical Exam Result (Photocopy) 6. PSA Marriage Certificate (for married female applicant)
6. College Entrance Exam (CET) Result (Original 7. Physical Exam Result
Copy)

DEREGULATED

QF-SRA-001 (02.24.2025) Rev.05

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