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STUDENT'S PERSONAL INFORMATION

Note: Field with * is required.

Undergraduate
First Name*
Middle Name*
Last Name*
Extension Name
Date of Birth*
Civil Status*
Gender*
Citizenship*
Place of Birth*
Religion*
Current Address*
Home Address*
Contact Number*
E-mail Address
STUDENT'S FAMILY RELATED INFORMATION
Father's Name*Occupation*
Educ. Attainment* Estimated Annual Income*
Mother's Name*Occupation*
Educ. Attainment* Estimated Annual Income*
Parent's / Guardian's Contact No.*Estimated Family Annual Income*
Guardian(If other than parent)Relationship
Address
Home Address
City/Municipality* Province*
Zip Code*Country*

Parent(s), Sister(s), Brother(s) who is/are Alumni in CarSU
NameProgramYear Graduated

Parent(s), Sister(s), Brother(s) who is/are currently enrolled in CarSU
NameCourseYear Graduated
What course would you like to enroll?
1st Priority:*
2nd Priority:*
3rd Priority:*
4th Priority
5th Priority
Preferred Campus:  
Are you an Education Service Contracting Grantee(ESC)?: 
Are you a Qualified Voucher Recipient(QVR)?: 

Desired Programs to take/enrol in CSU: (Note: Number the box from 1 to 7 in rank according to your priority)

Track:ACADEMICTECH. VOC.SPORTS
Strand:



STUDENT'S OTHER SCHOLASTIC INFORMATION
Which school are you from?*
Inclusive Years:*
Your Elementary School*
SY Graduated:*
Your Secondary School*
SY Graduated:*
Award(s) Received:*
Grade Point Ave:*
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