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This application is only effective for -

Instruction:
(1) Fill-out this application.  (2) Get the Application Number.  (3) Make an appointment for Exam.  (4) Go to your appointment date. 

 Appointment Guide
Use your application number as username and date of birth (YYYY-MM-DD) as password to Sign In at Online Appointment page.
(Example: Username: 2021-00001 | Password: 2009-01-29).
Note: If schedule is not yet available, please try visiting the online appointment page later.
Please double check your application before saving!
STUDENT'S PERSONAL INFORMATION

Note: Field with * is required.
Undergraduate Application
First Name*
Middle Name*
Last Name*
Extension Name
Date of Birth* - -
Civil Status*
Sex*
Gender*
(If straight, choose "Cisgender")
Citizenship*
Place of Birth*
Religion*
Tribe*
Current Address*
Please click Get Address button to select your address.
Home Address*
Please click Get Address button to select your address.
Contact Number*
E-mail Address
Are you a person with Disability?*Yes  No
Are you a 4P'S Beneficiary?*Yes  No
Are you a Solo Parent?*Yes  No
If solo parent, please fill out below:
  No. of living children: Are you living with your parents?* Yes  No
Circumstances of being a solo parent:
1. A woman who gives birth as a result of rape and other crimes against chastity even without a final conviction of the offender, provided that mother keeps and raises the child
2. Due to death of spouse.
3. Spouse is detained or is serving sentence for a criminal conviction for at least one (1) year.
4. Physical and/or mental incapacity of spouse as certified by a public medical practitioner.
5. Legal separation or de facto separation from spouse for at least one (1) year, as long as he/she is entrusted with the custody of the children.
6. Declaration of nullity or annulment of marriage as decreed by a court or by a church as long as he/she is entrusted with the custody of the children.
7. Unmarried mother/father who has preferred to keep and rear her/his child/children instead of having others care for them or give them up to a welfare institution.
8. Any other person who solely provides parental care and support to a child or children.
9. Any family member who assumes the responsibility of head of family as a result of the death, abandonment, disappearance or prolonged absence of the parents or solo parent.
Do you have other Baccalaureate degree?*Yes  No
Other Baccalaureate degree details:
Name of the Baccalaureate degree last taken:*
School where the degree was taken:*
Address of the school where the degree was taken:*
Inclusive Years:*
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(Required for School ID)*Relationship *
Address
Home Address
City/Municipality* Province*
Zip Code*Country*

  • Click For College Level
  • Click For Senior High Level
What course would you like to enroll?
1st Priority:*
 2nd Priority:*
 3rd Priority:*
4th Priority
 5th Priority

Note:
     Courses with (CSU) are offered at Caraga State University - Main Campus
     Courses with (CSUCC) are offered at Caraga State University - Cabadbaran Campus
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.
Strand:
LRN No.
Indigenous People Group (If available)
Philippine Educational Placement Test (PEPT) for JHS Certificate No. Month/SY Graduated
Accreditation and Equivalency (A&E) Test for JHS Certificate No. Month/SY Graduated
Philippine Validation Test (PVT) for JHS Certificate No. Month/SY Graduated
Name of Community Learning Center
Address of Community Learning Center

STUDENT'S OTHER SCHOLASTIC INFORMATION
Which school are you from?*
 Inclusive Years:*
Your Elementary School*
 Grade Point Average
 Awards
 SY Graduated:*
Your Secondary School*
 Grade Point Ave:*
 Award(s) Received:*
 SY Graduated:*
For College Admission Only
(Your Senior High School Track)*
CONSENT FORM (Please check the box if you agree to collect your data)

      DATA PRIVACY NOTICE. This online application for admission, in line with the Data Privacy Act of 2012, is committed to protecting and securing personal information obtained in the process of performance of its mandate. The personal and other information you provided manually herein will be processed and utilized solely for verification and identification purposes only. Collected personal information will be kept/stored and accessed only by the university and will not be shared with any outside parties unless written consent is secured. By affirming this, I agree to answer the following needed information with utmost willingness to take part in this online application for admission.

Please double check your application before saving!

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