Application No. State University APPLICATION FOR ADMISSION Signature: (College) 2x2 ID Picture TO THE APPLICANT: Please fill out the application form correctly and completely. PRINT all your Answers using BLACK BALLPEN ONLY and attach all documentary requirements needed. ONLY COMPLETELY FILLED OUT APPLICATION FORMS WITH COMPLETE REQUIREMENTS WILL BE ACCEPTED.

1. NAME OF THE APPLICANT: (Place letter in each box. Leave on box blank between name) CAPITAL LETTER ONLY LAST NAME FIRST NAME MIDDLE NAME 2. HIGH SCHOOL: (Where you acquired your SHS-Grade 12) Grade 12 GWA: LRN: School Name (Do not abbreviate) School Address

FOR TRANSFEREE: School you enrolled in: General Weighted Average: Address: 3. PSU CAMPUS YOU INTEND TO STUDY AND YOUR PREFERRED COURSE. Please check or write the CAMPUS AND PREFERRED COURSE AND CODE. Kindly refer your course code at the back. CAMPUS PREFERRED COURSE CODE [ ] Main Campus 1st Choice: [ ] CCRD 2nd Choice: Please specify: ______3rd Choice: 4. BIRTH DATE dd/mm/year - - 5. Religion 6. Nationality 7. BIRTH PLACE: ______CITY/MUNICIPALITY PROVINCE 8. Phone No. 9. CIVIL STATUS [ ] Single [ ] Married [ ] Widower 10. Gender [ ] Male [ ] Female [ ] Others ______11. E-Mail Address 12. PERMANENT ADDRESS: ______STREET NO../PUROK BARANGAY CITY MUNICIPALITY PROVINCE PARENTS’ INFORMATION 14. Father’s Name: Mother’s Name: Phone/Mobile No. Phone/Mobile No. 15. PARENTS’ ADDRESS: ______NO./STREET ./PUROK/SUBDIVISION BARANGAY CITY MUNICIPALITY PROVINCE GUARDIAN’S INFORMATION 14. Name: Phone/Mobile No.

15. GUARDIAN’S ADDRESS: ______NO./STREET ./PUROK/SUBDIVISION BARANGAY CITY MUNICIPALITY PROVINCE

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PALAWAN STATE UNIVERSITY OFFICE OF THE STUDENT AFFAIRS AND SERVICES Puerto Princesa City 2x2 COLLEGE EXAMINATION PERMIT ID Picture NAME: Course Choice Date of Examination: 1st Room: 2nd Time: [ ] 8:00 AM [ ] 1:00 PM 3rd

NOTE: 1) Please come 15 minutes before your scheduled time and bring the following on EXAMINATION DAY: (a) this permit, (b) School ID and, (c) PENCIL No. 2 2) LATE EXAMINEES will not be allowed to take the TEST. 3) Present this permit to claim your TEST RESULT.

PSU-OSA-031

ADMISSION REQUIREMENTS Incoming College Freshman Transfer Student Foreign Student 1) Fully accomplished application form 1) Fully accomplished application form 1) Fully accomplished application form 2) Two recent 2x2 & 1x1 ID Picture. 2) Two recent 2x2 & 1x1 ID Picture. 2) Two recent 2x2 & 1x1 ID Picture. 3) Photocopy of Gr 12 Report Card (1st and 2nd 3) Photocopy of Transcript of Records/ 3) Scholastic Records/Transcript of Records & Semester) with GWA of 85 or higher Certification of Grades and Honorable Birth Certificate duly authenticated by Philippine Foreign Service Post (PFSP) (professional program) and 80 above (non- Dismissal from previous school. 4) 4. Photocopy of passport bio-page, PHS, board program) and 78 or better (technical 4) Must have a GWA of at least 2.25 ACR-I Card and Student Visa (if available) course). (professional program) and 2.5 (non- 5) Must have no grade below C+ in all subjects 4) Must have no grade below 85 in Math and board). 6) Police Clearance from country of origin. science subjects if applicant in Engineering 5) Certificate of Good Moral Character from 7) Certificate of Good Moral Character from and Science courses previous school previous school 5) Certificate of Good Moral Character from 6) Clear photocopy of PSA Birth Certificate 8) Photocopy of Bureau of Quarantine Medical previous school Certificate 6) Clear photocopy of PSA Birth Certificate 9) English proficiency test if native language or medium of instruction is not English. 10) Official Receipt of $16/P800 Exam Fee from university cashier’s office

CURRICULAR PROGRAMS Course Code Course Code Bachelor of Arts in Political Science 01-a Bachelor of Science in Medical Biology 12-a Bachelor of Arts in Philippine Studies 01-b Bachelor of Science in Conservation Biology 12-b Bachelor of Arts in Communication 02 Bachelor of Science in Computer Science 13-a Bachelor of Science in Psychology 03 Bachelor of Science in Information Technology 13-b Bachelor of Science in Social Work 04 Bachelor of Science in Environmental Science 14 Bachelor of Elementary Education 05 Bachelor of Science in Agriculture 15 Bachelor of Secondary Education major in English 06-a Bachelor of Science in Petroleum Engineering 16 Bachelor of Secondary Education major in Math 06-b Bachelor of Science in Civil Engineering 17 Bachelor of Secondary Education major in Science 06-c Bachelor of Science in Electrical Engineering 18 Bachelor of Secondary Education major in Filipino 06-d Bachelor of Science in Mechanical Engineering 19 Bachelor of Secondary Education major in Soc. Science 06-e Bachelor of Science in Architecture 20 Bachelor of Secondary Education major in MAPEH 06-f Civil Engineering Technology (Cuyo campus only) 21-a Bachelor of Secondary Education major in TLE 06-g Electrical Engineering Technology (Roxas, , Brooke’s) 21-b Bachelor of Secondary Education major in Values Education 06-h Mechanical Engineering Technology (Bataraza, Broke’s Point) 21-c BSBA major in Human Resource Management 07-a Bachelor of Science in Nursing 22 BSBA major in Business Economics 07-b Diploma in Midwifery 23 BSBA major in Financial Management 07-c Bachelor of Science in Criminology 25 BSBA major in Marketing Management 07-d Bachelor of Science in Fisheries (Cuyo, ) 26 Bachelor of Science in Accountancy/BSBA Mgt. Acct 08 Bachelor of Science in Forestry (Cuyo Campus only) 27 Bachelor of Science in Entrepreneurship 09 Bachelor of Technical Teacher Education (Cuyo Campus only) 28 Bachelor of Science in Public Administration 10 Bachelor in Industrial Technology (Cuyo Campus only) 29 Bachelor of Science in Hospitality Management 11-a Bachelor of Science in Tourism Management 11-b

EXTERNAL CAMPUSES SOUTH CAMPUSES NORTH CAMPUSES CURRICULAR PROGRAM CURRICULAR PROGRAM Araceli Narra Balabac - 09, 15 Araceli – 07, 09, 21-b Balabac Quezon Bataraza – 05, 07-d, 09, 13-b, 15, 21-b, 21-c Coron - 25, 07-c, 7-d, 11-a, 11-b Bataraza Rizal Brooke’s Point - 05, 06, 07-a, 07-c, 07-d, 09, 11- Cuyo-01-a, 01-b, 05, 06, 07-a, 07-c, 09, 11-a, 11- Brooke’s Point Roxas a, 13-b 15, 21-b, 21-c, 25 b, 21-b, 21-c, 25, 28, 29 Coron San Rafael S. Española - 05, 07-c, 09, 15 - 05, 09, 15 Cuyo San Vicente Narra - 01-a, 05, 07, 09, 11-a, 11-b, 13-a, 15, 21- El Nido - 09, 11-a, 11-b, 13-b, Dumaran S. Española b, 21-c, 25 Linapacan - 11-b, 26 El Nido Taytay Quezon- 05, 06-e, 06-g, 07-d, 09, 11- a, 11-b, 13- Roxas - 05, 06, 07, 11-a, 13-a, 21-b, 25 Linapacan b, 15, 21- b, 21-c, San Rafael - 05, 09, 11-a, 15 Rizal - 05, 09, 12, 13-a, 15, 21-b San Vicente - 01-a, 09, 11-b, 13-a, 14

Vision Mission The Palawan State University is committed to upgrade the quality of A premier State University life of the people by providing higher education opportunities through in Southeast Asia that provides excellent and relevant higher excellent instruction, research, extension, production services and education for sustainable development. transnational collaborations and innovations.

OFFICE OF STUDENT AFFAIRS & SERVICES New OSAS Building, Administrative Annex, Tiniguiban Puerto Princesa City, Palawan 5300, Philippines Tel No. 048-434-3625 Email Add: [email protected] Website: www.psu.palawan.edu.ph