
CEGUERA TECHNOLOGICAL COLLEGES Iriga City
PRE-ENROLLMENT FORM (transferee student) Semester: 2nd Semester Academic Year:2023-2024
Note: Fill out this form if you wish to enroll at CEGUERA TECHNOLOGICAL COLLEGES Write N/A if not applicable.
Academic Program
Curricular Program:	Year Level:	Status of Schooling:
Program Major:	Note: Additional Study is for any individual who have already finished or graduated from other programs but is still inclined to take another program at Ceguera Technological Colleges (i.e. Methods of Teaching)

Personal Information
Lastname:	Place of Birth:	Citizenship:
Firstname:	Cellular Number:	Email Address:
Middlename:	Height:	Weight:
Gender:	Mailing Address
Civil Status	Number/Street	Barangay:
Occupation:	Municipality/City:	District:
Date of Birth:	Province:	Region:
Age:	Zip Code:
Telephone Number:
Religion:

Educational Information
School		Program/Track	Year Graduated
Elementary:
Junior High School:
Senior High School:
Vocational:
College (if Transferee):
Parent Information
Father's Information		Mother's Information
Lastname:		Lastname:
Firstname:		Firstname:
Middlename:		Middlename:
Birthday:		Birthday:
Occupation:		Occupation:
Monthly Income:		Monthly Income:
Contact Number:		Contact Number:
Address:		Address:
Guardian's Information
Same as :
Lastname:		Occupation:
Firstname:		Monthly Income:
Middlename:		Contact Number:
Birthday:		Address:

Additional Information
Family members living at home:	No. of family members gaining income:	Montly Income per family members:
Contact Person
Whom to contact in case of emergency:
Same as :
Name:	Address:
Contact Number:
Statement on the Confirmation of Enrollment
Official enrollment will be determined upon submission of entrance requirements and validation of the Registrar and payment has been made.

Select Appointment Date
On-Site Schedule of Payment (Please select the payment date you want.)
Appointment date:
Enrollment Agreement
I hereby allow Ceguera Technological Colleges to use my aforementioned details and other information I provided, which may be used for processing of my enrollment application for academic opportunities and other purposed it may served.
Data Privacy Statement: Your information given is safe with us, we will not share it with anyone. Your information will be used as reference when we reached out to you regarding your enrollment in one of the programs CTC offer for your advantage. Thank you.