Central Mindanao Colleges
Enrollment Pre-Registration

all fields with * are required.

ACADEMIC INFORMATION

Type: *

DEPARTMENT: *

PROGRAM: *

LAST SCHOOL ATTENDED: *

NAME OF SCHOOL: *

COMPLETE ADDRESS OF SCHOOLS: * (INCLUDE BARANGAY, CITY, PROVINCE, COUNTRY AND POSTAL CODE)

SCHOOL TYPE: *

BASIC INFORMATION

LAST NAME: *

FIRST NAME: *

MIDDLE NAME: *

EXTENSION NAME: *

SEX: *

BIRTH DATE: *

CIVIL STATUS: *

RELIGION: *

TRIBE: *

CITIZENSHIP: *

DEPED LRN: *

SELECT VOUCHER TYPE: *

CONTACT DETAILS

CONTACT NUMBER: * (for e.g. 639xxxxxxxxx)

EMAIL ADDRESS: *

PLACE OF BIRTH

RM./FLR./UNIT NO. & BLDG. NAME, HOUSE/LOT & BLK. NO., STREET NAME, SUBDIVISION, BARANGAY/DISTRICT/LOCALITY: *

PROVINCE: *

MUNICIPALITY/TOWN: *

CURRENT ADDRESS/MAILING ADDRESS

Is current address same with the permanent address?

RM./FLR./UNIT NO. & BLDG. NAME, HOUSE/LOT & BLK. NO., STREET NAME, SUBDIVISION, BARANGAY/DISTRICT/LOCALITY: *

PROVINCE: *

MUNICIPALITY/TOWN: *

PERMANENT ADDRESS

RM./FLR./UNIT NO. & BLDG. NAME, HOUSE/LOT & BLK. NO., STREET NAME, SUBDIVISION, BARANGAY/DISTRICT/LOCALITY: *

PROVINCE: *

MUNICIPALITY/TOWN: *

FATHER'S INFORMATION

FATHER'S FULL NAME:

FATHER'S OCCUPATION:

FATHER'S CONTACT NUMBER: (for e.g. 639xxxxxxxxx)

MOTHER'S INFORMATION

MOTHER'S FULL NAME:

MOTHER'S OCCUPATION:

MOTHER'S CONTACT NUMBER: (for e.g. 639xxxxxxxxx)

GUARDIAN'S INFORMATION

Not Applicable

GUARDIAN'S FULL NAME:

GUARDIAN'S OCCUPATION:

GUARDIAN'S CONTACT NUMBER: (for e.g. 639xxxxxxxxx)

RELATION TO GUARDIAN:

DOCUMENTS

TRANSCRIPT OF RECORD:

FORM 137:

PSA LIVE BIRTH CERTIFICATE:

Data Privacy Consent

The Student Information System (SIS) of the Central Mindanao Colleges will collect, store, and process your Personal Information such as but not limited to, full name, birth date, address, parent’s information, tribe, and religion. The school will disclose your Personal Information upon the request of the Department of Education, Commission on Higher Education, and other government agencies which may require the school to provide such as the court of law in aid for any judicial proceedings, if applicable. Do you allow the school to collect, store, and process your data?

I certify that I have read and understood all the instructions and questions set forth in this application form; the answers I have furnished on this form are true and correct to the best of my knowledge and belief. I understand that any false or misleading information and/or statement may result in the refusal of admission into the school. I also authorize the Central Mindanao College-Senior to verify/validate the contents stated herein. *

Central Mindanao Colleges
Enrollment Pre-Registration

Your information was succesfully submitted. We will send text message to the number you've registered once enrollment is verified.

Please see your respective Program Heads for evaluation. Please bring your Official Transcript of Record (OTR) and other pertinent documents.

Please bring and submit the following requirements to the respective Records Office upon coming to CMC:

SENIOR HIGH SCHOOL

For Incoming Grade 11 and Transferees

Photocopy of PSA Certified Birth Certificate (NSO Before)
Original copy of Grade 10 Report Card Form 138A (with Learners Reference Number (LRN) if Public Junior High School Student
Photocopy of Grade 10 Report Card Form 138A
Photocopy of Junior High School Completion
Original Copy of Certificate of Good Moral Character
System Generated ESC Certification Letter from Junior High School Principal with School ID and Student ID number (ESC Grantees Only) if Private Junior High School Student
QVR Certificate (Qualified Voucher Applicants Only)
4 pcs. 1x1 ID Picture – colored
2 long size brown folder
2 long size brown envelop
Photocopy of NCAE Result

For Incoming Grade 12 Students

Original Copy of Report Card (Form 138A)
School ID
Handbook

COLLEGE

Freshmen

Long Brown Envelope
FOUR copies of 2 x 2 colored I.D. pictures with white background
Original Copy of PSA Birth Certificate
Original Copy of Certificate of Good Moral Character
Original Copy of Report Card (Form 138A)

Transferees

Long Brown Envelope
FOUR copies of 2 x 2 colored I.D. pictures with white background
Original Copy of PSA Birth Certificate
Original Copy of Certificate of Good Moral Character
Original Copy of Honorable Dismissal / Transfer Credentials

GRADUATE SCHOOL

Freshmen

Long Brown Envelope
FOUR copies of 2 x 2 colored I.D. pictures with white background
Original Copy of PSA Birth Certificate
Original Copy of Certificate of Good Moral Character
Original Copy of Report Card (Form 138A)

Transferees

Long Brown Envelope
FOUR copies of 2 x 2 colored I.D. pictures with white background
Original Copy of PSA Birth Certificate
Original Copy of Certificate of Good Moral Character
Original Copy of Honorable Dismissal / Transfer Credentials

Central Mindanao Colleges Enrollment Pre-Registration

all fields with * are required.

ACADEMIC INFORMATION

BASIC INFORMATION

CONTACT DETAILS

PLACE OF BIRTH

CURRENT ADDRESS/MAILING ADDRESS

PERMANENT ADDRESS

FATHER'S INFORMATION

MOTHER'S INFORMATION

GUARDIAN'S INFORMATION

DOCUMENTS

Central Mindanao Colleges Enrollment Pre-Registration

Your information was succesfully submitted. We will send text message to the number you've registered once enrollment is verified.

SENIOR HIGH SCHOOL

COLLEGE

GRADUATE SCHOOL

Central Mindanao Colleges
Enrollment Pre-Registration

Central Mindanao Colleges
Enrollment Pre-Registration