ID picture
Quezon City Campus
APPLICATION FOR ADMISSION
Personal Information
Name
Last First Middle Chinese
Date of Birth Place of Birth Gender
Male Female
Permanent Address Zip Code
City Address Zip Code
Living Arrangement: with parents with relatives with guardian boarding house/dormitory/apartment
Landline Number Mobile Number Email Address Religion
Height Weight Age Civil Status Nationality
Entry Status For Foreign Applicants
Freshman Transferee Foreign SHS Resident Alien Non-Resident Alien
ACR No.
Educational Background
School Attended Address Year Graduated
Elementary
Secondary
SHS/additional
Honors/Awards Received:
Family Information
Father Mother Guardian
Name
Nationality
Home Address
Telephone Number
Occupation
Employer
Business Address
Telephone Number
Highest Educational
Attainment
Last School Attended
Civil Highest Educational School /
Sibling Name Age Occupation
Status Attainment Employer
AM-02-6, Rev06 (20200428)
Program Applied For (Please mark your first choice and your second choice.)
BS Accountancy
BS Accounting Information Systems
BS Business Administration Major in Human Resource Management
BS Business Administration Major in Marketing Management
BS Business Administration Major in Operations Management
BS Hospitality Management
BS Tourism Management
BS Information Technology
Bachelor of Early Childhood Education
Senior High School: Strands ABM STEM HUMMS
How did you learn about PCC?
Career Talk / Fair Posters / Tarpaulins PCC Student/s
Website / Internet Graduates / Alumni Newspapers
Flyers / Brochures Friends / Relatives Through my school
Others
Why did you choose PCC?
Location School Facilities Parents’ / Relatives’ / Friends’ Influence
Courses Offered Financial Others
I certify that all information contained in this application form and all supporting documents are true
and correct. I fully understand that withholding information or giving false information is sufficient
basis for a range of possible disciplinary actions, including admission revocation, expulsion or
revocation of course credit, grades and degree.
Signature of Applicant Signature of Parent/Guardian
( Do not write below this line. For PCC use only. )
Health Status
Medical Tests Result
Hepatitis Test
Chest X-ray
CBC
Urinalysis
General Condition of Health Common Health Complaints
Admission Requirements
Freshmen / SHS Transferees Foreign Students
Original Copy of NSO Birth Cert Cert of Honorable Dismissal Photocopy of ACR I-Card
Cert of Good Moral Character TOR Photocopy of Passport
SHS Report Card Cert of Good Moral Character Duly Authenticated TOR
4 copies 2x2 recent colored ID pic 4 copies 2x2 recent colored ID pic Student Visa
Medical Clearance Medical Clearance Study Permit
Fill-out Recommendation Form Fill-out Recommendation Form Valid Passport
4 copies 2x2 recent colored ID pic
Medical Clearance
AM-02-6, Rev06 (20200428)
