Pnu Application Form

Pnu Application Form

Philippine Normal University The National Center for Teacher Education OFFICE OF ADMISSION Manila 1” x 1” ID Picture APPLICATION FOR ADMISSION TEST PHILIPPINE NORMAL UNIVERSITY ADMISSION TEST (PNUAT) Name: _________________________________________________________________________________ Gender: ____________ Print: Last Name Given Name Middle Name

Address: ____________________________________________________________________________________________________ Contact No: _______________________________________________ E-mail Address: ____________________________________ Date of Birth: ______________________________________________ Place of Birth: _____________________________________ Age: _________ Citizenship: ____________________________ Religion: ______________________________________________ Name of Present School: _______________________________________________________________________________________ School Address: ______________________________________________________________________________________________ EDUCATION: School Attended Elementary: ____________________________________ High School: Other Courses: ____________________________________ ____________________________________ Inclusive Dates ___________________ ___________________ ___________________ Degree/Course Completed ____________________________ ____________________________ ____________________________ Honors/Awards Received: ______________________________________________________________________________________ Extra-Curricular Activities, Hobbies, Talents: _______________________________________________________________________ I hereby apply for permit to take the PNU Admission Test (PNUAT) on: __________________________________________ I certify that the information given on this form is true and correct.

It is understood that my final acceptance to the University will depend on the results of the University’s screening procedure. I understand that I have to pay a non-refundable examination fee of P350. 00, the receipt of which is to be attached to the application form. I attach a photocopy of my High School Card / Transcript of Records. ____________________________________ Signature over Printed Name of Applicant OR # _______________________________ Date of Application: ___________________ Name: _________________________________________________________________________________ Gender: ____________ Last Name Given Name Middle Name Preferred Academic Program: (Please indicate three choices by placing 1 to 3 on the blank, no. as the most preferred) __________ __________ __________ Bachelor of Early Childhood in Education (BECED) Bachelor of Elementary Education (BEED) Bachelor of Secondary Education (BSE) with specialization in – __________ Biology __________ __________ Chemistry __________ __________ English __________ __________ Filipino __________ __________ General Science __________ __________ History __________ __________ Home Economics __________ __________ Information Technology for Teachers __________ Mathematics Others (Allied Fields – with limited enrollment) __________ Bachelor of Library and Information Science __________ Bachelor of Science in Psychology __________ Bachelor of Science in Home Economics Technology __________ AB/BSE Literature Music Education Nutrition and Dietetics for Teachers Physical Education Physics Social Science Speech and Theater Arts Values Education