(Application for Enrollment) SOUTHERN MINDANAO COLLEGES

Pagadian City
REGISTRATION NO___________________
E-mail Address:________________________
Summer 2024 __________________ Course: MAED YR:_I_ Major: Educ’l Mgt.
ID NUMBER New______ OLD___________________
Returnee________Transferee_________

______________________________________________________________________________________________
Last Name First Name Middle Name Gender Civil Status Age Date Enrolled
______________________________________________________________________________________________________________
Date of Birth Birth Place Religion Citizenship Contact No.
Father _________________________________________________________________________________________________
Last Name First Name Middle Name Occupation Contact No.

Mother: _____________________________________________________________________________________________________
Last Name First Name Middle Name Occupation Contact No.
Home Address _________________________________________________
Guardian ________________________________________________________________________________________________________
City Address Occupation Contact No.
Primary Grades Completed_______N/A________________________Address______N/A_______ _________Year ______N/A_____
Elementary Grades Completed _______________________ Address _____________________ Year ______________
High School Completed _________________________________Address_ _____________________ Year _____________
School Last Attended _________________ Address _______________________________ Year _________
SECT’N CODE SUBJECT TIME DAY ROOM UNITS GRADES REMARKS
_______________ _______________ __________ ________ ____________ _________ _____________ __________________
_______________ _Educ 216______ _7:00-1:00__ _SAT___ ____________ ____3____ _____________ __________________
_______________ _Educ 200______ _1:00-7:00__ __SAT__ ____________ ____3___ _____________ ___________________
_______________ __Educ 242_____ _7:00-7:00__ __SUN__ ____________ ____3__ _____________ ____________________
Total: _______
Part Time (P)_____ Full Time (F) ______ New (1)_____ Graduating (2) ____ None(9)_____

____________________ VICTOR M. ASUELO JEREMIAS T. GAVENIA, Ed.D ____________________________

Dean DSA Registrar Signature of Student

……………………………………………………………………………………………………………………….............................................…

ENROLMENT PROCEDURE
Step 1: Registrar: a) Issuance of application for Enrolment, Prospectus, ID Number and Evaluation of subjects (regular &
transferee b) Submission of Credentials
A) Freshmen B) Transferee
1. Form 138-A (High School Card) 1. Certificate of Honorable Dismissal
2. Certificate of Good Moral Character 2. Informative Copy of Transcript of Record
3. NCAE 3. Certificate of Good Moral Character
4. Birth Certificate (SECPA) 4. Birth Certificate (SECPA)
If the student can’t submit the required credentials, he/she is advised to see the Asst. Registrar and sign a waiver for temporary enrolment.
C) Valedictorian and Salutatorian submit two (2) copies of certification from the High School Principal.
Step 2: Accounting: Payment for Entrance Fee of P600.00
Step 3: ROTC/CWTS: First Floor Lobby
Step 4: Get your schedule of Subjects from the following Enrollment Centers and have the sane approved by the Dean.
Course Room No. Course Room No.
Ed.D/MAED/MPA/MBA GSO BSBA/BSHRM 206
BSCE/BSGE/BSEE/BSECE/BSCpE 204 BSCriminology 209
BEED/BSED 205 BSCS/BSIT/BSIS/ACT 208
AB/BSSW 202 BSOA/AOA/GCC 206
Step 5: Dean of Student Affairs-issuance/validation of ID Card
Step 6: Registrar – Review and Approval of study load
Step 7: College Dean/Head for Issuance of Print Out
Step 8: Registrar-Print out validation
Step 9: Accounting-Issuance of Statement of Accounts
Step 10: Report to your respective classes. Keep your receipt for future reference.
Note: a.) Request for change of subjects will be entertained by the Registrar three days after the start of classes with a fee
of P50.00 per subject (except for dissolved subjects)
b.) No request for change and additional subjects will be entertained after the close of enrolment.
c.) Close of Enrollment is 1 week after the start of classes.

F Abe’16….