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Application Form CKS

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Muhammad Alawi Dimakuta
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99 views2 pages

Application Form CKS

Uploaded by

Muhammad Alawi Dimakuta
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Chiang Kai Shek College APPLICATION FORM FOR UNDERGRAD

1. Print or type all information and attach one 2” by 2” photo.


2. Pay the entrance examination fee at the Cashier’s Office.
3. Secure your Entrance Examination Permit.

APPLICATION FOR
 Freshman  Transferee  Second Undergraduate Degree Student

SCHOOL YEAR AND SEMESTER APPLIED FOR


SY 2024 to 2025 ,  First Semester  Second Semester

NAME AND ADDRESS OF SCHOOL LAST ATTENDED


University of Santo Tomas
PERSONAL DATA
ENGLISH NAME
Dimakuta Muhammad Alawi Lucman
(Last Name) (First Name) (Middle Name)
CHINESE NAME AGE SEX
 Male
22  Female
Is the student a PWD? If Yes, which disability?
 Yes
____________________________
 No
HOME ADDRESS
Somerset Ave., Somerset Place, Brgy. Manggahan, Pasig City
EMAIL ADDRESS
[email protected]
TELEPHONE NUMBER MOBILE PHONE NUMBER
09171929680
DATE OF BIRTH PLACE OF BIRTH
April 7 2002 Quezon City
(month) (day) (year)
CITIZENSHIP RELIGION
Filipino Islam
CIVIL STATUS IF MARRIED, NAME OF WIFE/HUSBAND
Single

EDUCATIONAL BACKGROUND
SCHOOL YEAR/S
NAME OF SCHOOL ADDRESS ATTENDED
( to )
Elementary Fountain International School 14 Annapolis, San Juan, 1502 Metro Manila 2007 to 2014

High School Fountain International School 1 Goverment Center, Cor Col. Bonny Serrano Ave, San Juan, 1500 Metro Manila 2014 to 2020

Others

FAMILY BACKGROUND
FATHER MOTHER
Name Malik D. Dimakuta Princess Almerah D. Lucman
Citizenship Filipino Filipino
Home Address Iligan City Marawi City
Telephone Number
Occupation Government Employee Businesswoman
Employer BIR
Business Address
F22210-101
Rev. 0 (12/01/2023) Page 1 of 2
Chiang Kai Shek College APPLICATION FORM FOR UNDERGRAD

Telephone Number
Mobile Phone Number
Educational Attainment Juris Doctor Undergraduate Degree
Last School Attended San Sebastian College of Law Dansalan College
Is your father/mother an employee of CKS College?  Yes/ Indicate name:
 No

Is your father/mother an alumnus/ alumna of CKS  Yes/ Indicate name:


College?  No

Guardian’s Name (if not living with parents)

Guardian’s Mailing Address

Mobile Phone Number Telephone Number

BROTHERS AND SISTERS (Please list from eldest to youngest)

Civil Year Level


Name Age Sex Status School Course / Year
Graduated
Princess Omairah L. Dimakuta 20 F Single De La Salle University-Taft BSA 3rd Year
Abdel Malik L. Dimakuta 18 M Single Fountain International School ABM Grade 12/SHS
Princess Aaesha L. Dimakuta 13 F Single Fountain International School High School Grade 8
Hayrullah L. Dimakuta 9 M Single FAMILS Elem. Grade 4
Princess Raudah L. Dimakuta 7 F Single Elem. Grade 2
FAMILS
Is this your first time to apply at CKS  Yes
College?  No/ Date of Previous Application

Reason/s for Applying at CKS College


To pursue my goal of becoming a CPA
Honors/Awards/Distinction Received

Membership in School/Other Organizations

COURSE PREFERENCE (Indicate 1 for your first choice, 2 for second choice)
Bachelor of Science in Accountancy (BSA)
Bachelor of Science in Accounting Information System (BSAIS)
Bachelor of Science in Business Administration – Major in Management (BSBA-MG)
Bachelor of Science in Business Administration – Major in Marketing Management (BSBA-MK)
Bachelor of Science in Entrepreneurship (BS Entrep)
Bachelor of Science in Hospitality Management (BSHM)
Bachelor of Science in Computer Science (BSCS)
Bachelor of Science in Information Technology (BSIT)
Bachelor of Secondary Education (BSE) – Major in Chinese Literature
Bachelor of Secondary Education (BSE) – Major in Teaching Chinese Language

I certify that the information given herein is correct and complete.


Falsification or withholding of information on this form will automatically nullify my application.
I also understand that my admission to CKS College shall be contingent
upon my passing the Entrance Examination and entrance interview, and my submission of the
required documents.

Signature Date

F22210-101
Rev. 0 (12/01/2023) Page 2 of 2

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