PERSONAL APPEARANCE OF THE APPLICANT IS REQUIRED WHEN APPLYING FOR THE PLV-CAT 202

WE DO NOT HAVE ONLINE APPLICATION PROCESS

GUIDELINES IN ACCOMPLISHING THE PLV-CAT APPLICATION FORM 2025

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 PERSONAL APPEARANCE OF THE APPLICANT IS REQUIRED WHEN APPLYING FOR THE PLV-CAT 2025
WE DO NOT HAVE ONLINE APPLICATION PROCESS
GUIDELINES IN ACCOMPLISHING THE PLV-CAT APPLICATION FORM 2025

ONCE THE PLV-CAT APPLICATION FORM 2025 HAS BEEN DOWNLOADED, OPEN AND FILL OUT THE FORM USIN
MS EXCEL APPLICATION. HANDWRITTEN APPLICATION FORM WILL NOT BE ACCEPTED.

PRINT THE PLV-CAT APPLICATION FORM 2025 IN A 8.5"X13" (LONG) BOND PAPER IN A BACK TO BACK PRINT
SET-UP. A PRINT OUTPUT OF FIT TO PAGE AND OR 100% IS NEEDED.

PASTE ONE (1) PASSPORT SIZE ID PICTURE ON THE DESIGNATED AREA USING GLUE. PLEASE DO NOT STAPLE
THE PICTURE.

VERIFY THE ACCURACY AND COMPLETENESS OF THE INFORMATION PROVIDED ON THE PLV-CAT APPLICATIO
FORM 2025.

TYPE IN YOUR NAME, SIGN THE FORM, AND NOTE THE DATE WHEN THE FORM HAS BEEN
PROCESSED/COMPLETED.

ARRANGE THE PLV-CAT APPLICATION FORM 2025 AND THE DOCUMENTARY REQUIREMENTS IN ORDER BASED
ON THE APPLICATION REQUIREMENTS POSTING.
 PERSONAL APPEARANCE OF THE APPLICANT IS REQUIRED WHEN APPLYING FOR THE PLV-CAT 2
WE DO NOT HAVE ONLINE APPLICATION PROCESS
GUIDELINES AND SPECIFICATIONS OF THE PASSPORT SIZE ID PICTURE

SAMPLE ACCEPTED PASSPORT SIZE PICTURE

 PERSONAL APPEARANCE OF THE APPLICANT IS REQUIRED WHEN APPLYING FOR THE PLV-CAT 2025
WE DO NOT HAVE ONLINE APPLICATION PROCESS
GUIDELINES AND SPECIFICATIONS OF THE PASSPORT SIZE ID PICTURE

THE PICTURE MUST BE LATEST AND TAKEN WITHIN THE LAST THREE (3) MONTHS PRIOR TO FILING OF THE
PLV-CAT APPLICATION 2025

THE PICTURE MUST BE IN PHILIPPINE PASSPORT SIZE (4.50 CM X 3.5 CM ; 1.38" X 1.78") AND NOT 2X2 OR 1X1.

THE PICTURE MUST BE COLORED, WITH WHITE BACKGROUND AND PRINTED IN QUALITY PHOTO PAPER.

WITH NAME TAG LEGIBLY SHOWING THE SIGNATURE OVER PRINTED FULL NAME OF THE APPLICANT IN THE
FORMAT: FIRST NAME, M.I., LAST NAME, AND EXTENSION NAME (IF ANY)

THE PICTURE MUST BE IN STANDARD CLOSE-UP SHOT (FROM SHOULDER LEVEL-UP) TAKEN IN FULL-VIEW
DIRECTLY FACING THE CAMERA, WITH NUETRAL FACIAL EXPRESSION AND SHOWING LEFT AND RIGHT EARS
AND EYES OPEN (WITH NO EYEGLASSES, COLORED CONTACT LENS, OR ANY ACCESSORIES THAT MAY COVE
THE FACIAL FEATURES (FACIAL FEATURES MUST NOT BE COMPUTER ENHANCED).

SAMPLE ACCEPTED PASSPORT SIZE PICTURE

Credits to CSC for the Image Reference.

 FOR PLV-CAT PROCESSOR USE ONLY

APPLICATION NUMBER

ROOM ASSIGNMENT

PLEASE READ THE INSTRUCTIONS: REVIEW THE PLV-CAT APPLICATION POLICIES & QUALIFICATIONS. IF YOU
ARE NOT QUALIFIED, PLEASE DO NOT APPLY. Fill out all the necessary information. If the item does not apply,
indicate "N/A" and do not leave it blank. Only fully completed form will be accepted. APPLICATION FORM AND TIME OF EXAMINATION
DOCUMENTARY REQUIREMENTS filed in support of this application will become the property of the PLV Office of
Admissions and will not be returned to the applicant if not accepted or decided not to pursue the application.

A. NAME OF THE APPLICANT (AS IT APPEARS ON THE BIRTH CERTIFICATE)

LAST NAME FIRST NAME EXTENSION NAME MIDDLE NAME

DATE OF BIRTH (MMM/DD/YYYY) PLACE OF BIRTH (CITY/MUN./PROVINCE) SEX AGE BLOOD TYPE

CITIZENSHIP CIVIL STATUS RELIGIOUS AFFILIATION BIRTH ORDER NO. OF SIBLINGS

C. APPLICANT'S ADDRESS & CONTACT INFORMATION

ADDRESS HOUSE/ROOM/FLOOR/BLDG./BLOCK/LOT/PHASE/STREET/SUBD. BARANGAY CITY/MUNICIPALITY DISTRICT ZIP CODE

CURRENT

PERMANENT

ACTIVE PERSONAL MOBILE NUMBER ACTIVE PERSONAL EMAIL ADDRESS PERSONAL FACEBOOK PROFILE LINK LANDLINE PHONE NUMBER

FIRST NAME MIDDLE NAME LAST NAME EXTENSION NAME AGE PHYSICAL EXISTENCE
BIOLOGICAL
FATHER

LEVEL OF EDUCATION CURRENT OCCUPATION AVERAGE MONTHLY INCOME ACTIVE CONTACT NUMBER

FIRST NAME MAIDEN MIDDLE NAME MAIDEN LAST NAME EXTENSION NAME AGE PHYSICAL EXISTENCE
BIOLOGICAL
MOTHER

LEVEL OF EDUCATION CURRENT OCCUPATION AVERAGE MONTHLY INCOME ACTIVE CONTACT NUMBER

APPLICANT'S LIVING STATUS TOTAL NO. OF HOUSEHOLD MEMBER/S

CURRENT MARITAL STATUS OF PARENTS TOTAL NO. OF HOUSEHOLD MEMBER/S EMPLOYED

HOME OWNERSHIP STATUS GROSS MONTHLY HOUSEHOLD INCOME

SOCIO-ECONOMIC STATUS TOTAL MONTHLY HOUSEHOLD EXPENSES

FIRST NAME MIDDLE NAME LAST NAME EXTN. NAME AGE SEX ACTIVE CONTACT NUMBER
GUARDIAN'S
DETAIL

RELATIONSHIP TO THE APPLICANT NO. OF YEARS OF GUARDIANSHIP CURRENT ADDRESS

E. APPLICANT'S EDUCATIONAL INFORMATION

APPLICANT'S PLV-CAT APPLICATION CLASSIFICATION

ARE YOU CURRENTLY STUDYING/ENROLLED? IF "YES" WHAT PROGRAM IS IT?

COMPLETE TITLE OF THE PROGRAM YOU ARE ENROLLED IN OR HAVE TAKEN

COMPLETE NAME OF THE SCHOOL YOU ARE ENROLLED IN OR HAVE ATTENDED

COMPLE ADDRESS OF THE SCHOOL YOU ARE ENROLLED IN OR HAVE ATTENDED

CLASSIFICATION OF THE SCHOOL YOU ARE ENROLLED IN OR HAVE ATTENDED

EXPECTED DATE OF GRADUATION OR PERIOD OF ATTENDANCE (MM/DD/YYYY OR AY TO AY)

ENROLLMENT HISTORY COMPLETE NAME OF THE SCHOOL COMPLETE ADDRESS OF THE SCHOOL PERIOD OF ATTENDANCE (AY TO AY)

COLLEGE LEVEL

VOCATIONAL

GRADE 12

GRADE 11

GRADE 10

GRADE 9

GRADE 8

GRADE 7

F. INTENDED COURSE OF STUDY (UNDERGRADUATE PROGRAM)

COURSE & MAJOR

PLEASE PROVIDE AN EXPLANATION WHY DO YOU CHOSE THIS COURSE & MAJOR

NAME OF THE APPLICANT SIGNATURE OF THE APPLICANT IN INK (BLUE INK) DATE ACCOMPLISHED
G. ORGANIZATIONAL AFFILIATION
NAME OF THE ORGANIZATION POSITION ON THE ORGANIZATION TYPE OF ORGANIZATION
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H. OTHER RELEVANT INFORMATION
DISABILITY
ARE YOU A PERSON WITH DISABILITY?
IF "YES", WHAT TYPE OF DISABILITY DO YOU HAVE?
PLEASE PROVIDE THE PWD ID NO. (IF APPLICABLE)
ILLNESS/MEDICAL CONDITION
DO YOU HAVE ANY ILLNESS/MEDICAL CONDITION?
IF "YES", PLEASE SPECIFY THE TYPE OF ILLNESS/MEDICAL CONDITION
INDIGENOUS GROUP
ARE YOU A MEMBER OF ANY INDIGENOUS GROUP?
IF "YES", PLEASE SPECIFY THE DETAILS
PANTAWID PAMILYANG PILIPINO PROGRAM
IS YOUR HOUSEHOLD/FAMILY A BENEFICIARY OF THE 4PS?
ARE YOU RELATED BY CONSANGUINITY/AFFINITY TO ANY PLV EMPLOYEE?
COMPLETE NAME OF THE PLV EMPLOYEE DEPARTMENT OF THE EMPLOYEE AT PLV RELATIONSHIP TO THE PLV EMPLOYEE
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2
3
4
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ARE YOU RELATED BY CONSANGUINITY/AFFINITY TO ANY CITY GOVERNMENT OF VALENZUELA (CGV) EMPLOYEE?
COMPLETE NAME OF THE CGV EMPLOYEE DEPARTMENT OF THE CGV EMPLOYEE RELATIONSHIP TO THE CGV EMPLOYEE
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2
3
4
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DO YOU HAVE ANY FAMILY MEMBER/S / RELATIVES WHO GRADUATED/STUDIED/CURRENTLY ENROLLED AT PLV?
FULL NAME COURSE & MAJOR PERIOD OF ATTENDANCE RELATIONSHIP TO THE APPLICANT
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2
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COURSES OFFERED (UNDERGRADUATE PROGRAM)
1 BACHELOR OF EARLY CHILDHOOD EDUCATION (BECED)
2 BACHELOR OF SECONDARY EDUCATION MAJOR IN ENGLISH (BSED ENGLISH)

3 BACHELOR OF SECONDARY EDUCATION MAJOR IN FILIPINO (BSED FILIPINO)

4 BACHELOR OF SECONDARY EDUCATION MAJOR IN MATHEMATICS (BSED MATHEMATICS)

5 BACHELOR OF SECONDARY EDUCATION MAJOR IN SCIENCE (BSED SCIENCE)

6 BACHELOR OF SECONDARY EDUCATION MAJOR IN SOCIAL STUDIES (BSED SOCIAL STUDIES)

7 BACHELOR OF SCIENCE IN CIVIL ENGINEERING (BSCE)

8 BACHELOR OF SCIENCE IN ELECTRICAL ENGINEERING (BSEE)

9 BACHELOR OF SCIENCE IN INFORMATION TECHNOLOGY (BSIT)

10 BACHELOR OF ARTS IN COMMUNICATION (BAC)

11 BACHELOR OF SCIENCE IN PSYCHOLOGY (BSPSY)
12 BACHELOR OF SCIENCE IN SOCIAL WORK (BSSW)
13 BACHELOR OF SCIENCE IN PUBLIC ADMINISTRATION (BSPA)
14 BACHELOR OF SCIENCE IN ACCOUNTANCY (BSA)
15 BACHELOR OF SCIENCE IN BUSINESS ADMINISTRATION MAJOR IN FINANCIAL MANAGEMENT (BSBA FM)
16 BACHELOR OF SCIENCE IN BUSINESS ADMINISTRATION MAJOR IN HUMAN RESOURCE DEVELOPMENT MANAGEMENT (BSBA HRDM)
17 BACHELOR OF SCIENCE IN BUSINESS ADMINISTRATION MAJOR IN MARKETING MANAGEMENT (BSBA MM)
DECLARATION AND DATA PRIVACY CONSENT

I DECLARE UNDER OATH THAT I PERSONALLY ACCOMPLISHED/COMPLETED THE PLV-CAT APPLICATION FORM AND I CERTIFY THAT THE INFORMATION GIVEN ARE TRUE, CORRECT,
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AND COMPLETE PURSUANT TO THE PLV ADMISSION POLICIES, AND QUALIFICATIONS.

2 I UNDERSTAND THAT THE ACCEPTANCE AND APPROVAL OF MY APPLICATION FOR THE PLV-CAT IS BASED ON THE INFORMATION I HAVE PROVIDED.

I UNDERSTAND THAT BY PROVIDING/GIVING FALSE INFORMATION CONTRARY TO WHAT IS DECLARED AND OR CONCEALMENT OF INFORMATION, PLV THROUGH THE PLV OFFICE OF
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ADMISSIONS RESERVES THAT RIGHT TO REVOKE/DISAPPROVE MY APPLICATION AND WILL MAKE ME INELIGIBLE TO APPLY FOR THE PLV-CAT.

I UNDERSTAND THAT BY APPLYING FOR THE PLV-CAT, I HAVE GIVEN MY PERMISSION TO PLV THROUGH THE PLV OFFICE OF ADMISSIONS TO COLLECT, USE AND PROCESS MY
4 INFORMATION SUCH AS PERSONAL, DEMOGRAPHIC, FAMILY, EDUCATIONAL, AND ETC. FOR RELEVANT PURPOSES BUT MAY NOT BE LIMITED TO PROFILING, STATISTICS, REPORTS,
AND ESPECIALLY AS BASIS FOR DATA-DRIVEN DECISIONS BY THE PAMANTASAN.

I ALSO UNDERSTAND THAT THE INFORMATION I HAVE PROVIDED WILL BE SUBMITTED TO THE COMMISSION ON HIGHER EDUCATION FOR BILLING PURPOSES RELATIVE TO THE PLV-
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CAT APPLICATION.

I AM AWARE THAT THE COPY OF THE PLV-CAT APPLICATION FORM, BIRTH CERTIFICATE, VOTER’S CERTIFICATION, AND EDUCATIONAL RECORDS (EITHER ORIGINAL, CERTIFIED TRUE
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COPY, AND REGULAR PHOTOCOPY) WILL NOT BE RETURNED TO ME (THE APPLICANT) IF I AM NOT ACCEPTED OR IF I HAVE DECIDED NOT TO PURSUE MY APPLICATION.

NAME OF THE APPLICANT SIGNATURE OF THE APPLICANT IN INK (BLUE INK) DATE ACCOMPLISHED