Online Admission Data Entry (Add/Edit/Delete)

Rizal Technological University

Online Admission Data Entry

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Personal Data:

Applicant Number:

Applicant Number.

LRN: *

Classify applicant's LRN.

Surname: *

Mandatory field.

First Name: *

Mandatory field.

Middle Name: * place . (period) if middle name is not available

Mandatory field.

Nickname: *

Mandatory field.

Sex: *

Male Female

Mandatory field.

Nationality: *

Classify applicant's Nationality from available list.

Religion:

Classify applicant's religion from available list.

Date of Birth: *

Indicate date of birth to display. Mandatory field.

Place of Birth (Province): *

Indicate Province of Place of Birth.

Place of Birth (Town): *

Indicate Town for Place of Birth .

Place of Birth (Barrio): *

Indicate Barrio for Place of Birth.

Birth Order: *

Indicate your Birth Order.

Number of Siblings: *

Indicate your hobbies / interest.

Hobbies / Interest: *

Indicate your hobbies / interest.

Talents: *

Indicate your talents.

Home Address Region: *

Classify as to religion from available list. Mandatory field.

Civil Status: *

Classify applicant's civil status from available list.

Monthly Family Income: *

Indicate average/estimated monthly income of household members.

Are you a PWD?

Yes No

If Yes, Please Specify:

Indicate Specific Disability.

Are you a member of an Indigenous Group?

Yes No

If Yes, Please Specify:

How many people live in your household? *

Are you the first person in your family to go to college? *

Do you have any siblings who are also studying?*

Yes No

If Yes, Please Specify:

Contact Information:

Present Address*:

Enter your Local Address by indicating Philippine Region, Province, Municipality, ZIP/Postal Code, Barangay, Street and House/Unit Number

Permanent address is the same as present address

Check if your present and permanent address are the same

Permanent Address*:

Home Phone No.: *

(Area Code) Phone No.

Mobile Phone No.: *

(Area Code) Mobile Phone No.

E-mail address: *

Upload Picture File: *

Uploading of the 2x2 with Name and Signature Blue background in jpg/jpeg format.

Family Background

Father's Name: *

Father's Last Name

Father's First Name

Father's Middle Name

Father's Date of Birth

Father's Highest Education Attainment

Father's Occupation

Father's Estimated Montly Income

Father's Contact Number

Mother's Name: *

Mother's Last Name

Mother's First Name

Mother's Middle Name

Mother's Date of Birth

Mother's Highest Education Attainment

Mother's Occupation

Mother's Estimated Montly Income

Mother's Contact Number

STATUS OF PARENTS:*

Educational Background

FROM

EDUCATION TYPE

COURSE/PROGRAM/STRAND

NAME OF SCHOOL

In case of emergency

Guardian /
Contact Person: *

In case of emergency. Mandatory field.

Relationship:

Relationship with the contact person given.

Contact No: *

Home phone number of contact person. Mandatory field.

Address:

Address of contact person given.

Application Information:

Entry Classification: *

Mandatory field

Year Level: *

Year level of the student.

Semester: *

School term of enrollment.

School Year:

2025

Application Date:

If date is other than today

Campus: *

Classify applicant's chosen Campus.

Senior High School Strand: *

SHS Course Program Graduated

Course Program Choice : *

Main Priority Course Program

2nd Choice: *

2nd Priority Course Program

3rd Choice: *

3rd Priority Course Program

Exam Schedule: *

Indicate preferred schedule of exam.

Current Schedule:

Current Schedule of the Student

	QUESTIONS	ANSWERS
	What is your primary source of financial support for your education?
	What type of housing does your family live in?
	Does your house have access to the following?
	1. Electricity
	2. Clean drinking water
	3. Proper sanitation
	Do you have access to the following learning resources for your studies?
	1. A personal study space at home
	2. A stable internet connection
	3. A gadget (laptop, tablet, and/or smartphone) for schoolwork
	Is your present college program your personal choice?
	If NO, please explain your answer.
	A. Who influenced you?
	B. How do you feel about the course not being your first choice?
	C. What is your personal choice?
	Why did you choose to enroll in RTU?
	What other school do you consider?

Determine what action to take for this application.

* All indicated with (*) are mandatory or required fields.

Telephone (+632) 634-1529, 634-1958