CAS Enrolment Form for SHIFTEES

Course Transfer Application Form
Self-Check
CONFIDENTIALITY CLAUSE
This form is designed to encode your personal data and student number for enrolment process. By voluntarily submitting this enrolment form, you are hereby allowing to collect, use, process, consolidate, store, and retain your data. The information obtained from this form will be recorded in a database accessed only by authorized persons and shall only be used for the enrolment process.
Student's Profile
Full Name
Student Number
For 2019 Student ID, add '0' at the end of your student number.
Contact Number
Please enter a valid phone number.Format: 0000-000-0000.
Email
Previous Program
Year Level
Desired Program
Reason for Shifting
Do you have internet connectivity (WiFi or mobile data) at home?
Do you have gadgets (smartphone, laptop, desktop or tablet) that can be used at home?
Name of the Parent/Guardian
First NameLast Name
Contact Number of Parent/Guardian
Please enter a valid phone number.Format: 0000-000-0000.
Should be Empty:

Course Transfer Application Form