CALAMBA DOCTORS’ COLLEGE
ADMISSION FORM
BASIC EDUCATION DEPARTMENT
LEVEL APPLIED: ___________________
STRAND (For Senior High School): _________________________
PERSONAL INFORMATION
LAST NAME: ___________________
FIRST NAME: ________________
CIVIL STATUS: __________________
MIDDLE NAME: ______________
GENDER: ___________________
DATE OF BIRTH: ________________
ADDRESS: ____________________________________________________________________________________
CONTACT NUMBER: _____________________
E-MAIL: __________________________
NAME OF PARENT/GUARDIAN: ________________________
CONTACT NUMBER: ________________
MEDICAL INFORMATION
Have you been hospitalized? If YES, what illness? ____________________________________________________
Have you been gravely injured? If YES, what injury? __________________________________________________
Do you have a known disability? If YES, what disability? _______________________________________________
EDUCATIONAL INFORMATION
SCHOOL LAST ATTENDED: _________________________
YEAR: _______________
ACADEMIC HONOR(S) OBTAINED: _____________________________________________
Have you ever been dismissed from any school or have been denied admission?
If YES, what school? ________________________________________________________
ADMISSION REQUIREMENTS
For Kinder and Elementary (Kinder-Grade 6):
3pcs. 2 x 2 ID pictures (formal, white background)
PSA Authenticated Birth Certificate
Long brown envelope/ Long white folder
Report Card
3pcs. 2 x 2 ID pictures (formal, white background)
For Senior High School (Grade 11 & 12)
Long brown envelope/ Long white folder
Form 138 A Report Card with LRN (original)
Form 137 or Permanent Record 'Copy for Calamba Doctors' College'
For Junior High School (Grade 7-Grade10):
Diploma or Certificate of Completion (photocopy)
PSA Authenticated Birth Certificate (present the original) & 1 photocopy
PSA Birth Certificate (photocopy)
Grade 6 Report Card (original)
3pcs. 2 x 2 ID pictures (formal, white background)
Form 137 or Permanent Record 'Copy for Calamba Doctors' College'
Certificate of Good Moral Character w/ school dry seal (original)
Certificate of Good Moral Character w/ school dry seal (original)
Long brown envelope/ Long white folder
Diploma or Certificate of Completion (photocopy)
PROMISSORY NOTE FOR ADMISSION REQUIREMENTS
To the Admissions Officer:
I understand that my enrolment status at Calamba Doctors’ College is on a Provisional Status due to lack of admission
requirements. I promise to submit the required documents on _______________. Failure on my part to submit the
correct/complete documents will forfeit my right to enroll.
Parent/Student Name/Signature/Date: __________________________________
RESERVATION INFORMATION/FINANCIAL ASSISTANCE
PROGRAM RESERVED: ______________
DATE RESERVED: ___________ O.R #: _______
REFERRAL CODE: __________________
for scholarship
for discount
CALAMBA DOCTORS’ COLLEGE
ADMISSION FORM
TERMS AND CONDITIONS ON APPLICATION
1. A new student applicant must first complete the admissions process before proceeding to the Registrar’s Office.
2. He/she must accomplish the application form, taken the exam and interview, and created the student portal
account.
3. The creation of student portal account does not mean that the student is already enrolled.
4. Lacking documents must be submitted seven (7) days after the creating the student portal account.
5. A promissory letter/ note must be signed when a student is lacking of document. He/she must submit the lacking
documents specified in the promissory note.
6. Student Applicant for Reservation must present their reservation official receipt after taking the exam, interview
and submitted the requirements. Reservation fee (500.00) is deductible but not refundable. Reservation is done
one (1) month before the enrolment starts.
7. A student must present complete admission requirements before the enrolment period.
8. A confirmation slip with control number is presented to the Registration to prove that he/she is accepted to enroll
on his/her chosen program.
9. A student must sign the terms and conditions form before proceeding to Enrolment.
Complete Printed Name of Student/Child:
___________________________________
Signature of Student/Date:
___________________________________
Additional Signature If student is below 18 years old or a Minor,
Printed Name of Parent or Guardian:
___________________________________
Signature of Parent or Guardian/Date:
___________________________________
DATA PRIVACY CONSENT FORM
For Academic Applicants, Students and Alumni
CALAMBA DOCTORS’ COLLEGE
ADMISSION FORM
The Calamba Doctors’ College (CDC) recognizes its responsibilities under the Republic Act No. 10173, also known as the
Data Privacy Act of 2012, with respect to the data CDC collects, records, organizes, updates, uses and consolidates from
students, parents, and alumni.
We aim to comply with the Data Privacy Act of 2012 (DPA) and cooperate fully with the National Privacy Commission (NPC).
We regard your privacy with utmost importance. CDC is committed to meeting both your personal privacy, which is important
to us, and ensuring that our genuine and legitimate interests as an educational institution and our ability to fully and
effectively carry out our responsibilities as such are met.
In this Form, the terms, “personal data” and “information” are used interchangeably. When we speak of “personal data”, the
term includes the concepts of personal information, sensitive personal information, and privileged information. The first two
are typically used to distinctively identify you. For their specific definitions, please refer to the full text/provisions of the DPA
Processing of Personal Data
A. Collection of Information
We collect your personal data that include those you provide us during your application for admission, information we
acquire or generate upon enrolment and during the course of your stay with us.
1. Information you provide us during your application for admission upon application for admission, we collect information
about personal circumstances and contact information such as – but not limited to – name, your email address, telephone
number and other contact details, family history, previous schools attended, academic performance, disciplinary record,
medical record, etc.
2. Information we acquire or generate upon enrolment and during the course of your stay with us upon enrollment and
during the course of your stay with us, we collect information on your academic or curricular undertakings, the classes you
enroll in and scholastic performance, attendance record, medical record, etc. We will also collect information for and in
relation to co- curricular matters, such as outreach activities, as well as extra-curricular activities, such as membership in
student organizations, leadership positions and participation and attendance in seminars, competitions and programs. We
will also collect information in connection with any disciplinary incident, including accompanying sanctions that you may be
involved in.
B. Access to Information
Your personal information is accessed and used by CDC, specifically the Admissions and Marketing Office, Information
and Technology Office, Student Affairs Office, Alumni Services, Data Privacy Officer(DPO), Deans/Program Coordinators,
Faculty, Office of the Research Department Guidance Counsellor, School Clinic, School Library and the Office of the
Registrar (OTR) personnel who have legitimate interest in it for the purpose of carrying out their mandated duties except
access to sensitive personal information which will require your expressed permission and the conformity of the CDC DPO
.
We use and share your information as permitted or required by law to pursue our legitimate interests as an educational
institution, including a variety of academic, administrative, historical, and statistical purposes.
Some examples of situations when we may use your information to pursue our legitimate interests as an educational
institution are as follows:
1. evaluating applications for admission to CDC;
2. processing confirmation of incoming students and transfer students in preparation for enrollment;
3. recording, generating and maintaining student records of academic, co-curricular and extra- curricular progress;
4. establishing and maintaining student information systems;
5. sharing of grades between and among faculty members, and others with legitimate official need, for academic
deliberations;
6. processing scholarship applications, grants and other forms of assistance;
7. investigating incidents that relate to student behavior and implementing disciplinary measures;
8. maintaining directories and alumni records; compiling and generating reports for statistical and research purposes;
9. providing services such as health, counseling, information technology, library, sports/recreation, transportation, safety
and security;
10. managing and controlling access to campus facilities and equipment;
11. communicating official school announcements; sharing marketing and promotional materials regarding school-related
functions, events, projects and activities;
12. soliciting your participation in research and non-commercial surveys;
C. Sharing of Information
Some examples of when we may share or disclose your personal information to others include:
1. posting of class lists and class schedules in school bulletin boards or other places within the campus;
2. sharing of information to persons, including parents, guardians or next of kin, as required by law or on a need-to-know
basis as determined by the school to promote your best interests, or protect your health, safety and security, or that of
others;
3. providing academic institutions, companies, government agencies, private or public corporations, or the like, upon their
request, with scholastic ranking information or certification of good moral character for purposes of admission
4. sharing information to potential donors, funders or benefactors for purposes of scholarship, grants and other forms of
assistance;
CALAMBA DOCTORS’ COLLEGE
ADMISSION FORM
5. distributing the list of graduates and awardees during commencement exercises;
6. reporting and/or disclosing information to the NPC and other government bodies or agencies (e.g., Commission on Higher
Education, Department of Education and TESDA);
7. sharing information for accreditation and university ranking purposes
8. responding to inquiries verifying that you are a bona fide student or graduate of the school;
9. conducting research or surveys for purposes of institutional development;
10. sharing your directory information to the schools’ alumni association;
11. intend to use your personal information for purposes other than our legitimate interests
12. publishing academic, co-curricular and extra-curricular achievements and success, including honors lists and names of
awardees in school bulletin boards, website, social media sites and publications;
13. sharing your academic accomplishments or honors and co-curricular or extracurricular achievements with schools you
graduated from or was previously enrolled in, upon their request;
14. marketing or advertising to promote the school, including its activities and events, through photos, videos, brochures,
website posting, newspaper advertisements, physical and electronic bulletin boards, and other media;
15. publishing communications with journalistic content, such as news information in CDC publications, social media sites
and news and media organizations
Data Protection
We shall implement reasonable and appropriate organizational, physical, and technical security
measures for the protection of personal data which we collected. The security measures shall aim to maintain the availability,
integrity, and confidentiality of personal data and are intended for the protection of personal data against any accidental or
unlawful destruction, alteration, and disclosure, as well as against any other unlawful processing
We only permit your data to be accessed or processed by our authorized personnel who hold such information under strict
confidentiality. We restrict access to information to just anyone who like to know/obtain such information without justifiable
ground. Any data security incident or breach that comes to the knowledge of CDC will be recorded and reported as required
by law. CDC will take all necessary and reasonable steps to address such incident or breach and mitigate any negative
effect of such incident or breach. If there is strong suspicion that an incident affects your personal information CDC will
notify you of such incident in an appropriate manner.
Confidentiality
After successfully completing your degree program at CDC and you are already an alumnus, your personal information with
CDC remains private/confidential.
Our employees shall operate and hold personal data under strict confidentiality. They are required to sign non-disclosure
agreements and have received training on the company’s privacy and security policies to ensure confidentiality and security
of personal data.
Right to Privacy
As provided by the Act, you may object to the processing of your personal data, request to access your personal information,
and/or have it corrected, modified, erased/deleted, or blocked on reasonable grounds. For the details of your rights as a
data subject, you can get in touch with our Data Privacy Officer at contact details below or at National Privacy Commission
at https://privacy.gov.ph/. CDC will consider your request and reserves the right to deal with the matter in accordance with
the law.
Contact Information
If you have further questions or concerns regarding your privacy rights, this Consent Form or any matter regarding the Data
Privacy Act of 2012, you may contact our Data Protection Officer through the following details:
The Data Protection Officer
Tel. No.: (049) 545-9921 / 0999-526-8092
Email Address: dataprivacyofficer@calambadoctorscollege.edu.ph
Consent
I/We have read this form, understood its contents and consent to the processing of my personal data. I/We understand that
my consent does not preclude the existence of other criteria for lawful processing of personal data, and does not waive any
of my rights under the Data Privacy Act of 2012 and other applicable laws.
Printed Name of Student/Child:
__________________________Signature of Student/Date: __________________________
Additional Signature If student is below 18 years old or a Minor,
Printed Name of Parent or Guardian: ______________________Signature of Parent or Guardian/Date:_____________________