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COLLEGE APPLICATION FORM
1st Semester | AY2024-25
NON GUARANTEE OF ENROLLMENT DISCLAIMER

Application is not a guarantee of enrollment for the 1st Semester for school year 2024-25. Student must fulfill all requirements to be listed in the final enrollment list for the said term. PCCR reserves the right to deny enrollment due to violation(s) of any school policies or any existing legal policies and laws, abuse of the rights and privileges of PCCR students and intent to defraud.
PCCR DATA PRIVACY NOTICE

The Philippine College of Criminology recognizes its responsibilities, respects your right to privacy, and complies with the requirements of all relevant privacy and data protection laws under the Republic Act No. 10173 (Act), also known as the Data Privacy Act of 2021, with respect to the data it collects, records, organizes, updates consolidates, or destructs from its students and stakeholders.

I have read about the PCCR Data Privacy Statement and express my consent thereto. In the same manner, I hereby express my consent for the Philippine College of Criminology to collect, record, organize, update, use, and consolidate my personal data. I hereby affirm my right to (a) be informed; (b) object to processing; (c) access; (d) rectify, suspend or withdraw my/my child's personal data; (e) damages; and (f) data portability pursuant to the provisions of the Act and its corresponding Implementing Rules and Regulations.
Personal Information

Field with asterisk *  are required

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Work Information

 
 
 
Parent/Guardian Information

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Emergency Information

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Educational Information

Field with asterisk *  are required

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Medical Information

 Allergies
 Encode Food, Medication and Others that made will generate allergies

 
 
 

 Diagnosed illnesses
 Check current and previous diagnosis


 Medications
 List all medications and/or supplements you are taking (e.g. drug/supplement, dosage, frequency)

 
 
 

 Hospitalizations
 current and previous with date of admissions

 
 

 COVID infection
 List all medications and/or supplements you are taking (e.g. drug/supplement, dosage, frequency)

 
 
 

 Vaccinations


 Boosters

 
 

 History of Treatment
  current or previous, please indicate timeframe (start and end dates)

 
 
 

 Social History

 
Course Application

Field with asterisk *  are required

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 *[Choose -none- if none and choose -other- and encode the name of the person who assisted you]
Consent Information

PAYMENT ADVISORY

Enrollees are advised that all payments should only be made directly through PCCR's official payment channels and accounts.
No individuals are authorized to collect any payment, especially through their personal accounts. Visit
https://online.pccr.edu.ph/payment-process to see PCCR's authorized payment channels.

PCCR strongly advises enrollees to exercise caution and verify the authenticity of anyone claiming to represent
PCCR. If you are in doubt, please feel free to contact stx@pccr.edu.ph.

We appreciate your cooperation in helping PCCR maintain the integrity and security of our payment process.


I hereby certify that all information I entered in this online form is true and correct. I understand that any error in the information is my full responsibility and might cause possible cancellation of my enrollment in PCCR.


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