CHED Form A1-2002

Revised May 2006

INSTITUTIONAL PROFILE
(Type Academic Year Here)
PLEASE READ THE INSTRUCTIONS BEFORE FILLING OUT THE FORMS

DATA ITEMS

DATA ENTRIES
: Type Institutional Name here
Unique Institutional Identifier : Type SCHOOL CODE here
Type SCHOOL TYPE here , please see
Institutional Form of Ownership (pls. see below) :
below
Street : Type STREET here
Municipality : Type MUNICIPALITY/TOWN here
Address
Province/City : Type PROVINCE/CITY here
Region : Type REGION here
Institution Name (no abbreviation please)

:
:
Institutional Fax No. (include Area Code) :
Institutional Head's Telephone ( include Area Code) :
Institutional E-mail Address :

Type
Type
Type
Type
Type

ZIP CODE here

TELEPHONE NO. here
FAX NO. here
Head's TELEPHONE NO. here
E-MAIL here

:
:
Latest SEC Registration/Enabling Law or Charter :
Date Granted or Approved :
Year Converted to College Status :

Type
Type
Type
Type
Type

WEB PAGE here

YEAR ESTABLISHED here
REGISTRATION here
YEAR GRANTED here
YEAR CONVERTED to COLLEGE here

Postal or Zip Code

Institutional Telephone (include Area Code)

Institutional Web Site

Year Established

: Type YEAR CONVERTED to University here

: Type Name of the Institutional Head here
Title of Head of Institution : Type TITLE here

Year Converted to University Status

Name of Institutional Head

Highest Educational Attainment of the Head

X-Coordinate
Y-Coordinate
Remarks

: Type HIGHEST EDUC'L. ATTAINMENT here

: Type LOCATION COORDINATE (X) here
Type LOCATION COORDINATE (Y) here
: Type REMARKS here

List the former Name(s) of your Institution and the corresponding years your Institution used such name.
(Please write N/A if not applicable and insert row if needed.)
Name

Start here

DEAN PROFILE

Year
Type YEAR here

DEAN PROFILE

(Please write N/A if not applicable and insert row if needed.)

Name of Dean (Last Name, First Name Middle Initial)

Designation (e.g. Program Dean, College Head)

Start here

Start here

Accomplished by:

Certified Correct:

Type NAME here

Type NAME here

Type POSITION here

Type POSITION here

Type DATE here

Date Accomplished

Type DATE here

Date Certified

Entry for Institutional Form of Ownership:

Chartered State College/University (Main)
Chartered State College/University (Satellite Campus)
CHED-Supervised Institution
Local Government College/University
Private Sectarian Stock
Private Sectarian Non-Stock
Private Non-Sectarian Stock

CHED E-FORM B/C 2004

DO NOT FILL THIS PORTION

Region:
Unique Institutional Identifier:
Institution Name :
Address:

CURRICULAR PROGRAM PROFILE/

ENROLMENT & GRAUATES

Type
Type
Type
Type

REGION here
SCHOOL CODE here
Institutional Name here
STREET here, Type MUNICIPALITY/TOWN here, Type PROVINCE/CITY here

Type:

Type SCHO

NOTE: SUCs only means the entries are required to be filled out by State Universities and Colleges

PLEASE READ INSTRUCTIONS BEFORE FILLING OUT THIS FORM

Government Authority

PROGRAM/COURSE
Main Program/Course
Major
NO ABBREVIATION PLEASE & INSERT ROW IF NEEDED

With
R E M A R K S about the program
Thesis/Dissert Program
such as: Newly Offered, Center of
ation?
Status (Use Excellece/Development, Accredited
Code)
(Level II until Dec. 2010), etc., if
any.
1 - Yes

GP No.

2 - No

Doctoral (please enumerate, insert rows as needed):

Start here

Master's (please enumerate, insert rows as needed):

Start here

Post-Bacc. (pls. enumerate, insert rows as needed):

Start here

Baccalaureate (pls. enumerate, insert rows as needed after the first entry and copy the formula under the Sub-Total and Totals of Enrollment and Graduates ):
Start here

Pre-Bacc. (ladderized Associate, diploma program. Pls. enumerate, insert rows as needed):
Start here

Voc./Tech (pls. enumerate, insert rows as needed):

Start here

Page 2 of 7

Year
Granted

Issued
by
(Use
Code)

GR No.

Year
Granted

Issued by
(Use Code)

Program
Mode
(Use Code)

Normal
Length
(In Years)

Government Authority

PROGRAM/COURSE
Main Program/Course
Major
NO ABBREVIATION PLEASE & INSERT ROW IF NEEDED

With
R E M A R K S about the program
Thesis/Dissert Program
such as: Newly Offered, Center of
ation?
Status (Use Excellece/Development, Accredited
Code)
(Level II until Dec. 2010), etc., if
any.
1 - Yes

GP No.

Year
Granted

Issued
by
(Use
Code)

GR No.

Year
Granted

Issued by
(Use Code)

Program
Mode
(Use Code)

Normal
Length
(In Years)

2 - No

Secondary (High School)

Elementary
Pre-School

TOTAL
Accomplished by:

Certified Correct by:

Type NAME here

Ty

Type POSITION here

Ty

Type DATE here

Date Accomplished

Page 3 of 7

CHED E-FORM B/C 2004

DO NOT FILL THIS PORTION

Region:
Type SCHOOL TYPE here , please see below
Unique Institutional Identifier:
Institution Name :
Address:

CURRICULAR PROGRAM PROFILE/

ENROLMENT & GRAUATES
PLEASE READ INSTRUCTIONS BEFORE FILLING OUT THIS FORM

PROGRAM/COURSE
Main Program/Course
Major
NO ABBREVIATION PLEASE & INSERT ROW IF NEEDED

Program Credit
(In Units)
(for SUCs only)

Lab

Program
Tuition per
Credit
(In Unit
Units)
(In Peso)

Program Fee
(In Peso)

Enrolled Units (for

SUCs only)
New Students (1st Year)

Lecture

Doctoral (please enumerate, insert rows as needed):

Start here

Master's (please enumerate, insert rows as needed):

Start here

Post-Bacc. (pls. enumerate, insert rows as needed):

Start here

Baccalaureate (pls. enumerate, insert rows as needed after the first entry and copy the formula under the Sub-Total and Totals of Enrollment and Graduates ):
Start here

Pre-Bacc. (ladderized Associate, diploma program. Pls. enumerate, insert rows as needed):
Start here

Voc./Tech (pls. enumerate, insert rows as needed):

Start here

Page 4 of 7

1st Year
M
F

2nd Year
M
F

3rd Yea
M

PROGRAM/COURSE
Main Program/Course
Major
NO ABBREVIATION PLEASE & INSERT ROW IF NEEDED

Program Credit
(In Units)
(for SUCs only)

Lab

Program
Tuition per
Credit
(In Unit
Units)
(In Peso)

Program Fee
(In Peso)

Enrolled Units (for

SUCs only)
New Students (1st Year)

Lecture

1st Year
M
F

2nd Year
M
F

3rd Yea
M

Secondary (High School)

Elementary
Pre-School

TOTAL

Type NAME here

Type POSITION here
Type DATE here
Date Certified

Page 5 of 7

CHED E-FORM B/C 2004

DO NOT FILL THIS PORTION

Region:
Unique Institutional Identifier:
Institution Name :
Address:

CURRICULAR PROGRAM PROFILE/

ENROLMENT & GRAUATES
PLEASE READ INSTRUCTIONS BEFORE FILLING OUT THIS FORM

PROGRAM/COURSE
Main Program/Course
Major
NO ABBREVIATION PLEASE & INSERT ROW IF NEEDED

ENROLMENT

GRADUATES

1st Sem/1st Trimester/Term, AY 2009/10

Total of 1st, 2nd AY

2008/09 & Summer
2009

3rd Year
F

4th Year
M
F

5th Year
M
F

6th Year
M
F

7th Year
M
F

Sub-Total
M
F

TOTAL

TOTAL

Doctoral (please enumerate, insert rows as needed):

Start here

0
0
0
0
0

0
0
0
0
0

0
0
0
0

0
0
0
0

0
0
0
0

0
0
0
0

Master's (please enumerate, insert rows as needed):

Start here

Post-Bacc. (pls. enumerate, insert rows as needed):

Start here

Baccalaureate (pls. enumerate, insert rows as needed after the first entry and copy the formula under the Sub-Total and Totals of Enrollment and Graduates ):
Start here

0
0
0
0
0
0

0
0
0
0
0
0

0
0
0
0
0
0

0
0
0
0
0
0

0
0
0
0

0
0
0
0

0
0
0
0

0
0
0
0

0
0
0
0
0

0
0
0
0
0

0
0
0
0
0

0
0
0
0
0

Pre-Bacc. (ladderized Associate, diploma program. Pls. enumerate, insert rows as needed):
Start here

Voc./Tech (pls. enumerate, insert rows as needed):

Start here

Page 6 of 7

PROGRAM/COURSE
Main Program/Course
Major
NO ABBREVIATION PLEASE & INSERT ROW IF NEEDED

ENROLMENT

GRADUATES

1st Sem/1st Trimester/Term, AY 2009/10

Total of 1st, 2nd AY

2008/09 & Summer
2009

3rd Year
F

4th Year
M
F

5th Year
M
F

6th Year
M
F

7th Year
M
F

Sub-Total
M
F
0
0
0

Secondary (High School)

Elementary
Pre-School

TOTAL

Page 7 of 7

TOTAL
0
0
0
0

M
0
0
0
0
0

TOTAL

0
0
0
0
0