CIT

ONLINE REGISTRATION
SY: 2025-2026 2ND SEMESTER
(NEW STUDENTS ONLY)

INSTRUCTION: Please fill-out all details for your Registration. Put NA if some fields are not applicable.

Note : Indicate required field ( * )

First Name *

Middle Name *

Last Name *

Suffix

Learner's Ref Number *

Select Student Type *

COURSE YEAR

Course *

Year Level *

PERSONAL INFO

Gender *

Civil Status *

Birth Date *

Birth Place *

Nationality *

Religion *

Ethnicity *

EDUCATIONAL BACKGROUND

Preschool *

School Year *

Elementary *

School Year *

Junior High *

School Year *

Senior High *

School Year *

GPA *

College *(Transferee Only)

School Year *

CONTACT & ADDRESS

Mobile Phone *Please provide a valid Mobile Number for Confirmation

Permanent Address *

House No. / Street / Subdivision / Building *

Province *

City *

Barangay *

Check if current address is the same with permanent address.

Current Address *

House No. / Street / Subdivision / Building

Province

City

Barangay

SOCIAL MEDIA ACCOUNTS

PARENTS

Father's Name *

First Name

Middle Name

Last Name

Father's Phone No. *

Father's Occupation *

Mother's Maiden Name *

First Name

Middle Name

Last Name

Mother's Phone No. *

Mother's Occupation *

Guardian's Name *

First Name

Middle Name

Last Name

Guardian's Phone No. *

Guardian's Occupation *

SCHOLARSHIP (If applicable)

Type of Scholarship/Grant Availed:

LGU Kitcharao

Form 138 (Front)

Form 138 (Back)

Undertaking

OTR

Form 137A

Good Moral Certificate

ALS Report Card

Birth Certificate

ALS A&E Certificate

Permit to Cross-Enroll

TOR

ONLINE LEARNING READINESS

Do you have reliable internet access for live online classes (Zoom/Google Meet)?

Yes

No

Note: A stable home WiFi or portable WiFi connection is required as the primary internet connection. Mobile data may be used only as a backup and is not recommended as a primary connection.
What device will you use as your PRIMARY device for online classes?

Laptop

Desktop

Tablet

Smartphone

Important: A laptop or desktop computer is strongly required as the primary device for online classes, examinations, and academic submissions. Smartphones and tablets are not recommended as primary devices.

APPLICANT ACKNOWLEDGMENT

I certify that the information provided above is true and correct. I understand that this is a fully online program and that I am responsible for meeting the required internet connectivity, device, attendance, and academic requirements.

I agree to the CIT Data Privacy Statement.

CARAGA INSTITUTE OF TECHNOLOGY