Student Admission Application
Information confirmation.
IMPORTANT REMINDERS BEFORE YOU CONFIRM
- Once you click CONFIRM, your campus and course/program choices can no longer be changed.
- A CONFIRMATION EMAIL will be sent to the email address you provided. Please make sure it is correct and active.
- SUBMIT ONLY ONCE. Multiple applications will result in disqualification and will not be approved for the University Entrance Examination.
Please confirm the information that you provided below are correct.
Personal Info. |
|
| Last Name | |
|---|---|
| First Name | |
| Middle Name | |
| Extension | |
| Date of Birth | |
| Birth place | |
| Sex * | |
| Civil Status * | |
| Nationality* | |
| Religion* | |
| Specify Disability | |
| Height (cm) | |
| Weight (kg) | |
Permanent Address |
|
| Region * | |
| Province * | |
| City/Municipality * | |
| Barangay * | |
| Zip Code* | |
| House/Block/Lot/Street/Subdivision* | |
Contact Information |
|
| E-mail* | |
| Mobile Number* | |
Campus and Course |
|
| Campus - 1st Choice * | |
| Course / Program - 1st Choice * | |
| Campus - 2nd Choice * | |
| Course / Program - 2nd Choice * | |
| Campus - 3rd Choice * | |
| Course / Program - 3rd Choice * | |
Success?
You have successfully registered.
A confirmation email has been sent to your email account. Please confirm your email.
