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COLLEGE OF LAW

UNIVERSITY OF THE PHILIPPINES


Passport size.
Sign name at
Application for Admission to the back of photo.
Juris Doctor (J.D.) Program for 2011-2012

(All sections must be completed and received by 12 November 2010 (without fine) or 19 November 2010
(with fine). Attach separate sheet if needed. For inquiries or information: Tel. No. 927-7180;
http://law.upd.edu.ph; or visit the Office of the College Secretary, 1st Floor, Malcolm Hall, Diliman, Quezon City.)

Full Name _________________________________________________________________________________________________


(Last) (First) (Middle)

Mailing Address (Where you would like correspondences


to be sent.) Permanent Home Address
Street Street
____________________________________ ____________________________________
City City
____________________________________ ____________________________________
Province Province
____________________________________ ____________________________________
Region Region
____________________________________ ____________________________________
Country Country
____________________________________ ____________________________________
Zip _________ Zip __________
Landline(s) Citizenship
____________________________________ ____________________________________
Cellphone(s) Place of Birth
____________________________________ ____________________________________
E-mail(s) Date of Birth
____________________________________ ____________________________________
month / day / year

Status: □ Single □ Married □ Sex: □ Female □ Male


Separated/Divorced
List all elementary schools, high schools, colleges, universities, graduate and professional schools that you
have attended:

School Place Period of attendance Degree Major Scholastic


honors

□ Yes □ No Have you ever been charged with or convicted of an offense in any criminal or
administrative case(s)?
If “yes”, give particulars:
_________________________________________________________________
______________________________________________________________________________________
□ Yes □ No Have you ever been dismissed/disqualified from enrolling in a school by reason of
scholastic delinquency or disciplinary action? If “yes”, give particulars:
______________________________________________________________________________________
______________________________________________________________________________________
□ Yes □ No Have you ever enrolled in any law school, including the U.P. College of Law?
If “yes”, attach your Official Transcript of Records from the law school(s).
□ Yes □ No Have you taken the LAE before?
If “yes”, indicate the number of times and the year(s) taken. __________
□ Yes □ No Have you or are
*NOTE: Credentials/documents filedyou enrolled
pursuant in a LAE review
to application program?
requirements become the property of the U.P.
If “yes”, indicate where and what review center:
____________________________________________

What languages do you speak? ________________________________________________________

Where will you take the LAE?


□ UP Diliman □ UP Baguio □ UP Visayas (Iloilo City)
□ UP Cebu □ UP Davao

If admitted, what are the mean(s) by which you will support yourself? (check all applicable)

□ Self-supporting □ Private scholarship


□ Parents □ Government scholarship
Others _____________________________

If admitted, where do you plan to enroll? □ Day Program □ Five-Year Evening


Program

How much is your family’s gross yearly income? __________

On pain of perjury, I certify under oath that the information I have provided on this application form
and in any attached materials are accurate to the best of my personal knowledge. I understand that the UP
College of Law may verify information included in my application. I hereby authorize the U.P. College of
Law to access any of my official records to verify the accuracy of any information supplied herein. I agree
to notify the U.P. College of Law of any changes in the above information or of any further information that
might affect my eligibility for consideration as a prospective student.

_______________________________________________ __________________________________________
Signature of Applicant Date
--------------------------------------------------------------------------------------------------------------------------------------------------------------

ADMISSION TICKET Name________________________________________________


(Examiner’s Copy) Mailing Address______________________________________
______________________________________________________
Application No. _________________ Passport size.
Place:_________________________ Sign name at By: _________________ Date: _________________
Date : 21 November 2010 back of photo. (To be filled in by the Admissions Committee
Time : 7:30 A.M. Chairperson)

Bring the following for the examination:

1. 2 lead pencils (No. 1 Mongol)


2. Admission Ticket ADMISSION TICKET
3. Identification Card (Photo bearing School ID, (Applicant’s Copy)
Employee’s Photo ID, Driver’s License, Passport
or Photo bearing Certification from School Application No. ________________________ Passport size.
Registrar or Employer) Place:________________________________ Sign name at
back of photo.
Date : 21 November 2010
Time : 7:30 A.M.

Bring the following for the examination:

1. 2 lead pencils (No. 1 Mongol)


2. Admission Ticket
3. Identification Card (Photo bearing School ID,
Employee’s Photo ID, Driver’s License, Passport
or Photo bearing Certification from School
Registrar or Employer)

Name

____________________________________________________
Mailing Address

__________________________________________
_________________________________________________________
_

By: ______________________________ Date:


_____________
(To be filled in by the Admissions Committee
Chairperson)

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