APPLICATION FORM FOR STUDY IN PHILIPPINES

FOR INTERNATIONA STUDENTS

TO BE FILLED IN BLOCK LETTERS

University Applied For:

Photograph

Full Name:

Sex: Date of Birth: Nationality:

Father’s Name: Occupation:

Mother’s Name: Occupation:

Present Address: Tel. no:

Email:

Permanent Address: Tel. no:

Email:

Educational Qualification

 Name of School /College/University last attended:

 Certificate/Diploma/Degree obtained:

 Year of Completion:
Course Of Study applied for:

Applicants Passport No: Place of Issue:

Date of Issue: Date of expiry:

If the student / applicant hold no passport please mention:

List of necessary documents to be attached:

 Higher Secondary School Certificate / Any other document certifying the date of Birth

 Qualifying Examination Transcript ( 10+2)

 Transfer Certificate

 Passport / Travel Document

 Passport Size Photographs

__________________________________________________________________________________________________________

FOR OFFICE USE

__________________________________________________________________________________________________________

Submitted on: By Person / Post File No:

__________________________________________________________________________________________________________

REMARKS:
Application Form for Foreign Students Intending to Study in the Philippines at Their Own Expenses

Nationality

Sex: □ Male □Female

Name Place of Birth:

Date of Birth
Marital Status: □ Yes □ No
Passport No. School of graduation Last Degree

Work Unit Health

Conditions
Language Profession

Applying
Status Bachelor’s Degree □ Five Years □ Seven Years

Postgraduate □ Master’s Degree □ Doctor’s Degree

Scholar □ General Scholar □ Senior Scholar

Period of
Study Date Month Year Date Month Year

Address

Telephone: FAX: E-mail:

Resume

Month Year Month Year Study or Work Experiences Status

 RULES AND REGULATIONS

1. The Students should read the information hand out thoroughly, before filling up the Application form.

2. (I) The minimum eligibility criteria to get admitted into under graduate Medical Course is that: a
student must have passed in the subjects of Physics, Chemistry and Biology & English individually
and must have obtained a minimum of 50% marks taken together in Physics, Chemistry and Biology.
The student should satisfy himself/herself that he / she is eligible for the course when he / she opt to
study in our institution.
(II) For Postgraduate courses the students should have obtained a Bachelor’s degree from a recognized
University.
(III) The admission authorities of the applied university/ college reserves the right of selection on an
individual based upon the students previous academic performance.

3. The Students shall submit notary attested photocopies of the documents called for along with the
application form. After screening if selected the students shall be informed and the student shall
submit the documents called for in original.

4. If any information provided in the Application form by a student is found to be false or incorrect, such
application will be rejected and suitable action is liable to be taken by applied university/ college and/or its
representatives against such students.

5. Applied university/ college and their representatives are not responsible for any false information
given by the students at the time of admission and also for the consequent problems. Applied
university/ college and their representatives are reserves the right to Proceed against them legally and
cancel their admission with no consequent duties and responsibilities.

6. The selected students shall be admitted to the course only on the condition that they will be governed
by the rules and regulations of the College / University.

7. The eligible students shall execute an agreement on selection for admission and the pay the seat
confirmation / tuition fee.

8. A fee once paid is non- refundable under circumstances.

9. The information provided to the students by applied university/ college and their representatives are
in “Information Brochure” is subject to change without prior notice. Applied university/ college and
their representatives are is not responsible for any changes with regard to eligibility or any other
amendment made by the institution or the respective Governments at the given time.

10. The annual tuition fees for the courses of study are to be paid by the students directly to the
Institution of study on or before the due dates intimated to them from time to time.

11. If there is any delay in remittance of college / Academic / Hostel Fees the student can be suspended
from college or even held back from appearing for their University conducted Examinations.

12. Any student found guilty of involving him / her in any activity which can be termed as illegal or
unconstitutional or against the interests of the Institution/Country can be dismissed from the college
with a due intimation given to his/ her Parent / Guardian. Readmission of such candidates shall be
subject to the decision of the disciplinary committee of the University.

13. Mere submission of application form does not guarantee admission to institution unless the student is
found fit by the admission committee.

14. For all other matters not specifically mentioned here in, the decision of the applied university/ college
and their representatives are is final and shall be binding on the student and the parent.

15. All disputes are subject to jurisdictions of Courts in the city of applied university/ college, Philippines
only.
 DECLARATION

I ______________________________________________________________________________________the student

&
I __________________________________________________________________________the Parent of the Applicant

Residing at _______________________________________________________________________________________

_________________________________________________________________________________________________

Do hereby declare that we have read the above rules and regulations of applied university/ college and their
representatives and we shall abide by the same.

__________________________ ____________________________
Signature of the Student Signature of Parent / Guardian

Date: __________________________________________

Place: _________________________________________