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QF ASR 001 Rev. 01 College Application Form - 2021

This document is a college application form containing sections for the applicant to provide personal details, educational background, parental/guardian information, and consent to privacy policies. The applicant is asked to indicate their desired degree/certificate program, term of enrollment, classification, personal information like name, gender, date of birth, contact details. For foreign students, sections are provided to fill alien status and visa/permit details. Previous secondary and tertiary education history as well as parents' occupation and contact information are also requested. The final section requires the applicant to agree to the college's privacy policy and declare the truthfulness and consent to use of the provided information.

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Jeremy Salic
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32 views

QF ASR 001 Rev. 01 College Application Form - 2021

This document is a college application form containing sections for the applicant to provide personal details, educational background, parental/guardian information, and consent to privacy policies. The applicant is asked to indicate their desired degree/certificate program, term of enrollment, classification, personal information like name, gender, date of birth, contact details. For foreign students, sections are provided to fill alien status and visa/permit details. Previous secondary and tertiary education history as well as parents' occupation and contact information are also requested. The final section requires the applicant to agree to the college's privacy policy and declare the truthfulness and consent to use of the provided information.

Uploaded by

Jeremy Salic
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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QF-ASR-001 Rev.

01

College Application Form


Please fill out/tick appropriate boxes for information required. Indicate “N.A.” if information is not applicable.

Application for:
Degree/Certificate Program: _______________________________________________________________________ 2” x 2” picture
Term: 1st Sem. 2nd Sem. Summer School Year: ______________________

Classification: Freshman Transferee Second Courser Cross-Enrollee

Learner’s Reference No. (LRN):


I. PERSONAL INFORMATION
Last Name: First Name: Middle Name:

Gender: Religion: Nationality:

Date of Birth: Place of Birth: Age: Civil Status:

House/Unit No., Street, Barangay:

City/Municipality: Province: Zip code:

Landline No: Mobile No: Email:

II. ALIEN STATUS (For Foreign student only)


Visa Status: Period of Authorized Stay:

Passport No.: Date of Issue: Expiry date:

ACR No.: Date of Issue: Expiry date:

CRT No.: Date of Issue: Expiry date:

III. EDUCATIONAL BACKGROUND


School Name and Address Year graduated/last
attended
Secondary School:

Tertiary School (Baccalaureate Program):

Tertiary School (Graduate Program):

IV. PARENTS’ INFORMATION


Father Mother
Parent’s Name:

Home Address:

Occupation:

Company Name
and Address:
Contact No.:

Fill this out if you are staying only w ith your guardian and not w ith your parents.
Guardian’s Name: Age: Occupation:

Home Address:

Tel. No: Mobile No: Email:

V. Privacy Policy and Declarations


By ticking/checking the box below for “I agree” and submitting this form to the EAC Admissions Office, I voluntarily agree to the Emilio Aguinaldo
College (EAC) Privacy Policy (https://eac.edu.ph/privacy-policy/) and declare that:
1. I am of legal age;
2. All the information I have provided in this form are true and correct;
3. I understand that withholding of information or giving of false information may nullify my application for admission or may jeopardize
my continued stay after admission has been granted to me;
4. I am giving my consent to the collection, use, processing, recording, storage, blocking, destruction, and disclosure of the information
I have provided for legitimate purposes in order to administer and evaluate the eligibility of my application for admission at EAC.

I agree

Name of Student: ______________________________________________ Date Accomplished: _________________________

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