feu diliman application form senior high school
TRANSCRIPT
8/18/2019 Feu Diliman Application Form Senior High School
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Height Weight Type of Visa: (If foreigh student)
Father's Name Occupation:
Contact nos.: Email Address: Citizenship: Religion:
Address:
Mother's Name Occupation:
Contact nos.: Email Address: Citizenship: Religion:
Address:
Designated Guardian: [ ] Father [ ] Mother [ ] Other: ______________________________ Signature:
Relationship:
Guardian's Address: Occupation:
Applicant's Birth Order: ______ Number of Sibling (s): ___________ Do you have Sibling (s) studying in FEU Diliman? [ ] YES [ ] NO
Age: upon application
FAMILY BACKGROUND
PERSONAL INFORMATION
Telephone No.: Mobile No.:
Birthplace:
Email address:
Citizenship:
Middle NameFirst NameLast Name
Address
City Province Zip Code Nickname:
Guardian's Email address:Guardian's Tel. No.: Guardian's Mobile No.:
Birthdate: (MM/DD/YYYY) Religion:
Name of Sibling (s) Age Educational Attainment
Gender: [ ]Female [ ]Male
[ ] Living [ ] Deceased
[ ] Living [ ] Deceased
Place of Work: [ ] Local [ ] Abroad
Place of Work: [ ] Local [ ] Abroad
Guardian's Name:
Application Requirements and Procedures:
1. Secure the FEU Diliman application form from the Admissions Office or the downloadable version att www.feudiliman.edu.ph.
2. Accomplish the form and submit the same together with two recent I.D. picture (2x2).
3. Pay the non-refundable application and testing fee of P250.00 at the Cashier, Room 2-C, Admin. Bldg.
Cashier Office hours are from 8:30AM to 4:30PM, Mondays to Fridays.
4. Present your Official Receipt to the Admissions Office to claim your Entrance Exam Permit.
5. Take the exam on your scheduled date and time. Present your Entrance Exam Permit and an official ID on the
date of examination.
After the examination, the applicant and the Parent/Guardian will be scheduled for an interview.
A slip which contain the date and time of interview will be given to the applicant.
Submit the following document prior to the interview:
• Original Form 138 (Report Card) Additional for International Students:
• NSO copy of Birth Certificate • Special Student Permit
• Certificate of Good Moral Character • Passport (Original & Photocopy)
• 2 pcs. Recommendation Form
• 2 pcs. 2x2 Colored Picture Only applications with complete requirements will be interviewed.
Admissions Office
Tel. no.: (02) 932-9178 Email Address: [email protected]
Sampaguita Ave., Mapayapa Village, Diliman, Quezon City, 1107
APPLICATION FOR ADMISSION FOR SENIOR HIGH SCHOOL
Incoming Grade Level: [ ] Grade 11 [ ] Grade 12
School Year : ______________________[ ] FRESHMAN [ ] Transferee [ ] International Student
Place
PHOTO HERE
GRADE 11 to 12
8/18/2019 Feu Diliman Application Form Senior High School
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List all schools you attended beginning from the lowest grade.
Grade S.Y.:
Grade S.Y.:
Grade S.Y.:
Year to Year
S.Y. to S.Y.
Have you ever applied to FEU Diliman Kindergarten/Grade School/High School prior to this application? [ ] YES [ ] NO
If YES, when? __________________________________________ For what grade/year level? __________________________________________
How did you learn about FEU Diliman? Kindly check all those apply:[ ] FEU Diliman Student [ ] FEU Diliman Faculty/Employee [ ] FEU Diliman Alumni
Referred by: __________________________________________ [ ] Career Talk [ ] Website [ ] Print Ads [ ] Others: _________
Father's/Guardian's Name and Signature: Date:
Mother's/Guardian's Name and Signature: Date:
Applicant's Name and Signature: Date:
Exam Score/Rating:
Date of Exam: Admission Officer[ ] Ok for Adm issio n [ ] Refer to the Directress [ ] No t Eligible fo r Admission
Admission Requirements Submitted:
[ ] NSO copy of Birth Certificate Signature: Date:
[ ] Form 138 (Report Card)
[ ] Medical Certificate Directress
[ ] Certificate of Go od Mo ral Character [ ] Ok for Adm issio n Eligible to enro l in :
[ ] 2 pcs. Colored Picture [ ] Recommending Probation [ ] Not Eligible for Admission [ ] No Accomodation
Additional for International Students Signature: Date:
[ ] Passport
[ ] Special Student Permit
Action Taken
Grade School
High School Location
Name Position
CERTIFICATION
Years
GradeLocation
RECOMMENDATION
Address
APPLICATION PROCESSING
Do not write below this line.
to Grade
to Grade
to Grade
SCHOLASTIC BACKGROUND
I hereby certify that all information supplied in this application is accurate and complete. In lieu, I authorize FEU Diliman (FEU FERN
College) to verify all information given. I fully understand that misrepresentation of information supplied herein will be considered
reason for bothe for refusal of admission or exclusion.
Give the names and addresses of the persons who will send your Letters of Recommendation. Choose two (2) persons who know you well
and who have held positions of authority over you in your present school (ex. Teacher, counselor or principal). Do not includ e relatives or
friends.