You are on page 1of 2

2X2

Picture

UNIVERSITY OF THE EAST


APPLICATION FORM
(UE-TAN YAN KEE FOUNDATION, INC. SCHOLARSHIP)

NAME: _________ACID______________MARICAR_________LIM________ Mobile No.:_09157454060_____


(Last Name)

(First Name)

(Middle Name)

Date of Birth: _AUGUST 9, 1998_______ Place of Birth: _MANILA____________________________________


Age (as of last birthday): _16__________ Citizenship: _FILIPINO__________ Gender: Male Female
Present Address: 8 MARIANITO ST., GULOD, NOVALICHES, Q.C.__________ Tel. No. _N/A_____________
Permanent Address: 8 MARIANITO ST., GULOD, NOVALICHES, Q.C._______ Tel. No. _N/A _____________
High School Attended:_HOLY CHILD ACADEMY / 10 LONDON DR., GULOD, NOVALICHES, Q.C._________
(Name of School/Address)

Date of Graduation (Expected): _MARCH 27, 2015_____


General Weighted Average (as of 2nd/3rd Quarter 4th Year HS): _1.50__
Average Grade (as of 2nd/3rd Quarter 4th Year HS) in
English __91.00__ Math _93.00__ Science __93.00__
Course to Pursue: _BS ACCOUNTANCY______________________
Reason for Applying: _FINANCIAL CONSTRAINTS______________________________________________
Name of Parents
Occupation/Name of Company
Highest Educational Attainment
School Attended
Yearly Income

Father
: _CARLITO B. ACID_________
: PRIVATE EMPLOYEE/EGS INC
:
HIGH SCHOOL GRADUATE
: MANUEL A. ROXAS HS____
: _Php150,000_____________

Mother
_MARIE ANN L. ACID______
_________________________
_COLLEGE GRADUATE____
_FEU MANILA_____________
_N/A____________________

Name /s of Brother/s and/or sister/s currently studying in UE:


Name
_______N/A_____________________
_______________________________

Course
____________________
____________________

I hereby certify that the above information/statements are true to the best of my knowledge.
FEBRUARY 2, 2015

MARICAR L. ACID

Date

(Signature over printed name)

Please call the Admissions Office at 735-8577 or 735-5471 locals 398 or 399 for the schedule of the qualifying tests.

Please attach the following:


1. Photocopy of 4th Year HS Card with General Weighted
Average (as of 2nd/3rd Quarter)
2. Accomplished application form.
3. 2x2 picture (2 pcs.)

This scholarship is awarded to qualified incoming freshmen who


intend to pursue a degree in any of the following disciplines:
1.
2.
3.
4.

Biology/Mathematics
English/Communication Arts
Accountancy
Computer Science/I.T.

5.
6.
7.
8.

Education
Nutrition & Dietetics
Engineering
Dentistry

Submission beginning Jan. 16 Feb. 20, 2015 (Mon. to Fri. ONLY)

You might also like