2X2

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UNIVERSITY OF THE EAST

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

NAME:_______________________________________________________________________________
(Last Name)

(First Name)

(Middle Name)

Date of Birth: ______________________ Age (as of last birthday):____________

Place of Birth:___________________________ Citizenship: _______________ Gender: Male Female
City Address:____________________________________ Tel. No. ____________ Mobile No. ____________
Provincial Address):_______________________________ Tel. No. ____________ Mobile No. ____________
High School Attended: _____________________________________________________________________
(Name of School/Address)

Date of Graduation (Expected) : _______________________

Expected Honors/Awards: __________________________________________________________________
Average Grade (at least as of 2nd Quarter 4th Year HS): __________
Average Grade (at least as of 2nd Quarter 4th Year HS) in
English _________ Math ________ Science ________
Course to Pursue: _____________________________________
Reason for Applying: ______________________________________________________________________
Name of Parents
Occupation/Name of Company
Highest Educational Attainment
School Attended

:
:
:
:

Father
_________________________
_________________________
_________________________
_________________________

Mother
_________________________
_________________________
_________________________
_________________________

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

Name
_______________________________
_______________________________

Course
____________________
____________________

I hereby certify that the above information/statements are true to the best of my knowledge.
___________________

___________________________

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 (at least as of 2nd Quarter)
2. Accomplished application form.
3. 2x2 picture (2 pcs.)

Submission beginning Jan. 16 31, 2014 (Mon. to Fri. ONLY)

This scholarship is awarded to qualified incoming freshmen who

intend to pursue a degree in any of the following disciplines:

1. Biology/Mathematics
2. Accountancy
3. Computer Science/I.T.

4. Engineering
5. English/Communication Arts
6. Dentistry