COLLEGE OF LAW

UNIVERSITY OF THE PHILIPPINES

Passport size.
Sign name at
back of photo.

Application for Admission to the
Juris Doctor (J.D.) Program for 2011-2012

(All sections must be completed and received by 12 November 2010 (without fine) or 19 November 2010 (with fine). Attach
separate sheet if needed. For inquiries or information: Tel. No. 927-7180; http://law.upd.edu.ph; or visit the Office of the College
Secretary, 1st Floor, Malcolm Hall, Diliman, Quezon City.)

Full Name _________________________________________________________________________________________________
(Last)
(First)
(Middle)
Mailing Address (Where you would like correspondences to be sent.)
Street
____________________________________
City
____________________________________
Province
____________________________________
Region
____________________________________
Country
____________________________________
Zip
_________
Landline(s)
____________________________________
Cellphone(s)
____________________________________
E-mail(s)
____________________________________

Permanent Home Address
Street
____________________________________
City
____________________________________
Province
____________________________________
Region
____________________________________
Country
____________________________________
Zip
__________
Citizenship
____________________________________
Place of Birth ____________________________________
Date of Birth
____________________________________
month / day / year

Status: □ Single

□ Married

□ Separated/Divorced

Sex:

□ Female

□ Male

List all elementary schools, high schools, colleges, universities, graduate and professional schools that you have attended:
School

□ Yes □ No

□ Yes □ No

□ Yes □ No

Place

Period of attendance

Degree

Major

Scholastic honors

Have you ever been charged with or convicted of an offense in any criminal or administrative case(s)?
If “yes”, give particulars: _________________________________________________________________
______________________________________________________________________________________
Have you ever been dismissed/disqualified from enrolling in a school by reason of scholastic
delinquency or disciplinary action? If “yes”, give particulars:
______________________________________________________________________________________
______________________________________________________________________________________
Have you ever enrolled in any law school, including the U.P. College of Law?
If “yes”, attach your Official Transcript of Records from the law school(s).

*NOTE: Credentials/documents filed pursuant to application requirements become the property of the U.P.

I certify under oath that the information I have provided on this application form and in any attached materials are accurate to the best of my personal knowledge. College of Law to access any of my official records to verify the accuracy of any information supplied herein. Passport or Photo bearing Certification from School Registrar or Employer) Name ________________________________________________ Mailing Address ______________________________________ ______________________________________________________ Name ____________________________________________________ Mailing Address __________________________________________ __________________________________________________________ By: _________________ Date: _________________ (To be filled in by the Admissions Committee Chairperson) By: ______________________________ Date: _____________ (To be filled in by the Admissions Committee Chairperson) . _______________________________________________ __________________________________________ Signature of Applicant Date -------------------------------------------------------------------------------------------------------------------------------------------------------------ADMISSION TICKET (Examiner’s Copy) Application No. indicate where and what review center: ____________________________________________ □ Yes □ No What languages do you speak? ________________________________________________________ Where will you take the LAE? □ UP Diliman □ UP Cebu □ UP Baguio □ UP Davao □ UP Visayas (Iloilo City) If admitted. 3. ADMISSION TICKET (Applicant’s Copy) Passport size.M. 2. Driver’s License. 1 Mongol) Admission Ticket Identification Card (Photo bearing School ID. Driver’s License. __________ Have you or are you enrolled in a LAE review program? If “yes”. College of Law of any changes in the above information or of any further information that might affect my eligibility for consideration as a prospective student. 2 lead pencils (No.P.□ Yes □ No Have you taken the LAE before? If “yes”. Passport or Photo bearing Certification from School Registrar or Employer) Application No. Sign name at back of photo. indicate the number of times and the year(s) taken. _________________ Place: _________________________ Date : 21 November 2010 Time : 7:30 A. Bring the following for the examination: 1. 1 Mongol) Admission Ticket Identification Card (Photo bearing School ID. Employee’s Photo ID. I agree to notify the U. what are the mean(s) by which you will support yourself? (check all applicable) □ Self-supporting □ Parents Others _____________________________ If admitted. Passport size. 2 lead pencils (No. Sign name at back of photo. Bring the following for the examination: 1. I understand that the UP College of Law may verify information included in my application.P. Employee’s Photo ID. I hereby authorize the U. where do you plan to enroll? □ Private scholarship □ Government scholarship □ Day Program □ Five-Year Evening Program How much is your family’s gross yearly income? __________ On pain of perjury.M. 2. 3. ________________________ Place: ________________________________ Date : 21 November 2010 Time : 7:30 A.

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