PART 6: SOURCE OF FUNDING FOR YOUR EDUCATION

D Parents
Please specify: Maximum amount of support per trimester in Php:
D Relatives

D Self

Please specify: Maximum amount of support per trimester in Php:

D Scholarship

Please specify: Maximum amount of support per trimester in Php:

Education Plan

Please specify: Maximum amount of support per trimester in Php:

D Others

PART 7: SIBLING(S) CURRENTLY ENROLLED AT CII T

ENROLLED AT
NAME PROGRAM
SH S COLLEGE
1. D Yes D No D Yes D No
2. D Yes D No D Yes D No

PART 8: E MERGENCY CONTACT INFORMATION

FULL NAME RELATIONSHIP CONTACT DETAILS

PART 9: CERTIFICATION OF INFORMATION

I hereby CERTIFY that all the information I have written in this Application Form are true and correct to the best
of my knowledge. Any misinformation found and proven true by CfIT shall serve as grounds for nullification of my
enrollment or education at CIIT College of Arts and Technology.

Furthermore, I am giving my written consent for CIIT College of Arts and Technology to hold my personal
information that may be required for the purpose of admission.

SIGNATURE OF APPLICANT DATE SIGNATURE OF PARENT DATE

OR LEGAL GUARDIAN

*Required for applicants below 78 years old