Republic of the Philippines

North Eastern Mindanao State University

Rosario, Tandag City, Surigao del Sur 8300
Telefax No. 086-214-6166
Website: collegeoflawsdssu@gmail.com

College of Law

Date Filed: ________________________

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Received by: ______________________ White background
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APPLICATION FOR ADMISSION

THE DEAN
College of Law
North Eastern Mindanao State University
Tandag City, Surigao del Sur

Sir:

I respectfully submit this application for admission to the program leading to the degree Juris Doctor (J.D.) in North-Eastern
Mindanao State University College of Law, beginning the Academic Year 2022 to 2023 for your consideration, with the required
supporting documents enclosed.

APPLICANT’S INFORMATION

Personal Information

Name: ________________________________________________________________________________________________
(Last Name) (First Name) (Middle Name)

Permanent Address: _____________________________________________________________________________________

Current Address: ________________________________________________________________________________________

Telephone Number: ______________________________________ Mobile Number: __________________________________

Email Address: __________________________________________________________________________________________

Birthdate: ___________________________ Birthplace: ___________________________________________ Age: __________

(mm/dd/yyyy)

Sex: __________________________ Citizenship: ______________________________ Religion: ________________________

Civil Status: _______________________ If married, Name of Spouse: ______________________________________________

Occupation: ____________________________________________________________________________________________

Educational Background

Degree School/University Year graduated Scholastic Honors/ Awards

Bachelor Degree/s:

Graduate Degree/s:

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 Republic of the Philippines
North Eastern Mindanao State University
Rosario, Tandag City, Surigao del Sur 8300
Telefax No. 086-214-6166
Website: SDSSUlawschool@yahoo.com

Work Experience (Use separate sheet if necessary)

Inclusive Period Position Employer/Address

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PRELIMINARY QUESTIONS:

1. Have you previously studied in other law schools? ______________. If yes, please state:

Name of School: ______________________________ Address: _______________________________________

Years attended: _____________ to _______________ Year Level/ Units completed: _______________________

2. Why do you wish to study law in NEMSU?

__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________

3. Choose any topics below and discuss. Please use another sheet of paper for your discussion.

COVID-19 PANDEMIC CLIMATE CHANGE HUMAN RIGHTS ISSUES IN THE PHILIPPINES

DECLARATION

I certify that the information I have provided here is true and accurate.

_______________________________________
Signature over printed name of applicant
Date: ___________________

REMINDERS:
1. Please submit the accomplished application form to the Office of the Dean located at the Second Floor of the College of Law
Building, NEMSU-Main Campus, Tandag City together with the following documents:
• Transcript of Records (1 set photocopy)
• PSA Birth Certificate (1 set photocopy)
• PhilSAT (Optional, 1 set photocopy)
• Honorable Dismissal (1 set photocopy)

2. The deadline for submission of this application form is on December 31, 2022.

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