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FEU INSTITUTE OF TECHNOLOGY ELEMENTARY

Name of School: Years Attended to


ADMISSIONS AND EXTERNAL RELATIONS OFFICE ADMISSIONS FORM Address of School: __
Tel. No.: (632) 8281 8888
COLLEGE
JUNIOR HIGH SCHOOL
0 INCOMING FRESHMEN 0 FOREIGN STUDENT O Applying for Scholarship
Name of School: Years Attended to
0 TRANSFEREE D 2ND DEGREE_____ (forFilipinoStudentonly) Address of School: ------------------------------
School Year: 20_ Please check one: Trimester: □ 3''
SENIOR HIGH SCHOOL

Degree Program Applied for: Name of School: Years Attended to


ENGINEERING INFORMATION TECHNOLOGY with COMPUTER SCIENCE with Address of School: __
specialization in: specialization in:
D Civil Engineering
D Animation and Game Development □ Software Engineering COLLEGE (IF APPLICABLE)
D Computer Engineering D Data Science
D Cybersecurity
D Electronics Engineering MULTIMEDIA ARTS with Name of School: -----------------Years Attended---- to ----
D Web and Mobile Application specialization in:
D Electrical Engineering
D Business Analytics
Address of School: ------------------------------
D Digital Film and Animation
D Mechanical Engineering How did you learn about FEU Institute of Technology? You may check more than one (1):
Events Social Media Referral Visibility
D Career Talk D WebsiteOYoutube
D lnstagram □Friends D Billboards
Last Name: First: Middle: D
D Seminar/Workshop
Immersion D Facebook OTiktok □ Family D Lamp post
Date of Birth: Place of Birth: Citizenship: □ Tarp Banners
Gender: Civil Status: Religion: I hereby certify that all I have indicated herein are true and correct. By signing this form,
Permanent Address: I agree to the terms and conditions stated. Any misinformation shall serve as ground for
the nullification of my enrollment at FEU Institute of Technology.
Country: Zip Code:

Contact No.: Email:

Signature of Applicant Date


FAMILY BACKGROUND
SCHOLARSHIP/DISCOUNT RECOMMENDATION (FOR ADMISSIONS USE ONLY)
Name Age Occupation Contact No. Email
President's Scholar 0PS3H 0PS2H 0PS1H
-W/Honors High__Highest
Father Entrance Merit 0MER1H 0MER50 CAT GWA---

Mother Family Discount □ FD Parents Annual Income (ITR)

Guardian
Early Enrollment Discount D Sibling's Student No:

Elite Scholar 0E _ADS1H


OR_no.: OR Date:
Sibling/s
G12 Grad pop:
Rank: -
Singature Over Printed Name Recommended by Aero Associate

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