Professional Documents
Culture Documents
Application For Admission
Application For Admission
2” X 2”
Picture in
ATENEO DE NAGA UNIVERSITY
White
SENIOR HIGH SCHOOL Background
Instruction: 1. Fill out this form carefully with the information requested. Only application forms correctly and completely
filled-out will be accepted. Submit this form together with the Admission Requirements. Please refer to the
checklist at the back of this form. INCOMPLETE CREDENTIALS will not be processed.
2. MISREPRESENTATION OF INFORMATION in this application will be considered sufficient reason for
REFUSAL of ADMISSION and Exclusion.
Religion Parish Priest/Pastor Blood Height Weight ACR No. (For non-Filipino
Type only)
PARENTS/GUARDIAN INFORMATION
FATHER’S Last Name First Name Middle Name
Living Deceased
NAME
House No., Street, Subdivision, Barangay City/Municipality
CURRENT
ADDRESS Province Country Zip Code Mobile Number
GUARDIAN’S Last Name First Name Middle Name Relation to the student
NAME
(Other than Parents)
House No., Street, Subdivision, Barangay City/Municipality
CURRENT
ADDRESS Province Country Zip Code Mobile Number
EDUCATIONAL BACKGROUND
Name of Elementary School Name of Junior High School
Type of School Private Catholic Public Type of School Private Catholic Public
School Address School Address
We hereby give our consent that the personal information stated in this form will be used for admission
in the Ateneo de Naga University, and for generation of reports related to accreditation and research and
for scholarship application, beneficial to the students and scholarship benefactors, and for valid/reasonable
requirements of government agencies and other sectors.
We also certify that, to our best knowledge, all information is true and correct.
ADMISSION REQUIREMENTS
( ) Original copy of Grade 10 Report Card
( ) Certificate of Good Moral Character (ADNU Form)
( ) Original copy of PSA (formerly NSO) Birth Certificate
( ) Privacy Policy for Applicants, Students, and Alumni
( ) Medical Certificate (ADNU Form)
( ) 3 copies of 2” x 2” size of picture in white background
( ) Long white folder
_______________________________ __________________________________
Signature Over Printed Name Signature Over Printed Name