Control #_________

Republic of the Philippines

UNIVERSITY OF EASTERN PHILIPPINES
University Town, Northern Samar
uep.edu.ph uepnsofficial@gmail.com

Graduate Studies

Expression of Intent for Admission

Date Reference Number

Last Name
Frist Name
Middle Name
Home Address
Bachelor’s
Senior High School
Address
To the Admission Committee
I would like to express my interest in pursuing my application for admission in any of the
following programs offered by the University of Eastern Philippines
First Preference
Second Preference
Third Preference
Fourth Preference
Fifth Preference
Name and Signature of Date
Applicant
Name and Signature of Date
Parent/Guardian

Important Reminders

1. The form must be completely accomplished and signed.

2. Upon completion, this form must be enclosed in an envelope together with the other
admission requirements.
3. The admission of the students to the program of choice will be subject to the final decision
of the Admission Committee, based on the academic requirements and the availability of
slots in the specific degree program. Submission of this form is not a guarantee of
admission.
4. Confirmation of admission status will be announced thru the municipal link a month before
the enro9lment period for freshmen.
Write a short essay about yourself that includes a detailed explanation why you prefer the
degree program you are applying for.