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COLLEGE OF LAW

UNIVERSITY OF THE PHILIPPINES


Application for Admission to the
Juris Doctor (J.D.) Program for 2012-2013

Passport size.
Sign name at
back of photo.

(All sections must be completed and received by 13 January 2012 (without fine) or 16 January 2012
(with fine). Attach separate sheet if needed. For inquiries or information: Tel. No. 927-7180;
http://law.upd.edu.ph; or visit the Office of the College Secretary, 1st Floor, Malcolm Hall, Diliman, Quezon City.)
Full Name _________________________________________________________________________________________________
(Last)
(First)
(Middle)
(If a married woman, encircle maiden name.)
Mailing Address (Where you would like correspondences to be
City
sent.)
____________________________________
Street
____________________________________
Province
City
____________________________________
____________________________________
Province
____________________________________
Region
Region
____________________________________
____________________________________
Country
Country
____________________________________
____________________________________
Zip
_________
Zip
__________
Landline(s)
____________________________________
Citizenship
Cellphone(s) ____________________________________
____________________________________
E-mail(s)
____________________________________
Place of Birth
____________________________________
Date of Birth
Status:
Single Married Other (Specify)
____________________________________
month / day / year
_______
Permanent Home Address
Sex:
Female Male
Street
____________________________________
List all elementary schools, high schools, colleges, universities, graduate and professional schools that you
have attended:
honors

School

Place

Period of attendance

Degree

Major

Scholastic

Yes No
Have you ever been charged with or convicted of an offense in any criminal or
administrative case(s)?
If
yes,
give
particulars:
_________________________________________________________________
______________________________________________________________________________________
Yes No
Have you ever been dismissed/disqualified from enrolling in a school by reason of
scholastic delinquency or disciplinary action? If yes, give particulars:
______________________________________________________________________________________
______________________________________________________________________________________

Yes No

Have you ever enrolled in any law school, including the U.P. College of Law?
If yes, attach your Official Transcript of Records from the law school(s).
Yes No
Have you taken the LAE before?
*NOTE: Credentials/documents
pursuant
application
requirements
If yes,filed
indicate
the to
number
of times
and the become
year(s) the
taken. __________
property of the U.P.
(Please note that the number of times an applicant can take LAE is three (3) times.)
Yes No
Have you or are you enrolled in a LAE review program?
If yes, indicate where and what review center:
____________________________________________
What languages do you speak? ________________________________________________________
If admitted, what are the mean(s) by which you will support yourself? (check all applicable)
Self-supporting
Private scholarship
Parents
Government scholarship
Others
_____________________________
If admitted, where do you plan to enroll?
Program

Day Program

Five-Year Evening

How much is your familys gross yearly income? __________


On pain of disqualification, I certify that the information I have provided on this application form
and in any attached materials is accurate. I understand that the UP College of Law may verify information
included in my application. I hereby authorize the U.P. College of Law to access any of my official records
to verify the accuracy of any information supplied herein. I agree to notify the U.P. College of Law of any
changes in the above information or of any further information that might affect my eligibility for
consideration as a prospective student.
_______________________________________________

__________________________________________

Signature of Applicant

Date

-------------------------------------------------------------------------------------------------------------------------------------------------------------ADMISSION TICKET
(Examiners Copy)
Application No. _________________
Place:_________________________
Date : 22 January 2012
Time : 7:30 A.M.

Passport size.
Sign name at
back of photo.

Bring the following for the examination:


1.
2.
3.

2 lead pencils (No. 1 Mongol)


Admission Ticket
Identification Card (Photo bearing School ID,
Employees Photo ID, Drivers License, Passport
or Photo bearing Certification from School
Registrar or Employer)

Name________________________________________________
Mailing Address______________________________________
______________________________________________________
By: _________________
Date: _________________
(To be filled in by the Admissions Committee
Chairperson)

ADMISSION TICKET
(Applicants Copy)
Application No. ________________________
Place:________________________________
Date : 22 January 2012
Time : 7:30 A.M.

Passport size.
Sign name at
back of photo.

Bring the following for the examination:


1.
2.
3.

2 lead pencils (No. 1 Mongol)


Admission Ticket
Identification Card (Photo bearing School ID,
Employees Photo ID, Drivers License, Passport
or Photo bearing Certification from School
Registrar or Employer)

Name
____________________________________________________
Mailing
Address
__________________________________________

_________________________________________________________
_
By: ______________________________
Date:
_____________
(To be filled in by the Admissions Committee
Chairperson)