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COLLEGE OF LAW

UNIVERSITY OF THE PHILIPPINES Passport size.


Sign name at
Application for Admission to the back of photo.
Juris Doctor (J.D.) Program for 2011-2012

(All sections must be completed and received by 12 November 2010 (without fine) or 19 November 2010 (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)

Mailing Address (Where you would like correspondences to be sent.) Permanent Home Address
Street ____________________________________ Street ____________________________________
City ____________________________________ City ____________________________________
Province ____________________________________ Province ____________________________________
Region ____________________________________ Region ____________________________________
Country ____________________________________ Country ____________________________________
Zip _________ Zip __________
Landline(s) ____________________________________ Citizenship ____________________________________
Cellphone(s) ____________________________________ Place of Birth ____________________________________
E-mail(s) ____________________________________ Date of Birth ____________________________________
month / day / year

Status: □ Single □ Married □ Separated/Divorced Sex: □ Female □ Male

List all elementary schools, high schools, colleges, universities, graduate and professional schools that you have attended:

School Place Period of attendance Degree Major Scholastic honors

□ 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).

*NOTE: Credentials/documents filed pursuant to application requirements become the property of the U.P.
□ Yes □ No Have you taken the LAE before?
If “yes”, indicate the number of times and the year(s) taken. __________
□ 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? ________________________________________________________

Where will you take the LAE?


□ UP Diliman □ UP Baguio □ UP Visayas (Iloilo City)
□ UP Cebu □ UP Davao

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? □ Day Program □ Five-Year Evening Program

How much is your family’s gross yearly income? __________

On pain of perjury, I certify under oath that the information I have provided on this application form and in any
attached materials are accurate to the best of my personal knowledge. 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 ADMISSION TICKET


(Examiner’s Copy) (Applicant’s Copy)

Application No. _________________ Passport size. Application No. ________________________ Passport size.
Place: _________________________ Sign name at Place: ________________________________ Sign name at
Date : 21 November 2010 back of photo. Date : 21 November 2010 back of photo.
Time : 7:30 A.M. Time : 7:30 A.M.

Bring the following for the examination: Bring the following for the examination:

1. 2 lead pencils (No. 1 Mongol) 1. 2 lead pencils (No. 1 Mongol)


2. Admission Ticket 2. Admission Ticket
3. Identification Card (Photo bearing School ID, Employee’s 3. Identification Card (Photo bearing School ID, Employee’s
Photo ID, Driver’s License, Passport or Photo bearing Photo ID, Driver’s License, Passport or Photo bearing
Certification from School Registrar or Employer) Certification from School Registrar or Employer)

Name ________________________________________________ Name ____________________________________________________


Mailing Address ______________________________________ Mailing Address __________________________________________
______________________________________________________ __________________________________________________________

By: _________________ Date: _________________ By: ______________________________ Date: _____________


(To be filled in by the Admissions Committee Chairperson) (To be filled in by the Admissions Committee Chairperson)

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