Académique Documents
Professionnel Documents
Culture Documents
ADMISSION NO.:
LAST NAME: FIRST NAME:
MIDDLE NAME: SEX: - TEL. NO. / CELL PHONE:
DATE OF BIRTH: PLACE OF BIRTH:
HOME ADDRESS:
SCHOOL LAST ATTENDED: PRIVATE ✔ PUBLIC YEAR GRAD.:
ACADEMIC AWARD RECEIVED: VALEDICTORIAN SALUTATORIAN WITH HONORS/HONORABLE MENTION ✔ NONE
IS YOUR FAMILY A 4Ps RECIPIENT? YES ✔ NO
DO YOU HAVE PRIOR ENROLMENT IN COLLEGE/TERTIARY EDUCATION?: YES ✔ NO
IF YES, AT WHAT SCHOOL & COURSE?: YEAR: SEM.: -
FINAL GRADES:
MATH: SCIENCE: ENGLISH: GEN. AVERAGE:
FATHER: WORK: MONTHLY INCOME:
MOTHER: WORK: MONTHLY INCOME:
COURSE PREFERENCES (Please click the arrow and select your preferred course from the given choices):
1ST PREFERENCE: others
2ND PREFERENCE: others
3RD PREFERENCE: others
______________________________
Applicant’s Signature / Date
--------------------------------------------------------------------------------------------------------------------------
Republic of the Philippines Document Code:
UNIVERSITY OF ANTIQUE Revision No. 02
Office of Admission/Registrar
Sibalom, Antique Effectivity Date: November 13, 2018
Tel. No. (036) 543 8161
E-Mail: ua@antiquespride.edu.ph Page: 1 of 1
TEST RESULT
AY 20_____ - 20_____
ADMISSION NO.:
NAME: Differential Aptitude Test:
Last Name, First Name Middle Name Date Taken:
Examinee No.:
⎕ others
% Rank Stanine
Abstract Reasoning
Mechanical Reasoning
Clerical Speed & Accuracy
DARIUS E. MONTAÑO .
Guidance Counselor III
----------------------------------------------------------------------------------------------------------------------------
Republic of the Philippines Document Code:
UNIVERSITY OF ANTIQUE Revision No. 02
Office of Admission/Registrar
Sibalom, Antique Effectivity Date: November 13, 2018
Tel. No. (036) 543 8161
E-Mail: ua@antiquespride.edu.ph Page: 1 of 1
EXAMINATION PERMIT
ADMISSION NO.:
NAME:
SEAT NO: EXAMINATION DATE: TIME:
OFFICIAL RECEIPT NO.:
_______________________________ ______________________________
Guidance / Date Applicant’s Signature / Date
DOWNLOAD THIS AS YOUR GUIDE FOR ADMISSION AND ENROLMENT
ENROLMENT PROCEDURE: