LOYOLA SCHOOLS
Office of the Associate Dean for Graduate Programs
APPLICATION FOR ADMISSION
TO GRADUATE STUDIES
Instructions:
1. Fill up this form completely and accurately. Print or type the information requested. Use a separate sheet if necessary.
2. Submit all the required documents by the deadline set by the Associate Dean for Graduate Programs. Only application forms properly
accomplished and accompanied by all the required documents will be processed.
3. Arrange to take the entrance examination on any of the dates set by the Associate Dean for Graduate Programs.
I wish to take up the following graduate degree program:
(Please list in order of preference and indicate “Thesis” or “Non-Thesis”, if applicable.)
1.
2.
2” x 2”
ID Picture
Legal Name
Gender M F Married Name (If applicable)
NAME IN BIRTH CERTIFICATE
Last Name First Name Middle Name
Nickname
Permanent address Street No Street Subdivision / Barangay City / Municipality
Province Country Zip Code
Mailing address
(If not the same as the
permanent address)
Street No Street Subdivision / Barangay City / Municipality
Province Country Zip Code
Phone and E-mail Residence ( )
Area code Mobile: E-mail:
Present
Employment
or
Immediate past
Employment
(if leaving job to study)
Employed Self-Employed Not Employed Job Title:
Employer (company / school / private individual)
Full-time Part-time
Regular Contractual
Address Office E-mail Address
Government Private Non-Government
Others _____________________________ No. of Yrs in Service Nature of Business / Institution / Org. Office Landline and Fax No.
Date of birth / /
Day Month Year Age Place of Birth
Citizenship Filipino Others (specify)
Civil Status Single Married Widowed Separated Blood type
If married:
Name of Spouse Last Name First Name Middle Name
Contact
nos. Landline Mobile
Person to
contact in case
of emergency
(Name, address,
relationship and
contact details)
Last Name First Name Middle Name Relationship
Street No Street Subdivision / Barangay
Contact
nos. Landline Mobile
City / Municipality Country Zip Code E-mail
LOYOLA SCHOOLS FORM ADGP-1 (rev. 10-2017)
I am applying to begin graduate studies in
School Year 20___-20___ Intersession
Semester I
Semester 2
Please do not write below this line
OR No. Amount Date Prepared by
Date Received ADGP: Department: ADGP: Dean: Registrar:
By:
APPLICATION FEE PAID
PERSONAL INFORMATION
