New Era University

No. 9 Central Ave., New Era, Quezon City Rev 8/2004nae ________Semester,

EU Form A

APPLICATION FOR ADMISSION AY________________ [ ] TRANSFEREE

[ ] FRESHMAN
(Type or print in ink all information legibly)

Attach recent 2x2 picture here with your printed name at the back

Course or degree applying for (specify): 1st Choice __________________ 2nd Choice __________________ 1. Personal Information:
Name:
Last Name First Name Middle Name Maiden Name (for married woman) Do Not Write Below Application No:

_________________ Place of Birth:

Weighted Ave.________ Approved by: ___________________ Admission Officer

Date of birth: Sex:

Month

Day

Year

Civil Status:

Citizenship:

Religion: Contact No.

Permanent Home Address: Name of Parent/Guardian: Address of Parent/Guardian Relationship:

Occupation: Religion:

Contact No. Locale (for INC member):

2. Educational Information:
FOR FRESHMAN: High School currently attending or graduated from:

Location Name of School (Do not abbreviate) FOR TRANSFEREE: Have you previously attended New Era University? [ ] Yes [ ] No Other College or University attended. Please indicate:

Region

School Year

If yes, When? Degree Obtained

Institution

Location

From-To (month/year)

I hereby affirm that I have read and understood all the instructions in connection with my application for admission to New Era University. I further affirm that all information supplied herein are complete and accurate. I am aware that any or all of the information furnished in this application may be checked against original documents and that with holding or giving false information will make me ineligible for admission or subject to dismissal. If admitted, I agree to abide by the policies, rules and regulations of the New Era University.
For INC members (To be filled up by authorized staff only) Locale Kapisana n Tungkuli n Prk Grp O. R. Time: Signature of Student Examination Date: Room:

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New Era University

No. 9 Central Ave., New Era, Quezon City

ENTRANCE EXAMINATION PERMIT

Application No. Name: Examination Schedule: Date: Time: O.R. No. Date: Signature: Room:

Attach recent 2x2 picture here with your printed name at the back

Instructions: 1. Present this permit and official receipt to the proctor on the designated examination schedule. 2. Bring two (2) sharpened dark leaded pencils. (no ballpen allowed) NOTE: Test result and schedule of interview will be released on _________________