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San Beda University: Surname First Name: Middlename: Ext

This document is an application form for San Beda University's Doctor of Juridical Science program. It requests personal information such as name, date of birth, contact details, family details, educational background, work experience, and a signature agreeing to the university's policies. The form is used by the applicant to officially apply for admission and provide all relevant details for the admissions evaluation process.

Uploaded by

Lex Francis
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48 views

San Beda University: Surname First Name: Middlename: Ext

This document is an application form for San Beda University's Doctor of Juridical Science program. It requests personal information such as name, date of birth, contact details, family details, educational background, work experience, and a signature agreeing to the university's policies. The form is used by the applicant to officially apply for admission and provide all relevant details for the admissions evaluation process.

Uploaded by

Lex Francis
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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SAN BEDA UNIVERSITY

638 Mendiola Street San Miguel, Manila 1005


P.O. Box 4457 Philippines
www.sanbeda.edu.ph

APPLICATION FORM

PERSONAL INFORMATION Colored Picture with


white background
Name: TAMIRAY, LEX FRANCIS LAMIREZ (2x2)

Surname First Name: Middlename: Ext.

Applicant Number: 201913225 Classified As: Freshman

Program Applying for: DOCTOR OF JURIDICAL SCIENCE

Date of Birth: May 05, 1990 Place of Birth: Baguio City Citizenship: Filipino

Gender: M Civil Status: Single Religion: Roman Catholic

Residence: Unit 3-O Maple Tower Peninsula Midtown Garden Homes Penafrancia St ., Paco Manila,Metropolitan Manila

Telephone No.: Mobile No: 09989949267 Email: [email protected]

State any disability or ailment that should be taken into consideraton in planning your studies program and daily actvites (e.g.
hearing, reading, speech difcultes, allergies, psychological and mental disturbances:

FAMILY INFORMATION
FATHER MOTHER
Name: Junie Tamiray Hilda Tamiray
Married Married
Marital Status:
Residence: 52 Dapiting Alapang La Trinidad Capital), Benguet 52 Dapiting Alapang La Trinidad Capital), Benguet

Citizenship: Filipino Filipino

Telephone No: 09175604034 09672063828


Mobile: 09175604034 09672063828

Email Address: [email protected]

Occupation: Farmer Government Employee


Work as an OFW:

If applicable
Guardian Spouse
Name: Hilda Tamiray

Residence: 52 Dapiting Alapang La Trinidad Capital), Benguet

Citizenship: Filipino

Telephone No: 09672063828


Mobile:
Email Address:
Occupation:

Work as an OFW:
EDUCATIONAL BACKGROUND

Information on Last School Attended

Name of School Saint Louis University

School Address Baguio City

Year Level/ Degree Completed Bachelor of Science in Electrical Engineering/Mechanical Engineering

Academic Year 2006-2011, 2013-2016

Honors/ Scholarship Recieved

For Transferees:

Name of School

School Address

Year Level/ Degree Completed

Academic Year

Honors/ Scholarship Recieved

WORK EXPERIENCE

Company name Department of Public Works and Highways

Company Address 2nd St. Port Area, Manila

Position Engineer II

Contact Number

OTHERS:

Licensure Examinaton/s Passed: REE, ME, RMP


What other schools have you applied to? none
How did you come to know San Beda University?

from parents/siblings ü from the internet/webpage

from my from SBC brochures/poster


friends/classmates

by my own initiative from career orientation talks


ü

ü from teachers
ü Others: Please specify

Reminder. When you registered online, you agreed to the following:

Having read and understood the admission policies of the Department I am applying in I hereby apply with the
ü understanding that my applicaton will be evaluated based on the policies set by the department.

certfy that the foregoing informaton and the credentals to be uploaded/submited are true and complete to
ü the best of my knowledge. I fully realize that omission or falsifcaton of any informaton and credentals will be
considered sufcient reason for rejecton of this applicaton or for dismissal, even if already admited.

ü Finance Policy of San Beda University

ü Data Privacy Policy of San Beda University.

Version 2.2018

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