COLLEGE OF LAW

UNIVERSITY OF THE PHILIPPINES

Passport size.
Sign name at
back of photo.

Application for Admission to the

Juris Doctor (J.D.) Program for 2013-2014

(All sections must be completed and received by 16 November 2012 (without fine) or 23 November 2012 (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)
(If a married woman, encircle maiden name.)
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 Other (Specify) _______

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

Yes No

Yes No

Have you ever been charged with or convicted of an offense in any criminal or administrative case(s)?
If yes, give particulars: _________________________________________________________________
______________________________________________________________________________________
Have you ever been dismissed/disqualified from enrolling in a school by reason of scholastic
delinquency or disciplinary action? If yes, give particulars:
______________________________________________________________________________________
______________________________________________________________________________________
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. __________
(Please note that the number of times an applicant can take LAE is three (3) times.)
Have you or are you enrolled in a LAE review program?
If yes, indicate where and what review center: ____________________________________________

Yes No

What languages do you speak? ________________________________________________________

Where will you take the LAE?
UP Diliman

UP Cebu

UP Davao

If admitted, what are the mean(s) by which you will support yourself? (check all applicable)
Self-supporting
Parents
Others _____________________________
If admitted, where do you plan to enroll?

Private scholarship
Government scholarship

Day Program

Five-Year Evening Program

How much is your familys gross yearly income? __________

On pain of disqualification, I certify that the information I have provided on this application form and in any attached
materials is accurate. 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
(Examiners Copy)

ADMISSION TICKET
(Applicants Copy)
Passport size.
Sign name at
back of photo.

Application No. _________________

Place: _________________________
Date : 25 November 2012
Time : 7:30 A.M.
Bring the following for the examination:
1.
2.
3.

2 lead pencils (No. 1 Mongol)

Admission Ticket
Identification Card (Photo bearing School ID, Employees
Photo ID, Drivers License, Passport or Photo bearing
Certification from School Registrar or Employer)

Application No. ________________________

Place: ________________________________
Date : 25 November 2012
Time : 7:30 A.M.

Passport size.
Sign name at
back of photo.

Bring the following for the examination:

1.
2.
3.

2 lead pencils (No. 1 Mongol)

Admission Ticket
Identification Card (Photo bearing School ID, Employees
Photo ID, Drivers License, Passport or Photo bearing
Certification from School Registrar or Employer)

Name ________________________________________________
Mailing Address ______________________________________
______________________________________________________

Name ____________________________________________________
Mailing Address __________________________________________
__________________________________________________________

(To be signed by the Admissions Committee Chairperson)

(To be signed by the Admissions Committee Chairperson)

By: _________________

By: ______________________________

Date: _________________

Date: _____________