Republic of the Philippines
UNIVERSITY OF EASTERN PHILIPPINES Passport Size
University Town, Northern Samar
uep.edu.ph
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GRADUATE STUDIES
(Please type or print in English)
To the Applicant: This application shall not be acted upon unless the following documents and fees are received by the UEP Graduate
Studies.
A. Official Transcript of Records (in English) for the Baccalaureate and Master’s degrees, from the college and the graduate
school previously attended.
B. Application fee of P150 for the Master’s Program and P 200 for the Doctoral Program (Non-refundable).
Full Legal Name:
Place of Birth: Date of Birth:
Home Address: Citizenship:
Sex: Civil Status: Contact Number:
Present Occupation: Employer (Institution or Company:
Business
Address:
Home Address: Zip Code:
Academic Background. (List all school previously attended)
Institution Attended Degree Major Field Date
Received
Degree Sought:
( ) PhD PA ( ) PhD LL ( ) PhD EM ( ) PhD AgEd ( ) MAPA ( ) MBA ( ) MAEd Math
( ) MSES ( ) MS Econ ( ) MS Bio Sci ( ) MCE ( ) MSCD ( ) MAN ( ) MS AnSci
( ) MS AgEd ( ) MAEd SS ( ) MAEd HE ( ) MS Agron ( ) MAEd EEd( ) MAED Admin & Supervision
( ) MAED Guidance ( ) MAED Filipino ( ) MAED PE ( ) MSChem ( ) MALL
( ) MMPM ( ) __________________________
Major Field of Interest _________________________________________
Semester for which you are applying __________ Semester _____ Summer
School Year _______________
GPA/ GWA of Applicant _______
___________________________________
Signature Over Printed Name
Checked by:
ENA ROSE J. BAROJABO, PhD MIRIAM B. CABRITO, PhD
GS Staff GS Secretary
Recommended Action
( ) Regular Admission ( ) Probationary Admission
APPROVED:
TITO M. CABILI, PhD
Dean, Graduate Studies