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APPLICATION FOR ADMISSION with your printed name at the
_____ Semester, S.Y. _______________ back
[ ] FRESHMAN
[ ] TRANSFEREE
[ ] REFRESHER
1. Personal Information
Name:_________________________________________________________________________ Do Not Write Below
Last Name First Name Middle Name Maiden Name (for married woman) Application No.:______
Date of birth:_______________________ Place of Birth: Religion: Written Exam:_______
Month Day Year Oral Exam:__________
Approved by:
Sex: Civil Status: Citizenship: Contact No.:
___________________
Home Address: Email address: Admission Officer
2. Employment Status (If applicable)
Name of Company: Present Position: Length of Service: Contact No.:
Office Address: Email Address:
3. Educational Information
Name of School Year Graduated Recognitions/Awards GWA
Bachelor’s Degree:
Post Graduate:
FOR FRESHMAN
Reason for applying:
[ ] Work promotion [ ] Personal choice [ ] Inspired by family and/or friends
[ ] Others please specify,_______________________________________________________________________________________
FOR TRANSFEREE
Previous School Attended: Year level: Acquired units:
Address:
Reason for transferring:________________________________________________________________________________________
If expelled, why?
FOR REFRESHER
Year Graduated: Name of Law School:
Have you ever been convicted of any crime or violation of any law, decree, ordinance or regulation by any court or tribunal? [ ] YES [ ] NO
I hereby affirm that I have read and understood all the instructions in connection with my application for admission to Bulacan State University- College of Law. 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 withholding 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 for the Bulacan State University and/or its College of Law.
REMARKS: AB/BS Completion Deficiency
Signature
6 Mathematics
18 English
OR#:_____________ Exam Date:___________
15 Social Sciences Time:____________ Room: ______________
3 Rizal Course
Evaluator
BulSU-OP-COL-01F1 Page 1 of 1
Revision: 1
ENTRANCE EXAMINATION PERMIT
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Application No: __________________ O.R. No. _________________ Date: _______________ with your printed name at the
back
Name: __________________________________________________Signature: ____________
Examination Schedule:
Date: __________________ Time: ___________________ Room: _________________
Instructions:
Present this permit and official receipt to the proctor on the designated exam schedule
BulSU-OP-COL-01F1
Revision: 1
