2X2

UNIVERSITY OF THE EAST Picture

APPLICATION FORM
(UE-TAN YAN KEE FOUNDATION, INC. SCHOLARSHIP)

NAME:__________________________________________________________________________
(Last Name) (First Name) (Middle Name)
Date of Birth: _________________ Place of Birth:________________________________________
Age (as of last birthday):________ Citizenship:_______________ Sex: Male † Female †
Address (City):_______________________________ Tel. No. __________ Mobile No.___________
Address (Province):___________________________ Tel. No. __________ Mobile No.___________
High School Attended:______________________________________________________________
(Name of School/Address)
rd
General Weighted Average (as of 3 Quarter):__________
Average Grade (as of 3rd Quarter) in English ___________ Math __________ Science __________
Special Skills/Talents: ______________________________________________________________
Club/Organization/Society Membership(s):______________________________________________
Position:_________________________________________________________________________
Course to Pursue: _________________________________________________________________

Father Mother
Name of Parents : ______________________ ______________________
Occupation : ______________________ ______________________
Highest Educational Attainment : ______________________ ______________________
School Attended : ______________________ ______________________
Annual Income : ______________________ ______________________

I hereby certify that the above information/statements are true to the best of my knowledge.

___________________ ___________________________
Date (Signature over printed name)

Please call the Admissions Office at the following numbers for the schedule of the qualifying tests:
735-8577 or 735-5471 locals 398 or 399
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Please attach the following:
1. Certification from the Principal indicating his academic/rank in
the graduating class. This scholarship is awarded to qualified incoming freshmen
2. Certification from the Principal indicating his GWA, and grade who intend to pursue a degree in any of the following
average as of the 3rd quarter in English, Mathematics and disciplines:
Science. (GWA should at least be 85.00) 1. Science/Mathematics
3. Certificate of Good Moral Character. 2. Accountancy
4. Accomplished application form. 3. Computer Science/Information Technology
5. 2x2 picture (2 pcs.) 4. Dentistry
6. Photocopy of latest Income Tax Returns of both parents 5. Engineering
7. Self Addresses Envelope with Stamp 6. English/Communcation Arts

Deadline of submission: February 28, 2011.