| Admissions Page | Tuition Fees |
STUDENT ENROLLMENT FORM
FOR 2008/2009
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GRADE APPLIED : ------------------------------ ACCT. NO. : ---------------------------
STUDENT INFORMATION
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STUDENT FULL NAME: ---------------------------- -------------------------------- ------------------------------------------ (As written in passport) (FIRST) (MIDDLE) (FAMILY)
DATE OF BIRTH: / / PLACE OF BIRTH: --------------------------------- (DAY) (MONTH) (YEAR)
SEX: M – F NATIONALITY (by passport): -------------------------------- RELIGION: -------------------------- NATIONALITY CERTIFICATE / PASSPORT NO. : ----------------------------------------------------------------------------- CIVIL ID NO. : ---------------------------------------------------- EXPIRY DATE: ---------------------------------------------- US. SOCIAL SECURITY #: ----------------------------------------------------------------------------------------------------------- REASON FOR SELECTING U.A.S.: ------------------------------------------------------------------------------------------------- |
PREVIOUS SCHOOL INFORMATION
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SCHOOL LAST ATTENDED: ------------------------------------------------------------------------------------------------------- ADDRESS: ------------------------------------------------------------------------------------------------------- GRADE LAST ATTENDED: ------------------------------- RESULT: --------------------------------------- (ALL ACADEMIC RECORDS FROM FORMER SCHOOLS MUST BE RECEIVED PRIOR TO ACCEPTANCE AND PLACEMENT AT UAS) |
FAMILY INFORMATION
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FATHER / GUARDIAN
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MOTHER |
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- NAME: |
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- RELATIONSHIP TO STUDENT: |
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- NATIONALITY: |
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- OCCUPATION: - COMPANY NAME: |
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- WORK PHONE: |
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- FAX NO.: |
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- PAGER NO.: |
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- MOBILE NO.: |
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- FULL HOME ADDRESS: |
Area ------------------ Block # --------------Avenue # --------- Street: --------------------- Bld. ------------ Floor # -------- Flat # -------- |
Area ------------------ Block # --------------Avenue # --------- Street: ---------------------- Bld. ------------ Floor # -------- Flat # --------- |
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- HOME PHONE: |
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- e-mail: |
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- P. - P.O.BOX: |
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I, Father / Guardian of the above mentioned student, certify that all the information stated above is true to the best of my knowledge, and I shall be responsible for any mistake made while transmitting it.
GUARDIAN’S SIGNATURE:-------------------------------------------------------- DATE: ---------------------------
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OTHER EMERGENCY CONTACT (If parents are not available)
NAME : --------------------------------------- PHONE NO. : ----------------------------- PGR/MBL: ----------------------------- NAME : --------------------------------------- PHONE NO. : ----------------------------- PGR/MBL: ----------------------------- ANOTHER RELATIVE : -------------------------------- PHONE NO. : --------------------- PGR/MBL: ------------------------
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BROTHERS / SISTERS IN UAS
NAME : --------------------------------------------------- GRADE (2008-2009) : -------------------------- NAME : --------------------------------------------------- GRADE (2008-2009) : -------------------------- NAME : --------------------------------------------------- GRADE (2008-2009) : -------------------------- NAME : --------------------------------------------------- GRADE (2008-2009) : --------------------------
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THE UNDERSIGNED, FATHER / GUARDIAN OF THE ABOVE APPLICANT DECLARE THAT:
1. I UNDERSTAND THAT MY SON/DAUGHTER WILL NOT BE ALLOWED IN CLASS BEFORE COMPLETING ALL THE REQUIRED ACADEMIC RECORDS AND ADMISSION DOCUMENTS.
2. I AGREE TO ABIDE BY ALL SCHOOL RULES AND REGULATIONS AND COOPERATE WITH THE SCHOOL ADMINISTRATION IN APPLYING THEM.
3. I SHALL FOLLOW THE SCHOOL SYSTEM REGARDING THE REGISTRATION FEES AND TUITION FEES.
4. THE ADDRESS MENTIONED IN THE APPLICATION IS MY LEGAL ADDRESS AND IN CASE WE CHANGE IT WE WILL INFORM THE REGISTRATION OFFICE.
5. I WILL BUY THE UNIVERSAL AMERICAN SCHOOL’S UNIFORM FROM THE SCHOOL STORES.
6. I PERMIT THE SCHOOL TO USE MY CHILD’S PICTURE IN ANY SCHOOL PUBLICATIONS UNLESS I INFORM THEM OTHERWISE IN WRITING.
GUARDIAN’S SIGNATURE: -------------------------------------------------- DATE: ------------------------------------
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FOR SCHOOL USE ONLY
CLASS WHICH THE STUDENT ENROLLED IN : ------------------------------------------------------------------------------- DATE ENROLLED: -------------------------------------------------------------------------------- REGISTRAR’S NAME : ---------------------------------------------- SIGNATURE : ----------------------------------------------
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