SCHOOL OF STATISTICS

University of the Philippines

Magsaysay Ave., Diliman, Quezon City

APPLICATION FOR GRADUATE ADMISSIONS

To the applicant: This application form shall not be acted upon unless the following documents are received by the Office of
the Graduate Director, UP School of Statistics, Diliman Quezon City on or before April 30 (MIDYEAR), June 30 (First semester),
and November 30 (Second semester)

Official Transcript of Records (TOR)

Three (3) letters of recommendation from a.) former professor b.) employer/immediate superior
Photocopy of NSO Birth Certificate (original to be presented)
NSO Marriage Certicate (for married women)
Three (3) passport size photos
TOEFL score report (for foreign applicants who's medium of instruction in the schools they attended
is not English)

Name: Male
(Last) (First) (Middle/Maiden)
Female

Citizenship: Civil Status: Single

Married
Separated
Others. Please Specify

Contact Numbers: Email address:

Mailing Address:
Permanent Address:
Date of Birth: Place of Birth:

PROPOSED GRADUATE PROGRAM:

Degree Sought: Desired Term of Admission:

Master of Statistics (M.O.S.) First Semester of Academic Year
Master of Science (M.S. Statistics) Second Semester of Academic Year
Doctor of Philosophy (Ph.D. Statistics) Summer of Academic Year
Preferred Area of Concentration Industrial Statistics
Market Research and Business Intelligence
Social Statistics
Mathematical Statistics
Computational Statistics
Risk Management and Stochastic Finance

Enrollment Status: Full-time Financial Source: Fellowship

Part-time Benefit from Employer
Personal
Others. Please Specify

EDUCATION AND TRAINING

List in chronological order all colleges and universities attended for secondary and higher education.

Year Degree or Year Received or

Name of Educational Institution Location of School Major field
Entered Left Diploma Expected

HONORS AND AWARDS:

List in chronological order academic honors, fellowships and scholarships received:

Honors Institution Date
EMPLOYMENT HISTORY:

Firm or Organization Position Kind of Work Inclusive Dates

PERSONAL STATEMENT:

Describe in approximately 500 words your background, your past work related to statistics, and your plans for graduate study
and professional career.
RESEARCH OUTLINE:

Describe your research goal while in the graduate program. State the problem, motivation, and possible benefits once resolved.
Prospective Adviser (please refer to stat.upd.edu.ph) : _____________________________________________________________
Proposed Program of Study:

Conforme:
_______________________________ _______________________________
Student Program Adviser