COLLEGE OF LAW

UNIVERSITY OF THE PHILIPPINES

Application for Admission to the
Juris Doctor (J.D.) Program for 2012-2013

Passport size.
Sign name at
back of photo.

(All sections must be completed and received by 13 January 2012 (without fine) or 16 January 2012 (with
fine). Attach separate sheet if needed. For inquiries or information: Tel. No. 927-7180; http://law.upd.edu.ph; or
visit the Office of the College Secretary, 1st Floor, Malcolm Hall, Diliman, Quezon City.)
Full Name ___________Gotamco_______________________Cecile Danica ___________________Co_______________
(Last)
(First)
(Middle)
(If a married woman, encircle maiden name.)
Mailing Address (Where you would like correspondences to be
Permanent Home Address
sent.)
Street
__Corner_Sapocoy_St._Brgy._Manresa____ Street
_Corner_Sapocoy_St._Brgy._Manresa____
City
__Quezon_City_______________________
City
_Quezon_City_______________________
Province
__NCR______________________________
Province
_NCR______________________________
Region
__NCR______________________________
Region
_NCR______________________________
Country
Country
__Philippines_________________________
_Philippines_________________________
Zip
__1115___
_1115___
Landline(s)
__(02)3547143__(02)3658853____________ Zip
Citizenship
_Filipino____________________________
Cellphone(s) __(63)9173941373_____________________
E-mail(s)
__cecilegotamco@gmail.com____________ Place of Birth _Manila_____________________________
Date of Birth
_April_6_1989_______________________
month / day / year
Status:
Single Married Other (Specify)
_______
Sex:
Female Male
List all elementary schools, high schools, colleges, universities, graduate and professional schools that you
have attended:
honors

School

Place

Period of attendance

Immaculate Conception
Academy

11 years (19962007)

Ateneo de Manila
University

4 years (20072011)

Degree

Major

Scholastic

Elementar
y and
Highschoo
l
AB Development
Studies

Yes No
Have you ever been charged with or convicted of an offense in any criminal or
administrative case(s)?
If
yes,
give
particulars:
_________________________________________________________________
______________________________________________________________________________________
Yes No
Have you ever been dismissed/disqualified from enrolling in a school by reason of
scholastic delinquency or disciplinary action? If yes, give particulars:

______________________________________________________________________________________
______________________________________________________________________________________
*NOTE:
filed
pursuant
to application
become
Yes Credentials/documents
No
Have you
ever
enrolled
in any lawrequirements
school, including
thethe
U.P. College of Law?
property of the U.P.
If yes, attach your Official Transcript of Records from the law school(s).
Yes No
Have you taken the LAE before?
If yes, indicate the number of times and the year(s) taken. __________
(Please note that the number of times an applicant can take LAE is three (3) times.)
Yes No
Have you or are you enrolled in a LAE review program?
If yes, indicate where and what review center:
____________________________________________
What languages do you speak? ________________________________________________________
If admitted, what are the mean(s) by which you will support yourself? (check all applicable)
Self-supporting
Private scholarship
Parents
Government scholarship
Others
_____________________________
If admitted, where do you plan to enroll?

Day Program

Five-Year Evening Program

How much is your familys gross yearly income? __________

On pain of disqualification, I certify that the information I have provided on this application form and
in any attached materials is accurate. I understand that the UP College of Law may verify information
included in my application. I hereby authorize the U.P. College of Law to access any of my official records to
verify the accuracy of any information supplied herein. I agree to notify the U.P. College of Law of any
changes in the above information or of any further information that might affect my eligibility for
consideration as a prospective student.
_______________________________________________

__________________________________________

Signature of Applicant

Date

-------------------------------------------------------------------------------------------------------------------------------------------------------------(To be filled in by the Admissions Committee

ADMISSION TICKET
Chairperson)
(Examiners Copy)
Application No. _________________
Place:_________________________
Date : 22 January 2012
Time : 7:30 A.M.

Passport size.
Sign name at
back of photo.

Bring the following for the examination:

1.
2.
3.

2 lead pencils (No. 1 Mongol)

Admission Ticket
Identification Card (Photo bearing School ID,
Employees Photo ID, Drivers License, Passport
or Photo bearing Certification from School
Registrar or Employer)

Name________________________________________________
Mailing Address ______________________________________
______________________________________________________
By: _________________

Date: _________________

ADMISSION TICKET
(Applicants Copy)
Application No. ________________________
Place:________________________________
Date : 22 January 2012
Time : 7:30 A.M.

Passport size.
Sign name at
back of photo.

Bring the following for the examination:

1.
2.
3.

Name

2 lead pencils (No. 1 Mongol)

Admission Ticket
Identification Card (Photo bearing School ID,
Employees Photo ID, Drivers License, Passport
or Photo bearing Certification from School
Registrar or Employer)

____________________________________________________
Mailing
Address
__________________________________________
_________________________________________________________
_
By: ______________________________
Date:
_____________
(To be filled in by the Admissions Committee
Chairperson)