Attach 2” X 2” colored
picture here
International Student Personal Data Sheet
TERM 1 2 3 Academic Year _______________
PLEASE FILL OUT THE FORM COMPLETELY WITH THE MOST UPDATED INFORMATION.
STUDENT INFORMATION
ID Number
Classification
 REGULAR  CROSS ENROLLEE
Complete Name of
Degree
College
EDUCATION BUSINESS ECONOMICS LIBERAL ARTS Engineering
COMPUTER STUDIES
SCIENCE
LAW
PERSONAL INFORMATION
FAMILY/ NAME
RELIGION
FIRSTNAME
DATE OF BIRTH
MIDDLE NAME
PLACE OF BIRTH
NICKNAME
CITIZENSHIP
CIVIL STATUS
 Single  Married
 Others(Specify)_____________________
GENDER
 Male  Female
CONTACT INFORMATION
PHILIPPINE
ADDRESS
Telephone #
Cell phone #
E-mail address
Name of Contact ___________________________________________ Address:
Person or
Contact Number: ___________________________
Guardian (in case Relationship: _______________________________
of emergency)
VISA AND OTHER DOCUMENTARY REQUIREMENTS UPON ADMISSION
Number
Date of Issue
Passport 1
Passport 2
Visa / Permit
 SSP
 Tourist – 9a
 Student – 9f
 Missionary – 9g
 Pre-arranged – 9g
 Other visa type:
____________________
Remarks:
Date of Expiration
I affix my signature to certify the truthfulness of information I have given/written above:
Signature of Student: ____________________________
Date: _____________________
2401 Taft Avenue, Manila, Philippines, 1004  Tel. No. 524-4611 loc.289