NEC Registration Form

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NEW ENGLAND COLLEGE
No. 40 Quezon Avenue, Quezon City
Name ________________________________________________________________________________________
Family
Given
Middle
Date of Birth ________________________ Place of Birth __________________________
Male
Female
Citizenship_________________________ Tel. Nos. ___________________________________________________
1.5” x 2.0”
ID Picture
Mobile Phone No.__________________________ E-mail _______________________________________________
Residence _____________________________________________________________________________________
________________________________________________________________________________________________________________________
High School __________________________________________ School Address _____________________________________________________
____________________________________________________________ Date of Graduation ____________________________________________
Please put a
) in the appropriate boxe(s):
H Filipino
H International Student
H Transferee from a tertiary institution
H Same course
H Second course
I hereby affirm that I have read and understood all the instructions in connection with my application for admission to New England College.
I affirm that all information supplied herein is complete and accurate. I am aware that any or all the information furnished in this application
may be checked against original documents and that withholding or giving false information will make me ineligible for admission or
subject to dismissal. If admitted, I agree to abide by the rules and regulations set by New England College.
Signature ____________________________________________ Date __________________________
Academic Programs
Tick the box of your preferred course program.
Bachelor of Business Administration
Bachelor of Secondary Education
Major in:
Management
Marketing
Entrepreneurial Management
Major in:
English
Health and Science
Bachelor of Elementary Education
Major in:
Special Education
Early Childhood Development
Registration and Placement Department
No. 40 Quezon Avenue,
Quezon City, Philippines
Tel:(63-2) 7424050 Fax:(63-2) 7110857
Email: www.nec.edu.ph
Bachelor of Science
in:
Nursing
Information Technology
Computer Science
Ladderized Courses:
Associate in:
Health Science Education
Information Technology
Others ______________
Please fax or mail the completed registration to:
New England College
Office of the Registrar
No. 40 Quezon Avenue, Quezon City
Philippines 1113
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