Student General Information Sheet

(For Freshmen and Transferee)

A. PERSONAL PROFILE

Surname First Name Middle Name Birth date
Complete City Address:
Provincial Address:
Do you have physical disabilities?



Program Intended to enroll: Right Click new tab here for guide


Preferred class session:



B. FAMILY BACKGROUND


Father: Mother: Guardian:


No. of Siblings

C. ACADEMIC PROFILE


Elementary
Type:
Secondary
Type:
Senior High
Type:
Tertiary
Type:
Master's Degree
Type:

D. SOCIO-ECONOMIC AND CULTURAL PROFILE


D.1 You are a:

D.2 You are living with:

D.3 You are living in:

D.4 Your studies is supported by :

D.5 Tribal Affiliation :

D.6 The program you intend to eroll is :

E. OTHER RELEVANT INFORMATION


E.1 Reason for enrolling in UM (Please rank the first(3) factores):

F. PERSON TO BE CONTACTED IN CASE OF EMERGENCY


“I hereby give my CONSENT to the University of Mindanao to COLLECT my personal data and information by filling up and submitting the STUDENT GENERAL INFORMATION SHEET for purpose of processing my application for admission and enrollment, and such other legitimate purpose or purposes, in relation to my desire to study at University of Mindanao.

All the information I provide shall be treated in strict confidence and the same shall not be shared to third persons without my written permission or consent, except as may be provided by laws.