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08 BLISapplicationform

This document is an application form for admission to the Bachelor of Library and Information Science program at the University of the Philippines Diliman. It requests personal information such as name, student number, date of birth, address, educational background, family background, and references. It also asks the applicant to provide a handwritten explanation for why they want to apply to the BLIS program. The applicant must sign and date the form, and attach a 2x2 photograph, certifying that all information provided is complete and correct.

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indasker
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43 views1 page

08 BLISapplicationform

This document is an application form for admission to the Bachelor of Library and Information Science program at the University of the Philippines Diliman. It requests personal information such as name, student number, date of birth, address, educational background, family background, and references. It also asks the applicant to provide a handwritten explanation for why they want to apply to the BLIS program. The applicant must sign and date the form, and attach a 2x2 photograph, certifying that all information provided is complete and correct.

Uploaded by

indasker
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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School of Library and Information Studies 3rd floor Gonzalez Hall, UP Diliman, Q.C.

University of the Philippines Diliman Tel: 981-85-00 local 2869, 2870, 2871

Application for Admission to the Bachelor of Library and Information Science


______ Semester, 200__- 200__
Name
Last First Middle
Student number ___________________ Sex _______ Date of Birth ________________ Place of Birth _____________

Civil Status ________If married, name of spouse __________________________________ Religion

Present Mailing Address:

____________________________________________________________________ Tel no.

Permanent Address: _________________________________________________________________________________


____________________________________________________________________ Tel no. _______________________

Educational Background Enrollment in :


First enrollment:: UP College ___________________________ ( ___ Sem _______) Degree Pursued: _______________

____ enrollment: UP College ___________________________ ( ___ Sem _______) Degree Pursued: ______________

Last enrollment: UP College ___________________________ ( ___ Sem _______) Degree Pursued: ______________

Family Background
Father’s name ______________________________________________________ Occupation ___________________

Mother’s name ______________________________________________________ Occupation ___________________

Guardian’s name ____________________________________________________ Occupation ___________________


Address: ___________________________________________________________ Tel no. _______________________

References: Position ______________________


Academic Name ___________________________________________________ Tel no. ______________________
Address __________________________________________________

Character Name ___________________________________________________ Position ______________________


Address __________________________________________________ Tel no. ______________________
Give your reason why you want to apply in the BLIS program. Handwritten please (Use additional paper, if necessary)

(Please do not leave any blank unanswered)

I hereby certify that all the information given above are complete and correct.
______________________________________ Attach picture here
Signature of Applicant 2x2

_______________________________
Date Accomplished

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