UNO-R Student Information Sheet
Email address *
First name *
Your answer
Middle name *
Your answer
Last name *
Your answer
Gender *
Required
Date of birth *
MM
/
DD
/
YYYY
Place of birth *
Your answer
Home address *
Your answer
Landline number *
Your answer
Mobile number *
Your answer
Height (centimeters)
Your answer
Weight (kilograms)
Your answer
Blood type
Citizenship *
Your answer
Religion *
Your answer
Mother tongue *
Your answer
Civil status *
Currently living with *
Guardian's name *
Your answer
Relationship to guardian *
Your answer
Number of siblings *
Your answer
Number of Brothers *
Your answer
Number of Sisters *
Your answer
Program of study preference and educational support (preferred course)
First choice *
Your answer
Second choice *
Your answer
Influence in choosing the program *
Educational support *
If scholar, what scholarship type *
If employed, what company *
Company address *
Your answer
Elementary - Educational attainment
School name *
Your answer
Address *
Your answer
Date started *
MM
/
DD
/
YYYY
Date completed *
MM
/
DD
/
YYYY
Honors received *
Your answer
High School - Educational attainment
School name *
Your answer
Address *
Your answer
Date started *
MM
/
DD
/
YYYY
Date completed *
MM
/
DD
/
YYYY
Honors received *
Your answer
College - Educational attainment
School name *
Your answer
Address *
Your answer
Date started *
MM
/
DD
/
YYYY
Date completed *
MM
/
DD
/
YYYY
Honors received *
Your answer
Special skills / talents *
Your answer
Handicap or ailment that may affect your studies *
Your answer
What made you decide to study at UNO-R *
Your answer
School last attended *
School I.D. *
Your answer
Family background - Father
Last name *
Your answer
First name *
Your answer
Middle name *
Your answer
Parent still alive? *
Is he a UNO-R alumnus? *
Home address *
Your answer
Email address *
Your answer
Telephone number *
Your answer
Highest educational attainment *
Occupation *
Your answer
Company name *
Your answer
Company address *
Your answer
Company phone number *
Your answer
Gross monthly income *
Your answer
Family background - Mother
Last name *
Your answer
First name *
Your answer
Middle name *
Your answer
Parent still alive? *
Is she a UNO-R alumnus? *
Home address *
Your answer
Email address *
Your answer
Telephone number *
Your answer
Highest educational attainment *
Occupation *
Your answer
Company name *
Your answer
Company address *
Your answer
Company phone number *
Your answer
Gross monthly income *
Your answer
Character references
Must not be related to you
Name - A *
Your answer
Occupation - A *
Your answer
Address - A *
Your answer
Contact number - A *
Your answer
Name - B *
Your answer
Occupation - B *
Your answer
Address - B *
Your answer
Contact number - B *
Your answer
Name - C *
Your answer
Occupation - C *
Your answer
Address - C *
Your answer
Contact number - C *
Your answer
Relatives currently enrolled at, or are an alumni of UNO-R
Name - A *
Your answer
Relationship - A *
Your answer
Address - A *
Your answer
Contact number - A *
Your answer
Name - B *
Your answer
Relationship - B *
Your answer
Address - B *
Your answer
Contact number - B *
Your answer
Name - C *
Your answer
Relationship - C *
Your answer
Address - C *
Your answer
Contact number - C *
Your answer
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