Admission Form
Admission Form
Admission Form
DIALECT SPOKEN:
PERMANENT HOME ADDRESS:
ADDRESS: CP NUMBER:
Have you ever been subjected to academic or disciplinary action (probation, suspension, dismissal) from any school
attended? ( ) YES ( ☑ ) NO
I HEREBY CERTIFY that all answers given above are true and correct to the best of my knowledge and belief, I
understand that giving false information will disqualify me for admission or subject me to dismissal after admission has been
granted. I agree to abide by the rules and regulations of Isabela State University.
ADMISSION FOR: ( ☑ ) FIRST SEMESTER ( ) SECOND SEMESTER ( ) SUMMER SCHOOL YEAR, 20______ - 20 ______
DO NOT FILL UP BELOW THIS LINE.
SCORE COLLEGE: RESULTS:
EQUIVALENT INTERVIEW RATING:
REMARKS INTERVIEWED BY: REMARKS
RELEASED BY: DATE OF INTERVIEW: EXAMINED BY:
DATE OF RELEASE: DATE:
COURSE TO ENROLL: DATE:
Note: Students who have attended other schools/colleges beyond high school muct request Official Transcript of Records with statement of Honorable Dismissal to be sent to the College/Dean/Registrar,
Isabela State University City of Ilagan Campus, City of Ilagan 3300 Isabela. This application will not be considered until these have been received.
ISUI–Reg–Afo–056
Effectivity: April 04, 2018
Revision: 0