Appl MS Graduate
Appl MS Graduate
Appl MS Graduate
A P P L I C A T I O N F O R A D MI S S I O N I N G R A D U A T E
P R O G R A MS
Application for admission in: Year 20___ Spring (Jan-Apr) Summer (May-Aug) Fall (Sep-Dec)
1. Name (in block letters):
____________________________________________________________________
First Name Middle Name Last Name Other Name
Please affix a passport
Date of Birth: Day_____ Month _____Year_____ Place of Birth________________ size photograph
here
2. Gender & Marital Status: Male Female Married Single
Other (Specify)________________________________________________________
3. Mailing Address:____________________________________________________
4. Permanent Address:______________________________________________________________________
Profession_________________________Telephone: Home:__________________Office:__________________
Profession_________________________Telephone: Home:__________________Office:__________________
Others
Bachelor Degree in
Institution College/University From(mm/yy) To(mm/yy) Division/Class/GPA/Marks
Master’s Degree in
Institution College/University From(mm/yy) To(mm/yy) Division/Class/GPA/Marks
13. Have you ever been dismissed, suspended or expelled from any institution of learning?
14. Were you admitted into any academic program of NSU before? Yes No
If yes, state ID# and date of admission.
16. I hereby accept that if admitted to North South University, I will be bound by the rules and regulations of
the university and the NSU student code of conduct.
I accept that manufacture, distribution, possession and consumption of tobacco products, alcohol,
drugs and controlled substances are strictly prohibited in NSU premises and that I may be expelled
for violating this rule or for abetting violators.
I agree that withholding information requested in this application or giving false information will make me
ineligible for admission into NSU and liable to be dismissed if admitted. I hereby certify that the above
statements are correct and complete to the best of my knowledge.
_____________________ _____________________
Date Signature of Applicant