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  • Personal Details

  • Academic Information

  • Program for which you are applying

  • School Leaving Details

    Please list in chronological order all academic institutions attended. Also state the dates you attended these institution(s)
  • Name of InstitutionYear/Dates Attended 
    Add a new row
  • Entry Qualification

    Please attach scanned copies of all transcripts, results and certificates of all examinations you have sat for
  • Drop files here or
    Check If YES or NO
  • Housing Information

  • (Perez UC cannot guarantee that every student admitted will receive accommodation on campus)
  • Name, Signature & Date

    I hereby certify that all of the information supplied in this form and supporting documentation is true and complete, and I understand that the submission of any false information will render this application null and void