Higher Education Development Center (HEDC) Building., U.P.

Diliman
C.P. Garcia Avenue, Diliman, Quezon City, Philippines

OPRKM-KMD-SMD Form A

Students Mobility Data

PICTURE

A. INBOUND (FOREIGN) STUDENTS

NO.

DATA ITEMS

A1
A2
A3
A4
A5
A6
A7

DATA ENTRIES

Name of Student :
Country of Origin :
City/Province :
Ethnicity :
Age :
Gender :
Highest Educational Attainment :
School graduated:
Current Occupation :
Visa Type / Number
Visa Status :
Authorized Stay :
Travel Dates
Passport Number :
ACR/Immigration Card No. :
School Abroad
School in the Philippines
Academic Schedule Starts on :
Program/Course :
Credit :
Credit System
Year Level :
PRESENT ADDRESS (LOCAL)
Street/Barangay :
Municipality/City :
Province :
ADDRESS (ABROAD)
Disciplinary Action and Status :
Reason/s for studying in the host country :
If Others, pls. specify

A8
A9
A10
A11
A12
A13
A14
A15
A16
A17
A18
A19
A20
A21
A22
A23

Remarks

pls. use code, see Reference

pls. use code, see Reference

pls. use code, see Reference

(UMAP, ACTI, ECTS, Institutional)

pls. use code, see Reference

pls. use code, see Reference

For queries/clarification, please email : kmdinfo@ched.gov.ph or call telephone nos. (632) 441-11-69
Verified by :

Certified Correct :

____________________________________
Name of School Official

____________________________________
Name of School Registrar

____________________________________
Position/Designation

____________________________________
Date Reported

Higher Education Development Center (HEDC) Building., U.P. Diliman

C.P. Garcia Avenue, Diliman, Quezon City, Philippines

OPRKM-KMD-SMD Form B, Series of 2015

Students Mobility Data

PICTURE

B. OUTBOUND (FILIPINO) STUDENTS

NO.

DATA ITEMS

B1
B2
B3
B4
B5
B6
B7

DATA ENTRIES

Name of Student :
Country of Origin :
City/Province :
Ethnicity :
Age :
Gender :
Highest Educational Attainment :
School graduated:
Current Occupation :
Visa Type / Number
Visa Status :
Authorized Stay :
Travel Dates
Passport Number :
ACR/Immigration Card No. :
School Abroad
School in the Philippines
Academic Schedule Starts on :
Program/Course :
Credit :
Credit System
Year Level :
Destinatination / Host Country:
PRESENT ADDRESS (LOCAL)
Street/Barangay :
Municipality/City :
Province :
ADDRESS (ABROAD)
Disciplinary Action and Status :
Source of Funding :

B8
B9
B10
B11
B12
B13
B14
B15
B16
B17

B18
B19
B20
B21
B22

Remarks

pls. use code, see Reference

pls. use code, see Reference

pls. use code, see Reference

(UMAP, ACTI, ECTS, Institutional)

pls. use code, see Reference

pls. use code, see Reference

For queries/clarification, please email : kmdinfo@ched.gov.ph

Verified by :

Certified Correct :

____________________________________
Name of School Official

____________________________________
Name of School Registrar

____________________________________
Position/Designation

____________________________________
Date Reported

REFERENCE
No.

Data Item

A6/B6

Gender

A7/B7

Highest Educational Attainment

A14/B14

Academic Schedule Starts on

A17/B17

Year Level

A22

Reason/s for studying in the host country

B22

Source of Funding

Code/Valid Data Entries

1 - Male
2 - Female
40
50
60
80
90

Pre Baccalaureate
Baccaluareate
Post Baccalaureate
Masters
Doctorate

1- June
2 - July
3 - August
4 - September
1
2
3
4
5
6

First Year
Second Year
Third Year
Fourth Year
Fifth Year
Sixth Year

1
2
3
4
5
6
7
8

Proximity
Quality of Education/Ranking
Research
Opportunities for further growth (e.g employment)
Language
Cost of Living
Reputation (e.g. recommended by alumni)
Others (pls. specify)

1
2
3
4
5

Host Country
Government sponsored
Other Institutions
Scholarship by home
Self/Personal