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ANGELES UNIVERSITY FOUNDATION

Angeles City

PROCESSING FORM FOR TRANSFEREES

APPLICATION
Date:
mm dd yy
THE DEAN
College of ___________________

SIR/MADAM:

I would like to apply for the Course _____________________________________________ in your College this ___________Semester,
Academic Year _________ _________. In support of this application, I hereby state the following:

I. PERSONAL BACKGROUND
Name: _____________________________________________________________________________________ Date of Birth:_______________
Last Name First Name M.I.
Sex:________________ Civil Status: ___________________ Citizenship: _________________________ACR NO., if applicable:______________
Permanent Address: ____________________________________________________________________________________________________
Telephone Numbers: ______________________ Cellphone Number: _______________________ Email Address:__________________________

II. EDUCATIONAL BACKGROUND

Educational Level School School Address Inclusive Years

Elementary______________________________________ ____________________________________________________ ______-______

High School_____________________________________ ____________________________________________________ ______-______

College ______________________________________ ____________________________________________________ ______-______


*Course: ______________________________________
*Reason for Transferring: _______________________________________________________________________________________________

I further attest this is my _________________time to transfer.

______________________________
Signature of Student
Consent and Approval of:

_______________________________________
Signature Over Printed Name of Parent/Guardian

EVALUATION

1. The student presents True Copy of Grades/TOR Evaluated by: GWA: ________ With: ( )Failing Grades ( ) DRP ( )INC
to the Accepting College for evaluation
____________________________________________________
Program Chair / Date

2. The student is referred to the Admissions Office for Recommending ( ) Approval ( ) Disapproval
AUFCAT
_____________________________________________________
Dean / Date

3. The student is scheduled for AUFCAT Schedule of Test: /_____ /_____ /_____ / __________________
mm dd yy Time/Venue

Scheduled by:_________________________________________

www.auf.edu.ph
Note: Accomplish in two copies: Committee, Dean Page 1 of 2

AUF-Form-OA-09
January 3, 2012-Rev.01
RECOMMENDATION

1. The Dean evaluates the student based on AUFCAT performance Recommending ( ) Approval ( ) Disapproval
and recommends the student for final interview with the Committee
on Transferees and Shifters ____________________________________________
Dean / Date

2. The Committee on Transferees and Shifters schedules Schedule of Interview: /_____ /_____ /_____ / ______________
the student for final interview mm dd yy Time/Venue

Scheduled by:_________________________________________

ACTION TAKEN BY THE COMMITTEE

Date: __ __/__ __/__ __


( mm / dd / yy )

FOR: THE DEAN


College of _____________________________

The Committee on Transferees and Shifters found Mr./Ms. __________________________________, student-transferee to your College,

[ ] ELIGIBLE [ ] NOT ELIGIBLE for admission in your College. With this evaluation, his/her application in your College is hereby:

[ ] APPROVED: Please facilitate his/her compliance with the admissions requirements below:
[ ] Undertaking (AUF-Form-OA-14)
[ ] Submission of Original School Credentials (Transfer Credential/TOR)
[ ] Crediting of Subjects (AUF-Form-RO-35)
[ ] Psychological Testing
[ ] Physical and Medical Examination
[ ] Others: ________________________________________________

[ ] DISAPPROVED: Does not meet requirements on:


[ ] GRADES [ ] APTITUDE [ ] YEAR/ LEVEL [ ] OTHERS: __________________________________________________

________________________________ __________________________________ _____________________________


Director, OSAFA Director, GCC University Registrar
Member Member Chair

Note: Accomplish in two copies: Committee, Dean Page 2 of 2

www.auf.edu.ph
AUF-Form-OA-09
January 3, 2012-Rev.01

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