Application Data Entry (Add/Edit/Delete)

LPU - Laguna

Application Data Entry
Add a new Applicant

app.lyceum.edu > > > Add	POLICY HELP
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* All indicated with (*) are mandatory or required fields.

Application Information

Program / Strand* :

Priority Course / Program of the applicant

Campus Site*:

Classification:

Freshmen / New Student:*:

Year of Enrollment*:

Term*:

Year Level*:

Personal Data

Surname*:

First Name*:

Middle Name*:

click if w/o Middle Name

Gender Assigned at Birth*:

Male Female

Mandatory field.

Nationality*:

Filipino Other Nationality

Classify applicant's Nationality from available list.

Religion*:

Select religion from available list.

Date of Birth*:

Encode date of birth to display automatic computation of age (YYYY-MM-DD). Mandatory field.

Place of Birth*:

As per birth certificate. Mandatory field.

Civil Status*:

Mandatory field.

Address*:

Select Region

Select Province

Select Municipality and Encode ZIP/Postal Code

Number, Unit, Street Name, Building

Barangay, Barrio, Village, Subdivision, District

Home Phone No.*:

(Area Code) Phone No.

Mobile Phone No.*:

(Area Code) Mobile Phone No.

Email Address*:

Personal Email Address

Enter Verification Code*:

Once you entered your e-mail, click the Send Verification Code button. You'll receive a confirmation e-mail on your indox or spam folder. Copy and paste it on the place holder. You may resend another verification code after a minute.

Are you the first person in your immediate family to attend college?*:

(Immediate family refers to your parents, unmarried siblings, or any relatives living under the same roof.)

Guardian Information / Contact Information:

Guardian's Name*:

In case of emergency. Mandatory field.

Guardian's Contact No.*:

Home Address*

Relationship*:

Relationship with the contact person given.

Guardian's Occupation*:

Guardian Job. Mandatory field.

Financial Source:

Identify applicant's source of financial support in college. Mandatory field.

Annual Family Income*:

Indicate average/estimated monthly income of household members.

In case of emergency

Click This box if the data is the same as Contact Information

Same as Contact Information

Contact Person*:

In case of emergency. Mandatory field.

Address*:

Home address of contact person.

Phone No.*:

Telephone number of contact person.

Family Background*

Stat

LAST NAME

FIRST NAME

MIDDLE NAME

RELATIONSHIP

OCCUPATION

Educational Background*

Stat

SCHOOL YEAR FROM

SCHOOL YEAR TO

EDUCATION TYPE

COURSE/PROGRAM/STRAND

NAME OF SCHOOL

Application Survey

STUDENT APPLICATION

How did you know about LPU-Laguna/ LPU-St. Cabrini?

Career Talk/ Campus Visit

Social Media (Facebook, Instagram, Youtube)

Printed Advertisement (tarpaulins, flyers)

Referral from Employees

Referral from Alumni

Referral from Family Members

SM Malls advertisements

Website

Others

Please specify:

Why did you choose LPU-Laguna/ LPU-St. Cabrini among other campuses?

Are you clinically diagnosed with a mental health condition?

Yes

Please specify:

Students who will enroll at LPU-Laguna/LPU-St. Cabrini are requested to adopt the "Blended Learning Scheme" activities. In this regard, you need to have the following:

End devices such as Personal Computer, laptop, smart phones, etc.
Internet Connection (Fiber/Broadband/Data)
Microphone, Headset or Earphones
Webcam (Optional)

Yes, I understand the minimum requirements that I need to have effectively perform my duties and obligations as a student.

For applicants with limited access to aforementioned home facilities for blended learning, kindly approach any of our admissions officers for possible alternative modes of learning delivery.

Determine what action to take for this application.

Telephone: (02) 914-2960

PRIVACY POLICY

We collect personal information during the processing of your admission into our schools. These include directory information, like your name, address, email addresses, telephone numbers, and other contact details. We also collect information about your personal circumstances, such as your family history, previous schools attended, etc. We also collect your personal information in various forms. Personal Data that will collected will be used within the LPU - L and LPU - St. Cabrini and will not be shared with any outside parties. We value your rights as data subjects under the Data Privacy Act. To exercise such rights, please contact neil.balba@lpulaguna.edu.ph. For more information on how we process your personal information, please refer to: https://www.privacy.gov.ph/npc-privacy-policy/#3 .

DECLARATION

As a pre-requisite of my admission to a continuous stay in Lyceum of the Philippines–Laguna, Inc., and Lyceum of the Philippines–St. Cabrini, Inc., I hereby undertake to abide by all policies, procedures, rules, and regulations, including those embodied in the Student Handbook for Lyceum of the Philippines–Laguna, Inc., and those that are issued from time to time by school authorities.
I am fully aware of the Lyceum of the Philippines–Laguna, Inc., and Lyceum of the Philippines–St. Cabrini, Inc. policy to expel, dismiss, or suspend indefinitely, after summary investigation, any student found to have committed major offenses specified in the Student Handbook for Lyceum of the Philippines–Laguna, Inc. students, as well as those issued from time to time by school authorities.
I was duly apprised of the tuition and other fees I am going to pay during the term which I found to be fair and reasonable and I agree that Lyceum of the Philippines–Laguna, Inc., and Lyceum of the Philippines–St. Cabrini, Inc. has the right to raise its tuition and other fees in accordance with guidelines set by the Commission on Higher Education (CHED) pursuant to provisions of RA 6728.
I am fully aware that the assessment of fees is still subject to audit and will be adjusted accordingly.
I am fully aware that my enrollment is on a trimester/semester basis only. When this enrollment application is withdrawn, a processing fee equivalent to 50 percent of minimum reservation fee is to be charged. Moreover, when dropping courses, the following retention fees shall apply:

A. First week of classes of the regular term or within the first 3 days of summer classes.	- 10% of the total tuition fee per course or - 10% of the total fees (if all courses are dropped.), except insurance, ID and handbook which will be charged 100%.
B. Second week of classes of the regular term or after the 3 rd day but before the 7 th day of summer classes.	- 20% of the total tuition fee per course or -20% of the total fees (if all courses are dropped.) except insurance, ID and handbook which will be charged 100%.
C. After the second week of classes during the regular term or starting the 7 th day of summer classes until before the midterm examination, regardless of whether the student has attended classes	- 100% of the total fees, miscellaneous and other fees.