Student Registration: Personal Information

Step 3. Submit your Personal Information.

Selected Course: BMLS - BS MEDICAL LABORATORY SCIENCES

School/College: School of Health and Natural Sciences

Enrollment Type:

First Year

Transferee

Cross-Enrollee

Graduate

Law

Foreign Student

Email Address:

Please provide your active email address so that we could communicate with you regarding your enrollment. After submitting this page, you will receive an email containing a link back to this registration form. You can use this to change the information you submitted here. If your registration is already confirmed, you can no longer edit your record.

Last Name:

First Name:

Middle Name:

Suffix:

Gender:

Date of Birth:

Birth Place:

Nationality:

Ethnicity:

Religion:

Civil Status: