Higher Education Application Form

How Did you know about SDCA?

Walk In (Admissions Office)

Online (Outside SDCA)

Referral Name

1. Personal Information

First Name

Middle Name

Last Name

Birthdate

Gender

Mobile Number (ex. 09*********)

Telephone

Email Address

2. Address

House Number

Street

Subdivision

Province

City

Barangay

Zip Code

3. Educational Background

Primary/Elementary School Name

Specify Primary/Elementary School:

Primary/Elementary Year Graduated

Primary/Elementary School Address

Last School Attended

School Name

Specify School:

Year Graduated

School Address

Course

Major

Are you a Degree Holder?

Yes

Course

Major

Are you a Transferee student?

Yes

School Name

School Address

Last Year Attended

Course / Program

4. Preferred Course

First Choice

First Choice Major

Second Choice

Second Choice Major

Third Choice

Third Choice Major

Year Level

5. Applied Semester and School Year

Applied School Years

Applied Semester

I hereby verify that my personal information and email address is correct

Personal Information
First Name	N/A	Middle Name	N/A
Last Name	N/A	Birth Date	N/A
Gender	N/A	Email	N/A
Mobile Number	N/A	Telephone Number	N/A
Address
House Number	N/A	Street	N/A
Subdivision	N/A	Province	N/A
City	N/A	Barangay	N/A
Zip Code	N/A
Educational Background
Primary/Elementary School Name	N/A	Primary/Elementary Year Graduated	N/A
Primary/Elementary School Address	N/A
School Name	N/A	Year Graduated	N/A
School Address	N/A
Preferred Course
Year Level	N/A
Applied Semester and School Year
Applied School Year	N/A	Applied Semester	N/A

Terms and Condition

I of legal age, hereby voluntarily and knowingly authorize St. Dominic College of Asia to collect, process or release my personal and sensitive information that may be used for internal and external school official and legal transactions. I agree on the following conditions:

Personal Information will be released unless written notice of revocation is received by the Data Privacy Office of St. Dominic College of Asia.
Personal information may be released for school official and legal purposes only.
Sensitive information will be kept confidential unless the school deemed it necessary to release on valid and legal purposes only.
Updating and modifying of incorrect, inaccurate or incomplete personal information will be done upon submission of letter of request to St. Dominic College of Asia.
St. Dominic College of Asia and its officials and employees are not held liable for the collection and release of any information that I voluntarily provided.

I have read this form, understood its contents and consent to the collecting, processing and releasing of my personal data. I understand that my consent does not preclude the existence of other criteria for lawful processing of personal data, and does not waive any of my rights under the Data Privacy Act of 2012 and other applicable laws.

I agree to the Data Privacy Act Terms and Conditions