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Personal Information

First Name

Middle Name

Last Name

Mother's First Name

Mother's Last Name

Date of Birth

Gender

Male

Female

Nationality

Native Language

Email

Mobile Number

Native Language

Village, State & Caza

Full Address

Street / Bldg / Floor

City

State/Province

Country

Academic Background

What semester would you like to register for?

This application is for enrollment as:

Undergraduate

Freshman

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Which campus do you seek admission in?

High School Information

High School Name

School Address

City

State

High School Type

Section

Additional Information

Civil Extract / ID / Passport

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How did you hear about AUT?

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Registered at NSSF?

Yes

No

Any physical disability?

Yes

No

Hobbies

Sports

Cultural

Artistic

Social

Blood Type

Placement Test Available Date

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Emergency Contact

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Relationship

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