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6.2.8 Application and Requirements for the Issuance of the Certificate for Eligibility for Admission into the Medical Course Form

CHED application forms and requirements for the issuance of the certificate for eligibility for admission into the medical course

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Office of the President of the Philippines

COMMISSION ON HIGHER EDUCATION
OFFICE OF STUDENT DEVELOPMENT AND SERVICES
3/F H.E.D.C. Building, C.P. Garcia St., UP Diliman Quezon City
Tel #: (02)441-1220

APPLICATION AND REQUIREMENTS FOR THE ISSUANCE OF THE CERTIFICATE
OF ELIGIBILITY FOR ADMISSION INTO THE MEDICAL PROGRAM
TO BE FILLED UP BY THE APPLICANT
Name of the Applicant / Nationality :

________________________________________ / ___________________

Present Address

:

____________________________________________________________

Permanent Address

:

____________________________________________________________

Name of (Pre-Med) School

:

____________________________________________________________

Address of (Pre-Med) School

:

____________________________________________________________

Degree Earned

:

____________________________________________________________

Date of Graduation

:

____________________________________________________________

Accepting Higher Education Ins’t. (HEI):

____________________________________________________________

Address of Accepting HEI

:

____________________________________________________________

Semester and Academic Year

:

____________________________________________________________

Declaration: I hereby declare that the details furnished above and attached documentary requirements are true and
correct to the best of my knowledge and belief. In case any of the above information is found to be false or untrue or
misleading or misrepresenting, I am aware that I may be held liable for it. I hereby authorize sharing of the information
furnished on this form pursuant to “Data Privacy Act of 2012”.
__________________________
(Signature Over Printed Name)
Requirements:
1.
2.
3.
4.
5.

Duly accomplished application form
6. Notice of Acceptance indicating the quota number
Letter/Indorsement from the HEI
of the student issued by the HEIs authorized
Photocopy of Passport
to accept foreign students
Certified True Copy of Transcript of Records
7. National Medical Admission Test (NMAT) result
Copy of Diploma or Certification of graduation from the school
last attended authenticated by the Registrar of the school where graduated

Schedule of the Availability of Service:

Monday to Friday: 8:00 am to 5:00 pm

Fees:

Php 500.00 per CEM

Total/Maximum Duration of Process:

Three (3) Days

Procedure:
1. FS Coordinator/Liaison Officer files the application to the International Student Affairs Division (ISAD) Staff, Office of
Student Development Services (OSDS)
2. Pays the fee to the Cashier
3. Submits O.R. to ISAD-OSDS and receives instruction when to claim the CEM
4. Comes back to ISAD-OSDS to claim the CEM on the specified date of release
 
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