Application Form

Please fill out the following sections to complete your application.

Basic Information

School Year

Program

Application Type

Personal Information

Last Name

First Name

Middle Name

Sex Male Female

Date of Birth

Place of Birth

Civil Status

Height

Weight

Religion

Citizenship

Specify Citizenship

Telephone Number

Cellphone Number

Email Address

Family Information

Father's Name

Father's Occupation

Father's Cellphone Number

Mother's Name

Mother's Occupation

Mother's Cellphone Number

Guardian's Name

Guardian's Cellphone Number

Guardian's Email Address

Address Information

Country

Permanent Address

Region

Province

City

Barangay

Other Barangay

Zip Code

Education Information

Name of School (Junior High)

Other School (Junior High)

Year of Graduation

Name of School (Senior High)

Other School (Senior High)

School Address

Year of Graduation

Last School Attended

Other School

School Address

Degree

Year of Graduation

Honors/Awards Received

Date NMAT Taken

Percentile Rank

Have you applied for Admission to the FEU-NRMF School of Medicine before?

When?

Have you been admitted into any other Medical School before?

Where?

First Choice of Program

Second Choice of Program

Work Experience

Entrance Examination

Mode of Examination

Republic Act 12206 "Free College Entrance Examination Act"

Upload Information

PSA BIRTH CERTIFICATE

GOOD MORAL CHARACTER CERTIFICATE

GRADE 11 REPORT CARD

GRADE 12 REPORT CARD WITH AT LEAST 1ST QUARTER GRADES

RECENT PASSPORT SIZE COLORED ID PICTURE (WHITE BACKGROUND)

TRANSCRIPT OF RECORDS

CERTIFICATE OF INDIGENCY FROM BARANGAY

CERTIFICATE THAT BELONGS TO THE TOP TEN PERCENT (10%) OF GRADUATING CLASS

TRANSCRIPT OF RECORDS (For graduate abroad)

CERTIFICATE OF GENERAL WEIGHTED AVERAGE (GWA) FROM THE DEAN OR REGISTRAR

COLLEGE DIPLOMA OR CERTIFICATE OF CANDIDACY FOR GRADUATION

NMAT RESULT

CURRENT PRC ID