FEU-QSF/ARPS .02 Rev. 00 Effectivity Date: 8 November 2013

Surname: ______________________________________ Student no.: _______________________________________ Given name: ____________________________________ Institute: _________________________________________ M.I.: _______ Contact number: _____________________ Year graduated: ____________________________________ Major:_________________________________________ Degree: __________________________________________ Permanent address: _______________________________________________________________________________

_______________________ Signature

Control No.:_________________________

New Renewal

Bronze Card (Php 500.00) For old graduates. Valid for one year.

Bronze Card (Php 250.00) For recent graduates (current school year). Valid for one year.

Silver Card (Php 1,000.00) Valid for two years

Gold Card (Php 5,000.00) Lifetime validity

Diamond Card (Php 50,000.00) Lifetime Validity

Platinum Card (Php 100,000.00) Lifetime Validity

Lost Card Replacement (Php 100.00)

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

ENDORSEMENT SLIP: PAYMENT AND CARD CREATION (FEU Alumni ID Card)

Far Eastern University Alumni Relations and Placement Services

Far Eastern University Alumni Relations and Placement Services

FEU/A-ARPS-QSF.01 Rev. 01 Effectivity Date: 22 May 2014

Far Eastern University Alumni Relations and Placement Services (ARPS)

Control No.:_________________________

Bronze Card (Php 500.00) For old graduates. Valid for one year.

Bronze Card (Php 250.00) For recent graduates (current school year). Valid for one year.

Silver Card (Php 1,000.00) Valid for two years

Gold Card (Php 5,000.00) Lifetime validity

Diamond Card (Php 50,000.00) Lifetime Validity

Platinum Card (Php 100,000.00) Lifetime Validity

New Renewal

I hereby certify to the veracity and correctness of all information above and authorize FEU-ARPS to use information stated on this form for all legal intents and purposes (i.e., academic reports, tracer research).

Lost Card Replacement (Php 100.00) .

PERSONAL DATA

Surname: ________________________________ Age: __________ Civil status: ______________________ Given name: _____________________________ Sex: __________ Nationality:_____________________ Middle name: ____________________________ Birthdate: ___________ E-mail: ____________________ Maiden name (while in FEU): ________________ Mobile: _____________ Landline: __________________ Present address: _________________________________________________________________________ Permanent address: ______________________________________________________________________

SCHOLASTIC DATA

Student number: ________________________________ First degree earned in FEU: ________________________ Highest degree earned in FEU: ________________________________ Major: _________________________________________ Major: ___________________________________________________ Institute: _______________________________________ Institute: _________________________________________________ Year graduated: __________________________________ Year graduated: ____________________________________________ Academic honors: _______________________________ Academic honors: _________________________________________ Please ask for additional sheet/s if needed.

Were you a University scholar? ___ Yes ___ Academic ___ L.E.A.P. ___ Athletic / Sports ___ FEU Educational Foundation

___ Arts / Cultural group ___ Externally-funded scholarship (i.e., Megaworld, SM ___ FEUCSO Foundation,etc.)______________________________

Others, please specify _____________________ ___ No

EMPLOYMENT DATA

Present company/name of business: __________________________________________ Inclusive years in service/business: ______________ Designation/position: ______________________________ Company/business telephone number: ___________________________________ Company email address: ____________________ Company website: ____________________________________________________________ Company address: _____________________________________________________________________________________________________

APPLICATION FORM: FEU ALUMNI ID CARD

CARD TYPE

PERSONAL INFORMATION

EDUCATIONAL INFORMATION

EMPLOYMENT INFORMATION

Employed Self-employed Involved/engaged in family business

Still looking for a job Pursuing another degree Reviewing for a licensure exam Unemployed

__________________________ ____________ Signature over printed name Date

If employed:

If not currently employed:

Alumni ID Application form - Endorsement.pdfAlumni ID Application form - Endorsement Rev01