Download - CHED-Form-No-CEM-2
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CHED Form No. CEM 2 (Application Form)
Date ________________
REQUIREMENTS FOR THE ISSUANCE OF THE CERTIFICATE FOR ELIGIBILITY FOR ADMISSION INTO THE MEDICAL COURSE
TO BE FILLED UP BY THE APPLICANT
Name of the Applicant : ___________________________________
Permanent Address : ___________________________________
Mailing Address : ___________________________________
Name of (Pre-Med) School : ___________________________________
Address of (Pre-Med) School : ___________________________________
Degree Earned : ___________________________________
Date of Graduation : ___________________________________
Accepting Higher Education Inst. (HEI) ___________________________________
Address of Accepting HEI : ___________________________________
Requirements:
1. Photocopy of Passport 2. Certified True Copy of Transcript of Records from the school last attended 3. Copy of Diploma or Certification of graduation authenticated by the Registrar of the school
where graduated 4. Notice of Acceptance indicating the quota number of the student issued by the HEIs 5. National Medical Admission Test (NMAT) result
Schedule of the Availability of Service: Monday to Friday : 8:00 am to 5:00 pm
Fees: Php 80.00 per CEM
Total/Maximum Duration of Process: Three (3) Days
Procedure:
1. Files the application to the Student Assistant and Service Division (SASD) Staff, Office of Student Services (OSS)
2. Pays the fee to the Cashier
3. Submits O.R. to SASD and receives instruction when to claim the CEM
4. Comes back to OSS to claim the CEM on the specified date of release
Office of the President of the Philippines COMMISSION ON HIGHER EDUCATION
OFFICE OF STUDENT SERVICES 3/F H.E.D.C. Building, C.P. Garcia St., UP Diliman Quezon City
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