Office of Admissions

and Scholarships
GRADUATE ENROLLMENT CONFIRMATION (TERM 1, AY 2015-16)
Schedules and Procedures
Multipurpose Hall
4/F Henry Sy, Sr. Hall
Enter DLSU through Gate 2 (North)
Reminders
1. To ensure a smooth processing of confirmation, qualified applicants should observe strictly the schedule below.
2. The confirmation is intended to be done by the qualified applicant. Areas accessible by companions may be limited.
3. A representative may be allowed to transact on behalf of the qualified applicant. An authorization letter will be asked
from the representative.
4. Qualified applicants with incomplete documents (including, but not limited to, original copies of the Transfer
Credential, Transcript of Records, and Birth Certificate) will not be allowed to confirm enrollment.
th

5. New students will be asked to undergo a Physical Examination, details of which can be found on the 5 page of this
document.
6. Qualified applicants who fail to confirm and enroll on the designated dates will be asked to postpone enrollment to
the next academic term OR to the next academic year for programs offered only once every academic year.
7. If a qualified applicant decides to defer enrollment before confirmation, the new student is requested NOT to
participate in any confirmation and/or enrollment activity. Please email the Coordinator for Graduate Admission, Mr.
Raymond Gonzales, of his/her intention to defer enrollment.
Schedules
Time
Date
8:00am - 10:00am

08 August
(Saturday)

Last Name
A to G

10:00am - 12:00nn

Last Name
H to N

12:00nn - 2:00pm

2:00pm - 4:00pm

Last Name
O to T

2401 Taft Avenue, 1004 Manila, Philippines I Tel: (632) 523-4230 | Trunk Line: (632) 524-4611 loc. 166
admissions@dlsu.edu.ph I www.dlsu.edu.ph/admissions

Last Name
U to Z

Please see next page for preliminary

PROCEDURES and REQUIREMENTS for

Office of Admissions
and Scholarships

International Students
Students with Dual Citizenship
Filipinos Born Abroad

General Procedures
Step

Document

Activity

Claiming of Payment
Referral Slip

Payment of
Non-Refundable
Confirmation Fee

To Be Submitted

Letter of
Acceptance to
DLSU

Lacking
Requirements, if
any (e.g., Transfer
Credential)

Payment Referral
Slip

Notes

To Be Received

Stamped Letter of
Acceptance with
confirmation fee
indicated

The Letter of Acceptance will be sent

to the email address indicated on the
applicants application form prior to
the confirmation period.

Students should already be in

proper attire as early as the first
step in time for the ID Picture
Taking.

International students will be directed

to the International Center
Representative to obtain a Clearance
before proceeding to Step 1.

P5,000.00 Confirmation Fee for

College of Law students
Php1,000.00 Confirmation Fee for
students in other graduate programs

DLSU Official
Receipt (for
confirmation)

No Confirmation Fee - for students on

full scholarship

Claiming of
Confirmation Kit

Official Receipt
(for confirmation)

Confirmation Kit

Checks will not be accepted.

Qualified applicants are advised to
check if their complete name is
correctly spelled as this will be
printed on the student ID card.

The required attire for male is

business attire (long or short-sleeved
shirt with tie) while the required attire
for female is any blouse or dress with
collar and sleeves.

ID Picture Taking

All students are required to wear

clothing that will contrast against a
beige background.

The ID In-charge will refuse to take

the picture of students who will not
comply with the required attire.

The IDs will be distributed on

enrollment day.

Official Receipt

2401 Taft Avenue, 1004 Manila, Philippines I Tel: (632) 523-4230 | Trunk Line: (632) 524-4611 loc. 166
admissions@dlsu.edu.ph I www.dlsu.edu.ph/admissions

Office of Admissions
and Scholarships

Applicable for:
International Students
With Dual Citizenship
Filipinos Born Abroad

Reminders
1. A representative from the International Center will be stationed at the venue during Confirmation.
2. The Clearance for Confirmation will be issued only to applicants with complete submitted/presented requirements.
3. For those without Student Visa or SSP and International Students (with Filipino parent/s) who will be using a Visa to
study, please see NOTES on the following page.
4. For inquiries, please contact (+63.2) 525-6727 or (+63.2) 524-4611 (local 289), or email at erio@dlsu.edu.ph or visit
the International Center, which is located at the St. Joseph Hall, Room 207.
Additional Procedures and Requirements
Document(s) To Be Submitted
Step

Activity

International Students
Original copy

Original copy

1. International Student Personal Data

Sheet (use link below)

1. Personal Data Sheet (use link below)

Photocopy (original to be presented)

2. Passport page with photo/details and
stamp of latest arrival in the Philippines
3. Visa (first issuance and extension)

Submission of the
required
documents

Students with
Dual Citizenship

4. Special Study Permit (SSP for students

below 18 years old
5. Annual Report Receipt for 2015

2. Photo (colored, 1x1)

Photocopy (original to be presented)
3. Any of the following:
Philippine Passport
Certificate of Recognition as a
Filipino
Naturalization Certificate as Filipino
4. Foreign Passport (if applicable)

6. Any of the following (whichever is

applicable):
Alien Certificate of Registration
(ACR)
I-Card (front and back page)
SRRV Card
SIRV Card
Proceed to STEP 1 of GENERAL PROCEDURES when issued a CLEARANCE FOR CONFIRMATION
Electronic Forms
International Student Personal Data Sheet
http://www.dlsu.edu.ph/students/international/requirements/personalinfo.pdf
Personal Data Sheet
http://www.dlsu.edu.ph/students/international/requirements/pds-dual-citizens-fil-born-abroad.pdf

2401 Taft Avenue, 1004 Manila, Philippines I Tel: (632) 523-4230 | Trunk Line: (632) 524-4611 loc. 166
admissions@dlsu.edu.ph I www.dlsu.edu.ph/admissions

Office of Admissions
and Scholarships
Notes
1. Applicants without Student Visa or SSP

DLSU, through the International Center, will process this at the Bureau of Immigration
Reference: Brochure Visa Conversion Process
http://www.dlsu.edu.ph/students/international/requirements/visa-conversion-process.pdf

The following documents must be submitted:

o

Application forms for visa conversion or SSP (available at the International Center)

Statement of Responsibilities (available at the International Center)

DLSU Official Receipt of Payment for visa processing

PhP 14,700 for student visa conversion
PhP 9,000 for Special Study Permit

2. International Students (with Filipino parents) who will be using a visa to study

The following documents must be submitted:

o

Personal Data Sheet

Photo (colored with plain background, 2x2, 4 pieces)

Birth Certificate of student (photocopy)

Birth Certificate of parents (photocopy)

Certificate of Naturalization (of one or both parents, if applicable)

Application forms for visa conversion or SSP (available at the International Center)

Statement of Responsibilities (available at the International Center)

DLSU Official Receipt of Payment for visa processing

PhP 14,700 for student visa conversion
PhP 9,000 for Special Study Permit

3. International Students with valid visas and not falling under 1 and 2 must consult the International Center
during the Confirmation for the documents to be submitted.

2401 Taft Avenue, 1004 Manila, Philippines I Tel: (632) 523-4230 | Trunk Line: (632) 524-4611 loc. 166
admissions@dlsu.edu.ph I www.dlsu.edu.ph/admissions

Office of Admissions
and Scholarships
Physical Examination
1. New Graduate students need to undergo the Entrance Physical Examination (EPE) as a requirement for official
enrollment.
2. Medical, dental and chest x-ray examination results within the last 6 months, in relation to employment, if available
may serve as the EPE. A photocopy of results with affixed 2 x 2 picture may be submitted to the Health Services
Office after confirmation. In the absence of this, refer to item 3.
3. EPE may be done in any of the accredited clinics of De La Salle University at the expense of the student.
4. The following procedure in connection with the EPE must be observed:

Steps
[A] Fill out the Medical and Dental Examination
(MDE) form

Remarks
The Medical and Dental Form is attached to these
Guidelines for Graduate Students Enrollment.
Attach a 2x2 color photo on the form

[B] Present the MDE form to any accredited clinic

The list of accredited clinics is attached to these

Guidelines for Graduate Students Enrollment. The
examination fee varies from clinic to clinic. Physical
and dental examination findings are documented on
the MDE form. Except for additional chest x-ray
procedure (if needed), further procedures like oral
prophylaxis are not mandatory.

[C] Submit MDE form and the physical examination The following must be submitted:
results to the Health Services Office (Room (a) Accomplished MDE form
103, ground floor, Br. Connon Hall-SPS (b) Chest X-ray official results
Building) from 27 July to 22 August 2015.
The requirements may be submitted, following the
* A grace period for the submission of medical schedule below:
forms will be implemented from 24 29 August
2015, but a reminder will be flashed upon your entry Mondays to Saturdays : 08:00 to 18:00
at the school gates. Non-submission of forms by
1 September 2015 will suspend your clearance
to enter the campus.

NOTE: Periodic Health Examination is done every year and is one of the requirements for re-enrollment in the next
academic year. You are advised to regularly check your MyLasalle account for announcements.

2401 Taft Avenue, 1004 Manila, Philippines I Tel: (632) 523-4230 | Trunk Line: (632) 524-4611 loc. 166
admissions@dlsu.edu.ph I www.dlsu.edu.ph/admissions

Health Services Office

DATE: _________________
SCHOOL YEAR: __________
2015-2016

ID NUMBER: _____________________
COLLEGE: _____________
LAST NAME: _____________________
FIRST NAME: ______________________ M.I._______
CONTACT#: ________________
CONTACT PERSON IN CASE OF EMERGENCY: ________________________
RELATIONSHIP: ________
CONTACT#: _______________________
AUTHORITY TO CONDUCT MEDICAL EXAMINATION
I, __________________________, ____years old accept and understand that I am required to undergo a
physical examination and chest x-ray to determine my fitness and well-being as a student. I fully
understand that the results will be held as confidential medical records and will be used by the University for
my care and treatment. My health information cannot be released to third persons except with my consent
or unless the disclosure of the information is required by law. I also accept and understand that the
procedures are requirements for the next academic year enrolment. I acknowledge that my medical records
will be retained by the University for a period of 5 years from examination or health visit.

________________
Signature of Student

PHEX Consultation Details

Physical Exam (to be filled up by a nurse/doctor)
Blood Type_______________
Blood Pressure____________
Resp. Rate_______________
Temperature______________
Pulse Rate________________
Height (in inches) __________
Weight (in pounds) ________
BMI (to be computed by the system) _____
BMI Category-system-generated_______
LMP (Female) ________
Right Vision__________
Left Vision ___________
Corrective Lens
MROTC_____________
MPE________________

Medical History (updated)

1.__________________
_
2._______________________
3._______________________
4._______________________
Medications_______________
__________________________
__________________________
Social History
___ Smoking
___ Drinking
___ Exercising
Findings
Extremities
___ Left Handed
___ Right Handed
Diagnosis
____________________
____________________
____________________
Remarks/Recommendations
Physically Fit

_________________
Assigned Nurse

For Clearance
_________________________
_________________________

Physical
Findings

Abnormal Findings

EENT
___Normal
Head and
Neck
___Normal
Breast
___Normal
Lungs
___Normal
Heart
___Normal
Neurologic
___Normal
Chest
X-ray
___Normal
Abdomen
___Normal
Skin
___Normal

________________________

Examining Physician

2401 Taft Avenue, 1004 Manila, Philippines I Tel: (632) 523-4230 | Trunk Line: (632) 524-4611 loc. 166
clinic@dlsu.edu.ph I www.dlsu.edu.ph/offices/mds

Health Services Office

Dental Information
Assigned Dentist
______________________
Date ______________________
School Year ________________
General.Condition
Good oral hygiene
Presence of calcular
deposits/plaque

Gingivitis
Pyorrheatic
Denture wearer up
Denture wearer down
With ortho braces up
With ortho braces down
Wearing Hawleys retainers
Others
_______________________

Other.Remarks____________________
________________________________
________________________________
________________________

2401 Taft Avenue, 1004 Manila, Philippins I Tel: (632) 23-4230 | Trunk Line: (632) 524-4611 loc. 166
clinic@dlsu.edu.ph I www.dlsu.edu.ph/offices/mds

Health Services Office

Accredited Clinics:
Health Protect Medical Diagnostic Center Makati
Coordinator: Mr. Jake F. Sanohan
Website: www.healthprotect.com.ph
Clinics:
1. Health Protect Medical Diagnostic Center Makati
Ground Floor, Fortune Care Building, Dela Rosa St. Corner Amorsolo St., Makati City
Tel 817-8678; 817-8364; 814-0167
Fax 893-1737
Contact Person: Dr. Josefina Adrianne Padua
Monday- Saturday 8 am 5 pm except holidays
2. Health Protect Medical Diagnostic Center - Pasig
Address: Ground Floor Citystate Centre, #709 Shaw Boulevard, Pasig City
Contact Numbers: 225-2260
Contact Person: Dr. Evamarie Torio (Clinic Director)
Clinic Schedule: Monday to Saturday 8am to 5pm (except holidays)
Dental Schedule: Mon, Wed, Fri & Sat 9am to 4pm; Tues & Thurs by appointment
Hi-Precision Diagnostics
Number: 8639999 local 160, 139, 191
Mobile: 09328906691, Until 5 pm only, Monday to Saturday
Coordinator: Ms. Geraldine Lopez (email address: geraldine_lopez@hi-precison.com.ph)
Website: www.hi-precision.com.ph
Clinics
1. Hi-Precision International Taft Avenue Branch
1852 Taft Avenue, Malate, Manila
Tel 405-0039 / 405-0135
Mobile Number: 0932-8908921
Business Hours: 7 am to 4 pm, Monday to Saturday
Contact Person: Ms. Cecile Dela Cruz
2. Hi-Precision Diagnostics Retiro Branch
674 N. S. Amoranto Sr. Avenue Quezon City
Tel 415-2622 / 743-1730
Telefax 415-2622
Mobile Number 0922-8906663
Business Hours: 6 am to 4 pm, Monday to Saturday
Contact Person: Ms. Reyma Dadis

2401 Taft Avenue, 0922 Manila, Philippines I Tel: (632) 536-0252 | Trunk Line: (632) 524-4611 loc. 221
clinic@dlsu.edu.ph I www.dlsu.edu.ph/offices/mds

Health Services Office

Healthway Medical
Telephone Number: 09178692299 / 7206141 to 44
Coordinator: Ms. Francheska Shannen Jardiel
Website: www.healthway.com.ph
Email: francheska.jardieal@healthway.com.ph
Healthway Clinics:
1. Healthway ATC
2F Alabang Town Center
Alabang-Zapote Rd.
Tel. 720-6102 / 09178555965
Fax 8076235
Mon-Sun 7 am to 5 pm

4. Healthway Market! Market!

4th Level, Market! Market!, Bonifacio
Global City, Taguig
Tel 720-6114 / 09178078386
Fax 8894424
Mon-Sun 7 am to 5 pm

2. Healthway Festival Mall

2F Pixie Forest Entrance
Filinvest City, Muntinlupa
Tel. 720-6104 / 09178558100
Fax 8504031
Mon-Sun 7 am to 5 pm

5. Healthway SM The Block

5th Level, The Block
SM City North EDSA
Tel 72026107 / 09178078380
Fax 4420360
Mon Sun 7 am 5 pm

3. Healthway Shangrila-La Mall

5L Wellness Zone
Shangri-La Plaza Mall, ortigas Center
Tel 720-6119 / 09178210832
Fax 9104930
Mon Sun 7am 5 pm

2401 Taft Avenue, 0922 Manila, Philippines I Tel: (632) 536-0252 | Trunk Line: (632) 524-4611 loc. 221
clinic@dlsu.edu.ph I www.dlsu.edu.ph/offices/mds