REGISTERED OFFICE EXTENSION OFFICE

St. Linus University St. Linus Online Institute

C/O CCP, Inc. C/O St. Paul College of Technology
P.O. BOX 2342 Brgy. Samput, Paniqui
Roseau Tarlac—2307
DOMINICA PHILIPPINES
www.stlinusuniversity.edu.tf www.stlinusonlineinstitute.com

Family Name Any Personal ID (e.g., driver’s license,

social security number and the like)

Attach photo here

First and Middle Name (spell out) Mobile/Home Tel. #

Birthday (month/day/year) E-mail Address

Permanent Address (The address where the Transcript of Records and diploma will be mailed) Gender:

Male Female

Highest Educational Attainment with the Date of Graduation Name and Address of School Last Attended

Please attach your ‘Curriculum Vitae’ with the corresponding documents.

DEGREE TYPE

Associate Associate Bachelor Bachelor Master Master Doctor Doctor Doctor of Others
of Arts of Science of Arts of Science of Arts of Science of Arts of Science Philosophy

Check your desired program.

MAJOR

For details, please visit www.stlinusuniversity.edu.tf

I hereby agree to the ‚Terms and Conditions‛ of St. Linus University (SLU) and that oral terms are not binding. I fully understand that a)
the University is an online higher education institution which operates under the authority of International Business Company (IBC) Act 1996 of
the Commonwealth of Dominica; b) the University is accredited by the World Information Distributed University (WIDU), Russia; c) the
University is not accredited by the Commission on Higher Education (CHED) because the Philippines is NOT its country of origin. Furthermore,
accreditation is voluntary in nature and generally national in scope.

I understand further that d) accreditation does not provide automatic acceptance by an institution of credit earned at another institution, nor
does it give assurance of acceptance of graduates by employers; e) the acceptance of students or graduates is always the prerogative of the
receiving institution or employer.

I specifically agree to defend, indemnify and hold the University harmless, it’s Marketing Arm: St. Linus Online Institute (SLOI), their owner/s,
officers, employees and agents from any claim, loss or damages, including costs and reasonable attorney’s fees should my diploma, certificate,
educational entitlement etc. will not be honored by any receiving institution or employer.

----------------------------------- ------------ ----------------------------------- ------------

Student’s signature over printed name Date Registrar’s signature over printed name Date

Not valid without University seal