LUAT Application - Laguna University

Please fill out the Application Form

Student's Information:

First Name:*

Only letters and spaces are allowed

Middle Name:

Must be at least 2 letters

Last Name:*

Only letters and spaces are allowed

Suffix Name:

Sex:*

Status:*

Date of Birth:*

Place of Birth:*

Religion:*

Citizenship:*

No. of Siblings:*

❌ Enter 0-99 (0 means none). Numbers like 00 or 01 are invalid.

LRN:*

❌ Must be exactly 12 digits

Present Address

Region:*

Province:*

City/Municipality:*

Barangay:*

House No. & Street:*

Zip Code:*

Please enter exactly 4 digits

Same as Present Address

Permanent Address

Region:*

Province:*

City/Municipality:*

Barangay:*

House No. & Street:*

Zip Code:*

Please enter exactly 4 digits

Contact Details

Email Address:*

Use your verified email

Contact Number:*

Must be 11 digits starting with 09

Alternative Email Address:

Alternative Contact Number:

Must be 11 digits starting with 09

LAST SCHOOL ATTENDED:

Name of School:*

Strand:*

Year Graduated/Last SY Attended:*

Honors/Awards Recieved:

Upload PDF/Image of Grade 12 Report Card (2nd or 3rd Quarter):* Note: Please attach scanned copy of your card (front and back).

PROGRAM REFERENCE:

Program:*

Parent/ Guardian Details

Father's Name:

First Name:*

Only letters and spaces are allowed

Middle Name:

Must be at least 2 letters

Last Name:*

Only letters and spaces are allowed

Mother's Name:

First Name:*

Only letters and spaces are allowed

Middle Name:

Must be at least 2 letters

Lastname:*

Only letters and spaces are allowed

Guardian's Name: in the absence of the parents

First Name:*

Only letters and spaces are allowed

Middle Name:

Must be at least 2 letters

Last Name:*

Only letters and spaces are allowed

Relationship to Guardian:*

Contact Number:*

Must be 11 digits starting with 09

Annual Income:*

₱

Please enter a valid amount (numbers with only one decimal point)

Note: Total annual income of your family.

* I hereby allow/authorize Laguna University to collect, use, and process the information for legitimate purposes and allow authorized personnel to process the Information in accordance with the Data Privacy Policies of the University.

DATA PRIVACY CONSENT FOR LAGUNA UNIVERSITY STUDENT-APPLICANTS

LUAT Online Application

Welcome to Laguna University

Laguna University Admission Test Online Application

Please fill out the Application Form