In accordance with Section 1, Article 3 of Domestic Trade Administrative Order No. 1, Series of 1975, dated April 2, 1975, I have the honor to apply to take Real Estate ___________ Examination.

1. Applicant __________________________________________________________
2. Residence _________________________________________________________
3. Civil Status __________ 4. Nationality __________ 5. Date of Birth ___________
6. Educational Attainment (pls. indicate Course) : ___________________________
    (Submit proof in xerox/photo of any of the following duly authenticated by the School)
             (   ) Diploma                                             (   ) Official Transcript of Records
             (   ) Certificate from College Registrar         (   ) Others: Specify ___________
7. Real State Seminar Attended: Inclusive Date _____________________________
                                                Conducted By _____________________________
8. Experience in Real Estate Business as _____________from 19___ to _________
9. Have you been convicted of a crime involving moral turpitude? Yes No

Date : ______________________

                I hereby declare that the foregoing information are true and correct to the best of my knowledge and belief without fraudulent or deceitful intent whatsoever.

__________________           
Signature of Applicant             

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

N O T I C E  T O  A D M I S S I O N

Dear M______________________:

             This is to inform you that you have been conditionally admitted to take the REAL ESTATE __________ EXAMINATION to be hold on ____________ at _________________________.
             Report to Room No. ___________. Building located at _______________________________ not later than 8:00 A.M. on the said date.