Scribd
Upload
2K views

QEALIS Application Form

This document is an application form for the Qualifying Examination in Arabic Language and Islamic Studies (QEALIS) administered by the Department of Education of the Philippines. The application requests personal information such as name, date of birth, address, education background, employment history, and reasons for applying to the QEALIS exam. By signing the application, the applicant certifies that all information provided is true and correct, and any misrepresentations will disqualify them from taking the exam.

Uploaded by

Hedjarah M. Hadji Ameen
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
2K views

QEALIS Application Form

This document is an application form for the Qualifying Examination in Arabic Language and Islamic Studies (QEALIS) administered by the Department of Education of the Philippines. The application requests personal information such as name, date of birth, address, education background, employment history, and reasons for applying to the QEALIS exam. By signing the application, the applicant certifies that all information provided is true and correct, and any misrepresentations will disqualify them from taking the exam.

Uploaded by

Hedjarah M. Hadji Ameen
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 2

Republic of the Philippines

Department of Education
DepEd Complex, Meralco Avenue, Pasig City, Philippines
Bureau of Learning Delivery, Student Inclusion Division, Madrasah Education Program
Room 504-B Bonifacio Building, DepEd Complex, Meralco Avenue, Pasig City
Telephone number 834-2924 / 634-1250 / Telefax: 635-56-69

APPLICATION FORM
QUALIFYING EXAMINATION IN ARABIC LANGUAGE 1x1 ID
AND ISLAMIC STUDIES (QEALIS) PHOTO

I. PERSONAL DATA:
Name: __________________________________________________________________________
Name (If Reverted to Islam): ______________________________________________________
Address: _________________________________________________________________________
Date of Birth: ___________ Age: _______Place of Birth: _______________________________
Gender: _______________ Civil Status: ____________ Citizenship: ______________________
Contact No.: ____________________ E-Mail Address: _________________________________
Religion: ______________________________________________ Tribe: _____________________
Languages/Dialects Spoken: _____________________________________________________

II. EDUCATIONAL BACKGROUND:

A. Secular
Educational Years Year Units
Attainment School Covered Graduated Earned
Post-Graduate
College
High School
Elementary
Pre-Elementary

B. Islamic:
Educational Years Year Units
Attainment School Covered Graduated Earned
Post-Graduate
College
High School
Elementary
Pre-Elementary
III. EMPLOYMENT BACKGROUND:
Company’s Name Address Position Years Contact No.
Covered

Other Skills: ________________________________________________________________


Government Examination Passed: __________________________________________

Reason/s for applying for the Qualifying Examination in Islamic Studies and
Arabic Language
(QEALIS):__________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________

I hereby certify that the information written in the application form is true
and correct. Any misrepresentations will disqualify me from taking the (QEALIS)
to be administered on _________________, 2022 and in all to be scheduled
QEALIS under the ALIVE Program of the Department of Education (DepEd).

________________________
APPLICANT
(Signature Over Printed Name)

You might also like