TUP FORM 1-A (revised 9-07-06)

PICTURE
Technological University of the Philippines
1½x1½
OFFICE OF ADMISSIONS
Manila

APPLICATION FOR TUP COLLEGE ADMISSION TEST

Course Code _____________________________ Application Form No. ______________________
Session Code ____________________________ Official Receipt No. _______________________
Date of Examination _______________________ O.R. Date ______________________________
Time _______________ Room ______________

PRINT LEGIBLY
CANQUE CHRISTOPHER JAMES C
____________________________________________________________________________________________________
SURNAME FIRST NAME M.I.

HOME ADDRESS
BRGY.PEMBO/DISTRICT II MAKATI CITY
B____________________________________________________________________________________________________
- 206 L - 9 GRP.8 ZONE 12 ACACIA ST.
No. Street Barangay/District Municipality/City

* Please write 1 if it is your 1st choice and 2 if it is your 2nd choice.

COLLEGE OF ARCHITECTURE and FINE ARTS COLLEGE OF INDUSTRIAL TECHNOLOGY

_____ Bachelor of Science in Architecture (BSA) _____ Bachelor of Science in Food Technology (BSFT)
_____ Bachelor of Fine Arts (BFA) Major in Advertising) _____ Bachelor of Science in Hotel & Restaurant Management (BSHRM)
_____ *Bachelor in Graphics Technology (BGT) 2 *Bachelor of Technology (BT)
_____
1 *Bachelor of Technology in Information Technology (BTIT)
_____
Three-Year Diploma Courses
_____Graphics Technology (GT)/Architecture Technology (AT) Three-Year Diploma Courses
_____ Product Design Development Technology (PDDT) ____ Automotive Engineering Technology (AET)
_____ Apparel and Fashion Technology (AFT)
COLLEGE OF ENGINEERING _____ Civil Engineering Technology (CET)
_____ Bachelor of Science in Civil Engineering (BSCE) _____ Computer Engineering Technology (COET)
_____ Bachelor of Science in Electrical Engineering (BSEE) _____ Electrical Engineering Technology (EET)
_____Bachelor of Science in Electronics and Communication Engineering (BSECE) _____ Electronics Communications Engineering Technology (ECET)
_____Bachelor of Science in Mechanical Engineering (BSME) _____ Electronics Engineering Technology (EsET)
_____ Foundry Engineering Technology (FET)
COLLEGE OF INDUSTRIAL EDUCATION _____ Graphics Arts and Printing Technology (GAPT)
Bachelor of Science in Industrial Education (BSIE) Major in: _____ Instrumentation and Control Engineering Technology (ICET)
_____ Art Education _____ Electrical Technology/ _____ Mechanical Engineering Technology (MET)
_____ Computer Education _____ Home Economics _____ Nutrition and Food Technology (NFT)
_____ Electronics Technology _____ Industrial Arts _____ Power Engineering Technology (PET)
_____ *Bachelor of Technical Teacher Education (BTTE) _____ Refrigeration and Air-Conditioning Engineering Technology (RACET)
_____ Tool and Die Engineering Technology (TDET)
COLLEGE OF LIBERAL ARTS _____ Welding Engineering Technology (WET)
_____ Bachelor of Science in Entrepreneurial Management (BSEM) _____ Railway Engineering Technology (RET)
_____ *Bachelor of Arts in Management (BAM)
Major in Industrial Management COLLEGE OF SCIENCE
_____ Bachelor of Science in Computing (BSC)
Bachelor of Applied Science (BAS) major in:
_____ Laboratory Technology ____ Environment Science

* Continuum program for graduate of three-year diploma courses only.

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TEST PERMIT

Technological University of the Philippines

PICTURE OFFICE OF ADMISSIONS
1½x1½ Manila

Course Code _________________________ Application No. _______________________________

Session Code _________________________ Official Receipt No _______________________________
O.R Date _______________________________

This is to certify that ______________________________________ whose photo and signature appears herein is allowed to take the
College Admission test at the TUP, Ayala Blvd., Manila on ____________________________________
Room__________________Time____________________

EMMA B. TAAR
Director
 PERSONAL DATA

CHRISTOPHER JAMES C. CANQUE

Name _____________________________________________ 16
MALE Age ________
Sex _________ SINGLE
Status _________
DECEMBER 24,1992
Date of Birth ________________________________________ Place of Birth _____________________________
SAN JUAN M.M
2
No. of Brothers _____________ No. of Sisters ____________
2 Birth Order 1 2 3 4 5 6 7 8 9 1 0
FILIPINO
Citizenship___________________ R.C
Religion _______________ Height ____________ Weight _______________
Contact no. __________________ Means of Financial Support: Parents Scholarship Others ___________________

FAMILY BACKGROUND

FATHER MOTHER
Name _____________________________________________
ERNESTO C. CANQUE Name _____________________________________________
LOLITA C. CANQUE
Date of Birth ___________________ Tel no. ____________ Date of Birth ___________________ Tel no.____________
928-26-75
Occupation _______________________________________
DECEASED Occupation ________________________________________
SEPTEMBER 12, 1950
Educ. Attainment_________________________ Educ. Attainment __________________________
Family Income (check box)
5,000 below 15,001 – 20,000
5,001 – 10,000 20,001 – 30,000
10,001 – 15,000 30,001 - above

EDUCATIONAL ATTAINMENT

YEAR
LEVEL NAME OF SCHOOL
GRADUATED
ELEMENTARY PEMBO ELEMENTARY SCHOOL
SECONDARY GUADALUPE CATHOLIC SCHOOL
TERTIARY
Third Year General Average: __________ Cumulative Averaging Number of Graduating Class: _________

What are your current grades in the following subjects?

SUBJECT FIRST GRADING SECOND GRADING THIRD GRADING
MATHEMATICS
SCIENCE
ENGLISH

PLEDGE
I HEREBY AFFIRM THAT ALL THE ANSWERS GIVEN HERE ARE TRUE AND CORRECT. I UNDERSTAND THAT GIVING FALSE INFORMATION WILL
AUTOMATICALLY DISQUALIFY ME FOR ADMISSION OR SUBJECT TO DISMISSAL BY COMPETENT AUTHORITIES. IF ADMITTED, I WILL ABIDE AND
COMPLY WITH ALL THE POLICIES, RULES AND REGULATIONS OF THE TECHNOLOGICAL UNIVERSITY OF THE PHILIPPINES.

CERTIFIED CORRECT:

_________________________
Signature of Student

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STEPS ON TUP ADMISSION

1. Accomplish this application form and pay the non-refundable (P375.00) testing fee at the Cashier’s Office.
2. Submit the accomplished form with 2 ID pictures (1 ½ X 1 ½) to the Office of Admissions and secure your test permit.
3. Take the TUP Admission Test on the specified date, time, and room. Bring with you your test permit and 2 pencils with eraser.
4. Release of test result will be posted on ________________ at the CAS Building lobby or visit our website www.tup.edu.ph.
5. Report on the specified date for your interview and submit the following documents for enrollment.
a. Test permit
b. Original copy of Form 138/137 or transcript of Records
c. Certificate of good moral character
d. Xerox copy of Birth certificate
*Failure to report on the specified date will mean forfeiture of Admission slot.
6. Secure your Notice of Admissions and proceed to the University Clinic for medical examination
7. Report to your respective course adviser/dean for enrolment.

Note:
• Applicants for Engineering, Architecture and Science courses should have 80% grade or better in Math, Science and English.
• For transferee applicants, no failing grades and may enroll only in 3 year diploma courses.
• Enrollment will be on a FIRST COME FIRST SERVED basis.
• For more inquiries call the Office of Admission at telephone # 5250675/3027750