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TUP FORM 1-A (revised 8/03/11) Technological University of the Philippines OFFICE OF ADMISSIONS Manila PICTURE 1x 1 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 SURNAME FIRST NAME M.I. HOME ADDRESS ________________________________________________________________________________ ____________________ No. Street Barangay/D Municipality/City COLLEGE OF ARCHITECTURE and FINE ARTS * Please write 1 if it is your 1st choice and 2 if it is your 2nd choice. n Archine Arts (BFA) MajCOLLEGE OF INDUSTRIAL TECHNOLOGY llor of Scior of Science i_____ Bachelor of Science itecture (BSA) istrict _____ Bache_____ Bache_____ Bache n Food Technology (BSFT) _____ Bachelor of Fior in Advertising) ence in Hotel & Restaurant Management (BSHRM) _____ *Bachelor in Graphics Technology (BGT) lor of Technology in Mechatronics (BTMT) _____*Bachelor of Technology (BT) Three-Year Diploma Courses _____ *Bachelor of Technology in Information Technology (BTIT) _____Graphics Technogn Devellogy (GT)/Architecture Technoopment Technoogy (PDDT) logy (AT) _____ Product DesCOLLEGE OF ENGINEERING _____ Bache_____ Bachelor of ScilThree-Year Diploma Courses

_____ Automotive Engineering Technology (AET) _____ Apparel and Fashion Technology (AFT) ience in Civil Engineering (BSCE) _____ Civil Engineering Technology (CET) lor of Science in Electrical Engineering (BSEE) _____ Computer Engineering Techn ology (COET) _____Bachelor of Science in Electronics Engineering (BSESE) _____ Electrical Eng ineering Technology (EET) _____Bachelor of Science in Mechanical Engineering (BSME) _____ Electronic Commu nications Engineering Technology (ECET) _____ Electronics Engineering Technology (EsET) COLLEGE OF INDUSTRIAL EDUCATION _____ Foundry Engineering Technology (FET) Bachelor of Science in Industrial Education (BSIE) Major in: _____ Graphics Arts and Printing Technology (GAPT) _____ Art Education _____ Electrical Technology/ _____ Instrumentation and Contr ol Engineering Technology (ICET) _____ Computer Education _____ Home Economics _____ Mechanical Engineering Techn ology (MET) _____ Electronics Technology _____ Industrial Arts _____ Nutrition and Food Tech nology (NFT) _____ *Bachelor of Technical Teacher Education (BTTE) _____ Power Engineering Te chnology (PET) _____ Railway Engineering Technology (RET) _____ Refrigeration and Air-Conditioning Engineering Technology (RACET) COLLEGE OF SCIENCE _____ Tool and Die Engineering Technology (TDET) _____ Bachelor of Science in Computer Science (BSCS) ____ Welding Engineering Te chnology (WET) _____ Bachelor of Science in Information Technology (BSIT) _____ Bachelor of Science in Information System (BSIS) _____ Bachelor of Science in Environmental Science (BSES) COLLEGE OF LIBERAL ART S _____ Bachelor of Applied Science in Laboratory Technology (BAS-LT) _____ Bachel or of Science in Entrepreneurial Management (BSEM) _____ *Bachelor of Arts in Management (BAM) Major in Industrial Management * CONTINUUM PROGRAM FOR GRADUATE OF THREE-YEAR DIPLOMA COURSES ONLY. TEST PERMIT Technological University of the Philippines PICTURE OFFICE OF ADMISSIONS 1 x 1 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 t ake the College Admission test at the TUP, Ayala Blvd., Manila on ______________________ ______________ Room__________________Time____________________ Head

PERSONAL DATA Name _____________________________________________ Sex _________ Age ________ St atus _________ Date of Birth ________________________________________ Place of Birth __________ ___________________ No. of Brothers _____________ No. of Sisters ____________ Birth Order 1 2 3 4 5 6 7 8 9 1 0 Citizenship___________________ Religion _______________ Height ____________ Weig ht _______________ Contact no. __________________ Means of Financial Support: Parents Scholarship O thers ___________________ E-mail add/ facebook account: _____________________________ FAMILY BACKGROUND FATHER MOTHER Name _____________________________________________ Name ________________________ _____________________ Date of Birth ___________________ Tel no. ____________ Date of Birth ___________ ________ Tel no.____________ Occupation _______________________________________ Occupation __________________ ______________________ Educ. Attainment_________________________ Educ. Attainment _____________________ _____ Family Income (check box) 20,000 5,000 below 15,001 5,001 10,000 20,001 30,000 10,001 15,000 30,001 - above EDUCATIONAL ATTAINMENT LEVEL NAME OF SCHOOL YEAR GRADUATED ELEMENTARY SECONDARY 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 UNDERSTA ND THAT GIVING FALSE INFORMATION WILL AUTOMATICALLY DISQUALIFY ME FOR ADMISSION OR SUBJECT TO DISMISSAL BY COMPETENT A UTHORITIES. IF ADMITTED, I WILL ABIDE AND COMPLY WITH ALL THE POLICIES, RULES AND REGULATIONS OF THE TECHNOLOGICAL UNIVERS ITY OF THE PHILIPPINES. CERTIFIED CORRECT: _________________________ Signature of Student - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - STEPS ON TUP ADMISSION 1. Accomplish this application form with 2 ID pictures (1 X 1 ) and submit to the Office of Admissions for evaluation. 2. Pay the non-refundable testing fee at the Cashier s Office. 3. Secure your test permit by submitting your accomplished application form and O.R. of testing fee. 4. Take the TUP Admission Test on the specified date, time, and room. Bring with

you your test permit and 2 pencils with eraser. 5. Release of test result will be posted on ________________ at the CLA Building lobby or visit our website www.tup.edu.ph. 6. Report on the specified date for your interview and submit the following docu ments 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 NSO Birth certificate *Failure to report on the specified date will mean forfeiture of Admission slot. 7. Secure your Notice of Admissions and proceed to the University Clinic for med ical examination 8. Report to your respective course adviser/dean for enrolment. Note: . Applicants for Engineering, Architecture and Science courses should have 80% g rade or better in Math, Science and English. . For transferee applicants, NO FAILING GRADES and may enroll only in 3 year dip loma courses. . Enrollment will be on a FIRST COME FIRST SERVED basis. . For more inquiries call the Office of Admission at telephone 3283750 loc 603.