PONTIFICAL AND ROYAL

UNIVERSITY Attach one (1)

2x2 recent picture

OF SANTO TOMAS with white background,

name and signature
at the back
THE CATHOLIC UNIVERSITY OF THE PHILIPPINES

OFFICE FOR ADMISSIONS

APPLICATION PROCEDURE GENERAL GUIDELINES

1. After accomplishing the Application and Grades Form, with the reference 1. Only applicants who are currently enrolled in Grade 10 may apply.
number, proceed to any Metrobank or BPI branch to pay the non-refundable 2. The following applicants must secure clearance from the UST
application fee in cash over the counter. Registrar’s office before submitting their Application and Grades
2. Keep a photocopy of all the documents before you proceed to step 3. Form:
2.1 Passers of the Philippine Educational Placement Test (PEPT) –
3. Forward the following documents to the Office for Admissions (OFAD) through present the certificate of passing
LBC only:
2.2 Applicants from foreign schools – present Form 137 (Transcript
3.1 Signed Application Form of Records)
3.2 Accomplished Grades Form
2.3 Foreigners graduating from local schools – present passport
3.3 Clear Photocopy of: and Alien Certificate of Registration
PSA Birth Certificate or passport APPLICATION FEES
Baptismal certificate (for Catholic applicants only) UST & PROVINCIAL TESTING CENTERS:
BPI/Metrobank payment slip (do not send the original copy)
Php 600.00 - Filipinos studying in the Philippines
4. Keep track of your documents with LBC. Please visit your Activity Log to view Php 1,000.00 - Filipinos studying abroad
Php 1,000.00 - Foreigners studying in the Philippines
the notification five (5) working days after we receive your documents. USD 30.00 - Foreigners studying Abroad
International Testing Centers: USD 100.00
5. Upon receiving the notification of OFAD, download and print the TEST PERMIT.
Take note of your USTET schedule. Reference Number:
2019020486

SENIOR HIGH SCHOOL APPLICATION FORM

Legal Name (Name in Birth Certificate)

BENITEZ F
Last Name Auxiliary Name (e.g. Jr., II, etc.) Gender

MARIAH FRANCHESCA
Given Name Landline Number

DELA CRUZ 09561328833

Middle Name Mobile Number

10 / 06 / 2002 FILIPINO CHRISTIAN (CATHOLIC) uriahbenitez@yahoo.com

Date of Birth (MM/DD/YYYY) Citizenship Religion E-mail Address

#75 QUEZON STREET, DISTRICT 1 CAUAYAN CITY, ISABELA 3302

Permanent Mailing Address Zip Code

TRACK/STRAND TESTING CENTER

ACADEMIC TRACK - GENERAL ACADEMIC STRAND (HEALTH ALLIED) University of La Salette ( Santiago City, Isabela )

Note: Whatever strand you have specified in your application form can no longer be changed or altered.

IMPORTANT REMINDERS I certify and fully understand that:

1. To avoid problems in the release of your USTET results, please forward
the complete set of documents to the Office for Admissions (OFAD) 1. I have not withheld any information that might affect my admission.
through LBC only. 2. The track/strand stated herein can no longer be changed or altered.
2. Payments will only be accepted at any Metrobank and BPI branches. 3. I have not been admitted to and/or debarred from any other senior
3. Please take note of the USTET schedules and their corresponding high school.
deadlines for the payment of the non-refundable application fee and 4. My final admission will also depend on the submission of my official
submission of documents. documents and the grades.
FOR APPLICANTS who wish to take the USTET in the MANILA CAMPUS: 5. All submitted documents will become properties of OFAD and can
USTET SCHEDULE Deadline of Payment and no longer be retrieved by me.
Submission of Documents 6. Passing the USTET is not the sole basis for admission to some
September 2, 2018 August 24, 2018 strands. The Senior High School strands may require additional entry
October 14, 2018 October 5, 2018 assessment in the form of an interview, talent test and other similar
December 2, 2018 November 16, 2018 activities.
FOR APPLICANTS who wish to take the USTET in the PROVINCIAL 7. All information in this Application Form, Grades Form, and
TESTING CENTERS: Information Survey are complete and correct to the best of my
Complete set of documents should be received by the UST Office knowledge and belief.
for Admissions (OFAD) one (1) week before the USTET schedule. 8. I authorize further that results and other data herein contained may
FOR APPLICANTS who wish to take the USTET in the MIDDLE EAST be used for research purposes.
TESTING CENTERS: 9. I authorize the Office for Admissions (OFAD) of the University of
Complete set of documents should be received by the UST Office Santo Tomas to verify all data that I have provided.
for Admissions (OFAD) on or before September 21, 2018.
4. The following are grounds for forfeiture of the right to enrol or
debarment in the succeeding semester if discovered in the current
semester. Signature Date
4.1 Misrepresentation of information entered in the Application and
Grades Form/Information Survey CONTACT INFORMATION
4.2 Misrepresentation during the examination; Office for Admissions (OFAD)
Rm 104, Tan Yan Kee Student Center
4.3 Any violation of the instructions given
Telephone: +632 406.1611 loc 8276 Website: ofad.ust.edu.ph
4.4 Other acts not in conformity with the university’s policy. +632 310.7211 E-mail: ofad@ust.edu.ph
5. Visit the OFAD website (ofad.ust.edu.ph) and the activity log in your Mobile: +639053521252 Facebook, Twitter, @USTofad
Applicant Admission Account every Friday for any announcement. Tele-fax: +632 310.7214 and Instagram:

UST:SO24-00-FO01 rev02 6/25/2018

 DOCUMENT CHECKLIST (Applicant's Copy)
(UST Senior High School Application Requirements)
To the LBC Representative:
Kindly place a check ( ✓ ) mark on the box if the proper document was submitted.
Place an X on the box if the applicant did not submit the proper document.

Reference Number: 2019020486

Applicant Name: MARIAH FRANCHESCA DELA CRUZ BENITEZ

Signed Application Form

Accomplished Grades Form

Clear photocopy of PSA Birth Certificate or passport

Clear photocopy of Baptismal Certificate

(for Catholic applicants only)

Clear photocopy of BPI/Metrobank payment slip

Received and Checked by LBC personnel:

(printed name and signature)
[This document must be returned to the applicant after signing.]

UST:SO24-00-FO01 rev02 6/25/2018