Tup Form 1-a (revised 9-07-06) Technological University Of The Philippines

TUP FORM 1-A (revised 9-07-06) Technological University of the Philippines OFFICE OF ADMISSIONS Manila PICTURE1�x1� 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 *Pleasewrite1ifitisyour1COLLEGEOFARCHITECTUREandFINEARTSst choice and 2 if it is your 2nd choice. Barangay/DistrictMunicipality/CityCOLLEGEOFINDUSTRIALTECHNOLOGY_____BachelorofScie nceinFoodTechnology(BSFT) _____ Bachelor of Science in Architecture (BSA) _____ Bachelor of Fine Arts (BFA) Major in Advertising) _____ Bachelor of Science in Hotel & Restaurant Management (BSHRM) _____ *Bachelor in Graphics

Technology (BGT) _____ *Bachelor of Technology (BT) _____ *Bachelor of Technology in Information Technology (BTIT) COLLEGEOFENGINEERINGThree-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) _____ 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. TEST PERMIT PICTURE1�x1� Technological University of the Philippines OFFICE OF ADMISSIONS 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 Name _____________________________________________ Sex _________ Age ________ Status _________ 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 ____________ Weight _______________ Contact no. __________________ Means of Financial Support:

Parents Scholarship Others ___________________ 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) 5,000 below

15,001 � 20,000 5,001 � 10,000

20,001 � 30,000 10,001 � 15,000 30,001 -above EDUCATIONAL ATTAINMENT 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 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 � X 1 �) 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