TUP FORM 1-A (revised 8/03/11)

Technological University of the Philippines OFFICE OF ADMISSIONS Manila APPLICATION FOR TUP COLLEGE ADMISSION TEST
Course Code _____________________________ Session Code ____________________________ Date of Examination _______________________ Time _______________ Room ______________ PRINT LEGIBLY

PICTURE 1x1

Application Form No. ______________________ Official Receipt No. _______________________ O.R. Date ______________________________

____________________________________________________________________________________________________ SURNAME FIRST NAME M.I. HOME ADDRESS ____________________________________________________________________________________________________ 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 _____ Bachelor of Science in Architecture (BSA) _____ Bachelor of Fine Arts (BFA) Major in Advertising) _____ *Bachelor in Graphics Technology (BGT) Three-Year Diploma Courses _____Graphics Technology (GT)/Architecture Technology (AT) _____ Product Design Development Technology (PDDT) COLLEGE OF ENGINEERING _____ Bachelor of Science in Civil Engineering (BSCE) _____ Bachelor of Science in Electrical Engineering (BSEE) _____Bachelor of Science in Electronics Engineering (BSESE) _____Bachelor of Science in Mechanical Engineering (BSME) COLLEGE OF INDUSTRIAL EDUCATION Bachelor of Science in Industrial Education (BSIE) Major in: _____ Art Education _____ Electrical Technology/ _____ Computer Education _____ Home Economics _____ Electronics Technology _____ Industrial Arts _____ *Bachelor of Technical Teacher Education (BTTE) COLLEGE OF SCIENCE _____ Bachelor of Science in Computer Science (BSCS) _____ Bachelor of Science in Information Technology (BSIT) _____ Bachelor of Science in Information System (BSIS) _____ Bachelor of Science in Environmental Science (BSES) _____ Bachelor of Applied Science in Laboratory Technology (BAS-LT) COLLEGE OF INDUSTRIAL TECHNOLOGY _____ Bachelor of Science in Food Technology (BSFT) _____ Bachelor of Science in Hotel & Restaurant Management (BSHRM) _____ Bachelor of Technology in Mechatronics (BTMT) _____*Bachelor of Technology (BT) _____ *Bachelor of Technology in Information Technology (BTIT) Three-Year Diploma Courses _____ Automotive Engineering Technology (AET) _____ Apparel and Fashion Technology (AFT) _____ Civil Engineering Technology (CET) _____ Computer Engineering Technology (COET) _____ Electrical Engineering Technology (EET) _____ Electronic Communications Engineering Technology (ECET) _____ Electronics Engineering Technology (EsET) _____ Foundry Engineering Technology (FET) _____ Graphics Arts and Printing Technology (GAPT) _____ Instrumentation and Control Engineering Technology (ICET) _____ Mechanical Engineering Technology (MET) _____ Nutrition and Food Technology (NFT) _____ Power Engineering Technology (PET) _____ Railway Engineering Technology (RET) _____ Refrigeration and Air-Conditioning Engineering Technology (RACET) _____ Tool and Die Engineering Technology (TDET) ____ Welding Engineering Technology (WET) COLLEGE OF LIBERAL ARTS _____ Bachelor 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

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Technological University of the Philippines OFFICE OF ADMISSIONS Manila

Course Code _________________________ Session Code _________________________

Application No. 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____________________

Head

PERSONAL DATA
Name _____________________________________________ Date of Birth ________________________________________ No. of Brothers _____________ No. of Sisters ____________ Citizenship___________________ Religion _______________ Contact no. __________________ Means of Financial Support: E-mail add/ facebook account: _____________________________ Sex _________ Age ________ Status _________ Place of Birth _____________________________ Birth Order 1 2 3 4 5 6 7 8 9 1 0 Height ____________ Weight _______________ Parents Scholarship Others ___________________

FAMILY BACKGROUND
FATHER Name _____________________________________________ Date of Birth ___________________ Tel no. ____________ Occupation _______________________________________ Educ. Attainment_________________________ Family Income (check box) 5,000 below 5,001 10,000 10,001 15,000 MOTHER Name _____________________________________________ Date of Birth ___________________ Tel no.____________ Occupation ________________________________________ Educ. Attainment __________________________ 15,001 20,000 20,001 30,000 30,001 - above

EDUCATIONAL ATTAINMENT
LEVEL ELEMENTARY SECONDARY TERTIARY Third Year General Average: __________ NAME OF SCHOOL YEAR GRADUATED

Cumulative

Averaging

Number of Graduating Class: _________ SECOND GRADING THIRD GRADING

What are your current grades in the following subjects? SUBJECT FIRST 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. 2. 3. 4. 5. 6. Accomplish this application form with 2 ID pictures (1 X 1 ) and submit to the Office of Admissions for evaluation. Pay the non-refundable testing fee at the Cashiers Office. Secure your test permit by submitting your accomplished application form and O.R. of testing fee. Take the TUP Admission Test on the specified date, time, and room. Bring with you your test permit and 2 pencils with eraser. Release of test result will be posted on ________________ at the CLA Building lobby or visit our website www.tup.edu.ph. 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 NSO Birth certificate *Failure to report on the specified date will mean forfeiture of Admission slot. Secure your Notice of Admissions and proceed to the University Clinic for medical examination Report to your respective course adviser/dean for enrolment.

7. 8.

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 3283750 loc 603.