Académique Documents
Professionnel Documents
Culture Documents
PICTURE
1x1
PRINT LEGIBLY
_____________________________________________________________________________________________________________
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 ENGINEERING
_____ Bachelor of Science in Civil Engineering (BSCE)
_____ Bachelor of Science in Electrical Engineering (BSEE)
_____ Bachelor of Science in Electronics Engineering (BSECE)
_____ Bachelor of Science in Mechanical Engineering (BSME)
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)
- - - - - - -- - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
TEST PERMIT
PICTURE
1x1
_______________________________
_______________________________
_______________________________
Head
PERSONAL DATA
Last Name _________________________
Sex _________ Age ________ Civil Status ______________
First Name___________________________
Contact no. ____________________________________
Middle Name_________________________ Extension Name(Jr.,III): ______
E-mail add/ facebook account: ___________________________
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___________________
Height ____________ Weight _______________
Religion _____________________
Permanent Address: _________________________________________________________________________________________________________
Means of Financial Support:
Parents
Scholarship
Others ___________________
FAMILY BACKGROUND
Fathers Name _______________________________________
Contact No. ______________________________________
Occupation _______________________________________
EDUCATIONAL ATTAINMENT
School Last Attended (Secondary/Tertiary): __________________________________________________________________________________
School Adress:_________________________________________________________________________________________________________
Third Year General Average: __________
Number of Graduating Class: _________
What are your current grades in the following subjects?
SUBJECT
FIRST GRADING
MATHEMATICS
SCIENCE
ENGLISH
SECOND GRADING
THIRD GRADING
G.W.A.________
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
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - -
Note:
Applicants for Engineering, Architecture and Science courses should have a grade of 80% or better in Math, Science and English.
For transferee applicants, NO FAILING GRADES
Enrollment will be on a FIRST COME FIRST SERVED basis.
For more inquiries, call the Office of Admission at telephone trunkline:301-3001 loc 603 or 301-3042